Open reduction and internal fixation of paediatric mandibular fracture: a case report and review of literature

Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, James Solomon Jesudasan, Narayanamurthy Sundaramurthy, Manimaran Ramachandran, Praveen Ganesh Natarajan


The type of craniomaxillofacial fractures in children and young adults varies with evolving skeletal anatomy and social and environmental factors. The general principles of treating mandibular fractures are common for children and adults: Anatomic reduction along with rigid skeletal stabilization is mandatory until bone union has occurred. Here we present a female child with a road traffic accident presenting with fractures of the right parasymphysis and the left angle of the mandible with significant displacement. Open reduction and internal fixation with stainless steel miniplates and screws was done, with good post-operative recovery.


fixation of paediatric fractures, Paediatric trauma, Paediatric facial fractures

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MacLennan WD. Fractures of the mandible in children under the age of six years. Br J Plast Surg. 1956;9:125.

Rowe NL. Fractures of the jaws in children. J Oral Surg. 1969;27(7):497-507.

Goth S, Sawatari Y, Peleg M. Management of pediatric mandible fractures. J Craniofac Surg. 2012;23(1):47-56.

Baumann A, Troulis MJ, Kaban LB. Facial trauma II: Dentoalveolar injuries and mandibular fracture. In: Kaban LB, Troulis MJ, editors. Pediatric oral and maxillofacial surgery. Saunders; Philadelphia: 2004:441-61.

Dodson TB. Mandibular fractures in children. OMS Knowledge Update Update. 1995;1(II):95-107. Available at

Iida S, Matsuya T. Pediatric maxillofacial fractures: their aetiological characters and fracture patterns. J Craniomaxillofac Surg. 2002;30(4):237-41.

Posnick JC, Goldstein JA. Surgical management of temporomandibular joint ankylosis in the pediatric population. Plast Reconstr Surg. 1993;91(5):791-8.

Kaban LB, Mulliken JB, Murray JE. Facial fractures in children: An analysis of 122 fractures in 109 patients. Plast Reconstr Surg. 1977;59(1):15-20.

Thoren H, Iizuka T, Hallikainen D. Different patterns of mandibular fractures in children. An analysis of 220 fractures in 157 patients. J Craniomaxillofac Surg. 1992;20(7):292-6.

Siwani R, Tombers NM, Rieck KL, Cofer SA. Comparative analysis of fracture characteristics of the developing mandible: the Mayo Clinic experience. Int J Pediatr Otorhinolaryngol. 2014;78(7):1066-70.

Norholt SE, Krishan V, Sindet-Pedersen S, Jensen I. Pediatric condylar fractures: a long-term follow-up study of 55 patients. J Oral Maxillofac Surg. 1993;51:1302-10.