COMPLICATIONS IN THE TREATMENT OF LOWER JAW FRACTURES IN CHILDREN (LITERATURE REVIEW)
DOI:
https://doi.org/10.35220/2078-8916-2024-54-4.29Keywords:
fracture, trauma, lower jaw, children, complicationsAbstract
Traumatic fractures of the lower jaw in children occupy the second place among fractures of the skull bones and occur from 20 to 50 % of cases, with a predominance of fractures in the condylar processes. The purpose of this study is to analyze and summarize data from modern scientific sources on complications associated with the treatment of traumatic fractures of the mandible in children.
Materials and methods of research. The study was conducted according to the following design: literature search using the PubMed electronic database (https:// pubmed.ncbi.nlm.nih.gov the web of Science Core Collection https://www.webofscience.com/wos/woscc/ basic-search Scopus), Scopus https://www.scopus.com the Google Scholar https://scholar.google.com.ua), to search for publications related to complications in the treatment of traumatic fractures of the lower jaw in children. A bibliosemantic method for studying publications on a particular topic over the past 10 years has been applied. Results. Traumatic fractures of the mandible in children rank second among skull fractures and occur in 20 to 50 % of cases. Treatment is different, as are postoperative complications that can develop in the early postoperative period or be remote. These include the development of inflammation, malocclusion, the appearance of chronic pain, the formation of a false joint, fibrous adhesion ‒ an unconsolidated fracture, disintegration of fixing elements during osteosynthesis, injury to teeth or follicles, the development of ankylosis, facial deformities, which lead to disability of the child. Conclusion. Complications can occur both with conservative and surgical treatment, and at different stages of its and the child's rehabilitation. The main complications include the development of inflammation, malocclusion, the appearance of chronic pain, disintegration of fixing elements during osteosynthesis, injury to teeth or follicles, the development of ankylosis, and facial deformation.
References
Perez, D., & Ellis, E. 3rd. (2020). Complications of Mandibular Fracture Repair and Secondary Reconstruction. Semin Plast Surg, 34(4), 225-231. DOI: 10.1055/s-0040-1721758.
Khairwa, A., Bhat, M., Sharma, A., & Sharma, R. (2015). Management of Symphysis and Parasymphysis Mandibular Fractures in Children Treated with MacLennan Splint: Stability and Early Results. Int J Clin Pediatr Dent, 8(2):127-32. DOI: 10.5005/jp-journals-10005-1298.
Segura-Palleres, I., Sobrero, F., Roccia, F., de Oliveira Gorla, L.F., Pereira-Filho, V.A., & et al. (2022). Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study. Dent. Traumatol, 38:213–222. DOI: 10.1111/edt.12735.
Roccia, F., Sobrero, F., Strada, C., Bottini, G.B., Goetzinger, M., Samieirad S., & et al. (2024). Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11-year multicentric retrospective study. Dent. Traumatol, DOI: 10.1111/edt.12976.
Chen, R., Liao, L., Huo, S., Wu, J., & Li W. (2024). Characteristics of pediatric mandibular condylar fractures in Southwest China: A single-center and 12-year retrospective study. Dent. Traumatol, 40, 444–452. DOI: 10.1111/edt.12937.
Rostyslav, Y, Yakovenko, L, & Irina P. (2020). Fractures of the lower jaw in children (causes, types, diagnosis and treatment). Retrospective 5 year analysis. J Oral Biol Craniofac Res, 10(2), 1-5. DOI: 10.1016/j. jobcr.2020.01.004.
Boffano, P., Roccia, F., Zavattero, E., Dediol, E., Uglešić, V. & et al. (2015). European Maxillofacial Trauma (EURMAT) in children: A multicenter and prospective study. Oral Surg. Oral Med. Oral Pathol. Oral Radiol, 119, 499–504. DOI: 10.1016/j.oooo.2014.12.012.
James, J, Farrell, T 4th, Stevens, M, Looney, S, Faigen, A., & Anderson, J. (2020). Time to Open Repair of Mandibular Fractures and Associated Complications. J Oral Maxillofac Surg, 78(1), 101-107. doi: 10.1016/j. joms.2019.09.009.
Christensen, B.J., Mercante, D.E., Neary, J.P., & King, B.J. (2017). Risk Factors for Severe Complications of Operative Mandibular Fractures. J Oral Maxillofac Surg, 75(4). 787.e1-787.e8. doi: 10.1016/j.joms.2016.12.003.
Odom, E.B., & Snyder-Warwick, A.K. (2016). Mandible Fracture Complications and Infection: The Influence of Demographics and Modifiable Factors. Plast Reconstr Surg, 138(2), 282e-289e. doi: 10.1097/ PRS.0000000000002385.
