환악 결찰술을 이용한 소아 하악 골절의 보존적 치료:

• 영문명: The conservative treatment of mandibular fracture in a child with circummandibular wiring: case report
• 발행기관: 대한구강악안면외과학회
• 저자명: 김형모(Hyung Mo Kim) 김태완(Tae Wan Kim) 송승일(Seung Il Song) 이정근(Jeong Keun Lee)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면회과학회지 제36권 제2호, 145~148쪽, 전체 4쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2010.04.30

영문 초록

Maxillofacial injuries are less common in children than in adolescents and adults. This lower incidence is a result of the relatively small size of mandible, the resilient nature of the bones, and a relatively protected environment, which distinguish the treatment principles of pediatric mandibular fractures from those of the adult. The bone of child is malleable, so pediatric fractures tend to be less displaced and rarely comminuted. Moreover, high regeneration potential of the wound allows more conservative treatment modalities for the pediatric mandibular fracture. High risk of damaging unerupted tooth bud renders many clinicians to resort to more conservative treatment modality for the reduction of displaced segments. This case report describes two successful treatment cases using the circummandibular wiring which was applicated to the fracture on parasymphysis of mandible. Circummandibular wiring can protect the tooth buds, and there is no need for intermaxillary fixation so that it prevents the possible complications of intermaxillary fixation such as the temporomandibular joint ankylosis and the facial growth disturbances. The acrylic splint was removed after 3 weeks, which showed clinically good union across the fracture line without complications. They showed complete clinical and radiological bone healing with an optimum occlusion.

키워드

Pediatric mandibular fracture Circummandibular wiring