Comminuted mandibular fracture in child victim of dog bite

Dent Traumatol. 2012 Aug;28(4):324-8. doi: 10.1111/j.1600-9657.2011.01079.x. Epub 2011 Nov 17.

Abstract

Dog bites represent lesions commonly found in Hospital Emergency Clinic. This type of lesion may cause severe harm to patients, but it rarely affects the underlying bone structure causes facial fracture. This study aims to illustrate a rare clinical case in which a pediatric patient presented a comminuted fracture in the mandible which evolved into a unilateral avulsion of the mandibular condyle, body fractures as well as a mandibular ramus and hemiface that had been deformed, with multiple lacerations and loss of soft-tissue mass. Intermaxillary fixation was performed using the Ivy method, followed by internal rigid fixation using miniplates and screws in attempt to reconstruct the child's mandible. After 2 years of follow-up, a satisfactory esthetics and functional results could be observed.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Bites and Stings / surgery*
  • Child, Preschool
  • Dogs*
  • Fracture Fixation, Internal / methods*
  • Fractures, Comminuted / surgery*
  • Humans
  • Male
  • Mandibular Condyle / injuries*
  • Mandibular Condyle / surgery
  • Mandibular Fractures / surgery*
  • Maxillofacial Injuries / surgery