Novel and Affordable Low-Cost technique for Fixation of Para
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Pediatric mandibular fractures are immensely challenging compared to adult fractures. According to this study the newer technique using straightforward fabricated mold is simple and cheaper.

The current update management spectrum ranges from the conservative one in the form of soft diet and regular follow-up, or less invasive surgical intervention by closed reduction and non-rigid fixation, to open reduction and internal fixation with plates and screws. In this study, researchers investigated the use of a straightforward fabricated mold for the parasymphyseal mandibular fracture in infants with an unerupted dentition.

This prospective study was conducted on 8 infants presenting with parasymphyseal fractures with unerupted dentitions in the specialized trauma center. In the operating room before the induction of anesthesia, the authors used a straightforward plastic airway to create a splint. The curved part was split into 2 transverse halves making 2 U-shaped curved pieces that were utilized as a mold. Intraoperatively, the U-shaped piece was placed over the mandible and stabilized with circummandibular wires. This molded airway is used to stabilize the fracture site for 2-3 weeks.

The average time of mandibular fixation was 17.6 ± 2.4 SD days. The mean of the total operative time was 38.7 ± 3.5 SD minutes, ranging from 35 to 45 minutes. The infants were observed in the outpatient clinic for 6 months postoperatively during the follow-up period. There were no noticeable complications nor any interference with tooth eruption or mandibular growth.

The results of this study suggest that this technique is straightforward to use and affordable. It does not require a long learning. It also exhibits the advantage of reducing the cost in many developing countries.

Journal of Oral and Maxillofacial Surgery
Source: https://doi.org/10.1016/j.joms.2021.02.037
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