Physical Therapy as first therapy to mandibular fracture in a pediatric patient
DOI:
https://doi.org/10.33448/rsd-v11i1.25148Keywords:
Physical Therapy; Mandibular Condyle; Closed Fracture Reduction; Child.Abstract
Mandibular fractures are the most common in children, however with a low incidence because of child anatomy. Among the sites, the condyle is one the most fracture site, being a dilemma to surgeons about your management. The treatment to condyle fracture can be a surgical approach or conservative management. Conservative treatment presents the IMF, appliances, soft diet, and physiotherapy as an option, and these treatments can be applied isolated or associated. Physical Therapy has been a few reported in the literature as isolated therapy, reported as complementing the surgical approach, or after orthodontic/appliances therapy. Promote early mandibular mobility is important to restore function and prevent future complications such as ankylosis. Instruments to perform physiotherapy are expensive and not accessible to the entire population. Therefore, the present study presents a case of a pediatric patient with condyle fracture treated with a soft diet and physiotherapy with wooden spatula.
References
Anehosur, V., Kulkarni, K., Shetty, S., & Kumar, N. (2019). Clinical outcomes of endoscopic vs retromandibular approach for the treatment of condylar fractures-a randomized clinical trial. Oral surgery, oral medicine, oral pathology and oral radiology, 128(5), 479–484. https://doi.org/10.1016/j.oooo.2018.12.007
Bandy, W. D., Irion, J. M., & Briggler, M. (1997). The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Physical therapy, 77(10), 1090–1096. https://doi.org/10.1093/ptj/77.10.1090
Bansal, A., Yadav, P., Bhutia, O., Roychoudhury, A., & Bhalla, A. S. (2021). Comparison of outcome of open reduction and internal fixation versus closed treatment in pediatric mandible fractures-a retrospective study. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 49(3), 196–205. https://doi.org/10.1016/j.jcms.2020.12.013
Boffano, P., Roccia, F., Schellino, E., Baietto, F., Gallesio, C., & Berrone, S. (2012). Conservative treatment of unilateral displaced condylar fractures in children with mixed dentition. The Journal of craniofacial surgery, 23(5), e376–e378. https://doi.org/10.1097/SCS.0b013e31825755d3
Cassi, D., Magnifico, M., Di Blasio, C., Gandolfini, M., & Di Blasio, A. (2017). Functional Treatment of a Child with Extracapsular Mandibular Fracture. Case reports in dentistry, 2017, 9760789. https://doi.org/10.1155/2017/9760789
Cooney, M., O'Connell, J. E., Vesey, J. A., & Van Eeden, S. (2020). Non-surgical management of paediatric and adolescent mandibular condyles: A retrospective review of 49 consecutive cases treated at a tertiary referral centre. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 48(7), 666–671. https://doi.org/10.1016/j.jcms.2020.05.006
Crean, S. T., Sivarajasingam, V., & Fardy, M. J. (2000). Conservative approach in the management of mandibular fractures in the early dentition phase. A case report and review of the literature. International journal of paediatric dentistry, 10(3), 229–233. https://doi.org/10.1046/j.1365-263x.2000.00196.x
Du, C., Xu, B., Zhu, Y., & Zhu, M. (2021). Radiographic evaluation in three dimensions of condylar fractures with closed treatment in children and adolescents. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 49(9), 830–836. https://doi.org/10.1016/j.jcms.2021.04.002
El-Huni, A., Colonio Salazar, F. B., Sharma, P. K., & Fleming, P. S. (2019). Understanding factors influencing compliance with removable functional appliances: A qualitative study. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 155(2), 173–181. https://doi.org/10.1016/j.ajodo.2018.06.011
Ghosh, R., Gopalkrishnan, K., & Anand, J. (2018). Pediatric Facial Fractures: A 10-year Study. Journal of maxillofacial and oral surgery, 17(2), 158–163. https://doi.org/10.1007/s12663-016-0965-8
Kaban L. B. (1993). Diagnosis and treatment of fractures of the facial bones in children 1943-1993. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 51(7), 722–729. https://doi.org/10.1016/s0278-2391(10)80409-4
