Management of Mandibular Fractures in Children

從民國八十年到八十九年間，共有十二位年齡小於十一歲的小孩，因下頜骨骨折在慈濟綜合醫院接受治療。這佔所有439個下頜骨骨折病患的2.7%。五位(1.1%)小於五歲，其他七位(1.6%)介於六至十一歲。車禍是最主要的病因（九位或75%）。十二位病患共有17處骨折。四位(33%)病患有多處骨折。最常見的骨折部位是symphysis，佔41%。六位(50%)有合併身體其他部位的傷害，其中一位合併嚴重的顱內受傷，兩位合併嚴重的胸腹受傷。治療的方法包括：四位採觀察，兩位採閉鎖性復位術，六位採開放性復位併內固定術。我們並未採用 arch bars。當有需要做兩顎間固定時，可利用dental splints，circummandibular wires及piriform aperture wires來達成。

關鍵字

無資料

並列摘要

Twelve children under 11 years of age with mandibular fractures were treated at Buddhist Tzu-Chi General Hospital between January 1991 and December 2000. This comprised 2.7% of all the 439 patients with mandibular fractures. Five (1.1%) were younger than 5 years of age, and the remaining 7(1.6%) were 6 to 11-year old. Traffic accidents were the most common cause of mandibular fractures in our series (9 patients, or 75%). There were 17 fracture sites in these 12 children. Four (33%) patients had more than one fracture sites. Seven (41%) of the fractures involved the symphysis, which was the most common fracture sites in our series. Associated injuries were present in 6(50%) patients. Three (25%) patients had severe associated injuries (one, intracranial injury and two, thoracoabdominal trauma). Methods of treatment included: observation in 4 patients, closed reduction in 2 patients and open reduction and internal fixation in 6 patients. We did not use arch bars. When maxillomandibular fixation was indicated, it was obtained with a combination of dental splints, circummandibular wires and piriform aperture wires.

並列關鍵字

mandibular fractures in children ； maxillomandibular fixation (MMF) ； open reduction and internal fixation (ORIF) ； closed reduction ； dental splint

國際替代計量

Management of Mandibular Fractures in Children

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