Displaced Mandibular Body Fracture in a Preschool Child: A Case Managed by Closed Reduction
Mekhaeel Shehata Fakhry Mekhaeel
Department of Operative surgery and clinical anatomy named after I.D. Kirpatovsky, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University), Moscow, Russian Federation, Russia.
Salem Mohamed Ahmed Eissa Sameh
Department of Operative surgery and clinical anatomy named after I.D. Kirpatovsky, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University), Moscow, Russian Federation, Russia.
Hassan Mohamed Khaled Talaat Youssef *
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Aida Jahanbekam
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Fatemeh Hassannezhad Neissi
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Ali Sharifzadeh Ghazani
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Bahar Behroozi
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Kambiz Ebrahimi
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
Tahoura Talebidelooei
Department of Oral and Maxillofacial Surgery, Medical institute, Peoples' Friendship University of Russia named after Patrice Lumumba. Moscow. Russian Federation, Russia.
*Author to whom correspondence should be addressed.
Abstract
The management of mandibular fractures in pediatric patients is complicated by the presence of developing tooth buds and growth centers, making conservative approaches often preferable to avoid iatrogenic injury. This report details the application of such a principle in a 4-year-old male who sustained a displaced left mandibular body fracture after a fall. Confirmed by CT scan, the fracture was managed successfully with closed reduction and maxillomandibular fixation (MMF) using arch bars and elastics, performed entirely via an intraoral approach. The 30-minute procedure resulted in an excellent outcome, with the patient achieving full restoration of function and aesthetics after a four-week fixation period and no complications. This case demonstrates that closed reduction with MMF is a highly effective, minimally invasive strategy for managing select mandibular fractures in young children, preserving growth potential while ensuring optimal recovery.
Keywords: Pediatric mandibular fracture, closed reduction, maxillomandibular fixation, conservative management, intraoral approach