Kim, J. H., & Nam, D. H. (2015). Closed reduction of displaced or dislocated mandibular condyle fractures in children using threaded Kirschner wire and external rubber traction. International journal of oral and maxillofacial surgery, 44(10), 1255–1259. https://doi.org/10.1016/j.ijom.2015.06.004
Lee, R., Yeo, S. T., Rogers, S. N., Caress, A. L., Molassiotis, A., Ryder, D., Sanghera, P., Lunt, C., Scott, B., Keeley, P., Edwards, R. T., & Slevin, N. (2018). Randomised feasibility study to compare the use of Therabite® with wooden spatulas to relieve and prevent trismus in patients with cancer of the head and neck. The British journal of oral & maxillofacial surgery, 56(4), 283–291. https://doi.org/10.1016/j.bjoms.2018.02.012
Li, M. X., Xing, X., Li, Z. B., & Li, Z. (2021). Classification and treatment strategies for condylar fractures in children. The British journal of oral & maxillofacial surgery, 59(7), 776–782. https://doi.org/10.1016/j.bjoms.2020.09.016
Liu, M., Zhao, Y., He, Y., An, J., Lei, J., & Zhang, Y. (2020). Outcomes of anterior disc displacement and condylar remodelling for sagittal fracture of the mandibular condyle in children after closed treatment. International journal of oral and maxillofacial surgery, 49(1), 82–89. https://doi.org/10.1016/j.ijom.2019.03.901
Melchers, L. J., Van Weert, E., Beurskens, C. H., Reintsema, H., Slagter, A. P., Roodenburg, J. L., & Dijkstra, P. U. (2009). Exercise adherence in patients with trismus due to head and neck oncology: a qualitative study into the use of the Therabite. International journal of oral and maxillofacial surgery, 38(9), 947–954. https://doi.org/10.1016/j.ijom.2009.04.003
Pereira, A. S., Shitsuka, D. M. , Parreira, F. J.& Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM.
Staderini, E., Patini, R., Tepedino, M., Gasparini, G., Zimbalatti, M. A., Marradi, F., & Gallenzi, P. (2020). Radiographic Assessment of Pediatric Condylar Fractures after Conservative Treatment with Functional Appliances-A Systematic Review. International journal of environmental research and public health, 17(24), 9204. https://doi.org/10.3390/ijerph17249204
Steed, M. B., & Schadel, C. M. (2017). Management of Pediatric and Adolescent Condylar Fractures. Atlas of the oral and maxillofacial surgery clinics of North America, 25(1), 75–83. https://doi.org/10.1016/j.cxom.2016.10.005
Thorén, H., Hallikainen, D., Iizuka, T., & Lindqvist, C. (2001). Condylar process fractures in children: a follow-up study of fractures with total dislocation of the condyle from the glenoid fossa. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 59(7), 768–774. https://doi.org/10.1053/joms.2001.23369
Vesnaver A. (2020). Dislocated pediatric condyle fractures - should conservative treatment always be the rule?. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 48(10), 933–941. https://doi.org/10.1016/j.jcms.2020.08.001
Wainwright, D. J., Moffitt, J. K., Bartz-Kurycki, M., Wainwright, D. J., Anderson, K., Demian, N., Teichgraeber, J. F., & Greives, M. R. (2019). The Trends of Pediatric Facial Fractures Due to Violence in a Level One Trauma Population. The Journal of craniofacial surgery, 30(7), 1970–1973. https://doi.org/10.1097/SCS.0000000000005613
Youssef, P., Povolotskiy, R., Mukherjee, T. J., Kandinov, A., & Paskhover, B. (2018). Pediatric facial injuries: Hitting close to home. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 46(9), 1539–1543. https://doi.org/10.1016/j.jcms.2018.05.054
Zhao, Y. M., Yang, J., Bai, R. C., Ge, L. H., & Zhang, Y. (2014). A retrospective study of using removable occlusal splint in the treatment of condylar fracture in children. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 42(7), 1078–1082. https://doi.org/10.1016/j.jcms.2012.07.010
Zimmermann, C. E., Troulis, M. J., & Kaban, L. B. (2005). Pediatric facial fractures: recent advances in prevention, diagnosis and management. International journal of oral and maxillofacial surgery, 34(8), 823–833. https://doi.org/10.1016/j.ijom.2005.06.015
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Copyright (c) 2022 Maísa Pereira-Silva; Nataira Regina Momesso; Ana Carolina Zucon Bacelar; Izabella Sol; Laís Kawamata de Jesus; André Luiz da Silva Fabris; Ana Paula Farnezi Bassi; Leonardo Perez Faverani; Alessandra Marcondes Aranega; Idelmo Rangel Garcia-Júnior; Osvaldo Magro-Filho; Francisley Ávila Souza
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