Mandibular fractures in children under 3 years: A rare case report

Abstract Mandibular fractures in children are relatively rare, not only by their anatomical and physiological aspects, but also by their social factor, which makes this group less exposed to high-impact trauma. Thus, the specific pediatric treatment, through a minimally invasive approach should also be established, avoiding future functional disorders. In our case, a female patient, a 3-year-old accident victim was affected by a domestic symphysis fracture and bilateral mandibular condyle. Surgical treatment of fractures of the mandibular symphysis was performed two days after the trauma, under general anesthesia for reduction and fixation, employing a 1.5 titanium plate system in the midline of the mandibular symphysis. The condylar fractures were treated conservatively, immediately using gruel and oral therapy to avoid complications such as temporomandibular joint ankylosis. The patient has been followed up by our staff and has no restriction in mandibular movements and no limitation of mouth opening.