Surgical treatment of bilateral mandible fracture in a pediatric patient: Case report




Childhood; Fracture; Dental occlusion; Trauma.


Fractures of the face in children exhibit unique and differentiable characteristics, with individualized management from diagnosis, through treatment, to the preservation of the case. Such fractures can trigger significant consequences, such as deformities and facial impairment, having differentiation with the adult population, especially regarding anatomical and social issues. The main objectives in the treatment of facial fractures in pediatric patients are to restore functionality and provide bone union while preserving the potential for facial growth. When possible, a non-surgical approach should be indicated, but in cases that require surgical reduction and internal fixation, this treatment should be performed using less traumatic surgical technique. Long-term follow-up is recommended for an adequate assessment of the functionality and final aesthetics achieved. The objective of this work is to present the clinical case of a pediatric patient who developed a bilateral fracture of the jaw after an automobile accident, translated into a surgical form.


Afrooz, P. N., Grunwaldt, L. J., Zanoun, R. R., Grubbs, R. K., Saladino, R. A., Losee, J. E., & Zuckerbraun, N. S. (2012). Pediatric facial fractures: occurrence of concussion and relation to fracture patterns. J craniofac surg. 23(5):1270-3. 10.1097/scs.0b013e31824e6447

Andrew. T. W., Morbia R., & Peter Lorenz H.(2018). Pediatric Facial Trauma. Clin Plastic Surg.

Berlin, R. S., Dalena M. M., Oleck N. C., Halsey J. N., Luthringer, M., Hoppe, C. I., Lee,E. S., & Granick M. S. (2021). Facial Fractures and Mixed Dentition – What Are the Implications of Dentition Status in Pediatric Facial Fracture Management?. J Craniofac Surg. Jan 7; 10.1097/SCS.0000000000007424

Bhardwaj, Y., & Kumar, D. (2015). Pediatric maxillofacial trauma outcomes based on a survey of 65 patients: a prospective study of etiology, incidence and methods of treatment. J Maxillofac Oral Surg 14(3): 687e692.

Chan, K.H., Gao, D., Bronsert, M., Chevallier, K. M., & Perkins, J. N. (2016). Pediatric facial fractures: Demographic determinants influencing clinical outcomes, Laryngoscope. 126(2):485-90.10.1002/lary.25457.

Imahara, S. D., Hopper, R. A., Wang, J., et al. (2008). Patterns and outcomes of pediatric facial fractures in the United States: a survey of the National Trauma Data Bank. J Am Coll Surg. 207:710–716

Gebran S. G., Wasicek,P. J., Elegbede, A., Ngaage, L. M., BChir, Liang, Y., Ottochian, M., Morrison, J. J., Rasko Y. M., Liang, F., Grant, M. P., & Nam, A. J. (2019). Characterization of Age-Related Injury Patterns and Surgical Treatment of Pediatric Facial Fractures: Analysis of the National Trauma Data Bank. J Craniofac Surg. 30(7) 10.1097/SCS.0000000000005789

Ghosh, R., Gopalkrishnnan, K., & Anand, J. (2018). Pediatric Facial Fractures: A 10-year Study. J Maxillofac Oral Surg. 17(2):158-163. 10.1007/s12663-016-0965-8

Eppley, B. L. (2005). Use of Resorbable Plates and Screws in Pediatric Facial Fractures. J Oral Maxillofac Surg .63:385-391. 10.1016/j.joms.2004.11.011.

Le, T.-M., Oleck, N. C., Liu, F.C., Halsey J. N., Hoppe, I. C., Lee, E. S., & Granick M. S. (2020). Motor Vehicle Collision Injuries: An Analysis of Facial Fractures in the Urban Pediatric Population. J Craniofac Surg. 31(7):1910-1913. 10.1097/SCS.0000000000006671.

Liu, F. C., Le, T.-M., Oleck, N. C., Halsey, J. N., Hoppe, I. C., Lee, E., & Granick, M. S. (2020). Pediatric Pedestrian Facial Fracture Patterns and Management Following Motor Vehicle Collisions. J Craniofac Surg. 31(1):265-268. 10.1097/SCS.0000000000006034.

Maqusi, S., Morris, D. E., Patel, P. K.,Dolezal, R. F., & Cohen, M. N. (2012). Complications of pediatric facial fractures. J Craniofac Surg. 23 (4)1023-1027. 10.1097 / SCS.0b013e31824e7106

McGoldrick, D. M., Parmar, P., Williams, R., Monaghan, A., & McMillan, K. (2019). Management of Pediatric Condyle Fractures J Craniofac Surg. 30(7)2045-2047. 10.1097/SCS.0000000000005787

Moffitt, J. K., Wainwright, D’A. J., Bartz-Kurycki, M., Wainwright, D. J., Demian, N., Teichgraeber, J. F., & Greives, M. R. (2019). Factors Associated With Surgical Management for Pediatric Facial Fractures at a Level One Trauma Center. J Craniofac Surg. 30(3). 8540859. 10.1097/SCS.0000000000005245

Pereira A. S., Shitsuka D. M., Parreira F. J., & Shitsuka R. (2018). Metodologia em pesquisa científica. UFSM - Santa Maria, RS. 1°Ed.

Rodrigues, M. T. V., Schueng, F. E. A., Mendes, B. C. B. C., Vale, D. S., Souza, F. G., & Nóia, C. F. C. F. (2020). A Simple Method of Transoperative Maxillomandibular Fixation in Pediatric Facial Fractures. J Craniofac Surg. 10.1097 / SCS.0000000000007279

Rudolf R.M. (2005). Treatment of Pediatric Facial Fractures: The Case for Metallic Fixation. J Oral Maxillofac Surg. 63:382-384. 10.1016/j.joms.2004.11.010

Santos, D. L. P., Miranda, M. L., Jacob, E. S., Guerra, R. C., Monnazzi, M. S., & Vieira, E.H. (2021). Early Pediatric Multiple Facial Fractures Treatment With Resorbable Fixation. J Craniofac Surg. 10.1097/SCS.0000000000007382

Vyas, R. M., Dickinson, B. P., Wasson, K. L., et al. (2008).Pediatric facial fractures: current national incidence, distribution, and health care resource use. J Craniofac Surg. 19:339–449

Youssef, P., Povolotskiy, R., Mukherjee T. J., Kandinov, A., & Paskhover, B. Pediatric facial injuries: Hitting close to home, J J Craniofac Surg. 1539-1543.

Wong, F. K., Adams, S., Hudson, D. A. & Ozaki, W. (2017).Use of Resorbable Fixation System in Pediatric Facial Fractures. J Craniofac Surg. 28 (3): 635-637. 10.1097 / SCS.0000000000003413

Wang, H., Song, G., Ren, W., Zhou, Y., Li, C., Ou, L., Jun Liu, J., & Xiang,L. Traumatic Facial Fractures in Children and Adolescents. J Craniofac Surg. 29(7) 10.1097/SCS.0000000000004964



How to Cite

OLIVEIRA, M. M. M. .; LIMA, L. B. .; SALGE, V. M. .; SANTOS, D. M. .; SILVA, C. J. .; PAULO, L. F. B. de . Surgical treatment of bilateral mandible fracture in a pediatric patient: Case report. Research, Society and Development, [S. l.], v. 10, n. 6, p. e20310615706, 2021. DOI: 10.33448/rsd-v10i6.15706. Disponível em: Acesso em: 23 jun. 2021.



Health Sciences