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Editorial Comment
July 2001

Pediatric Mandibular Fractures—Editorial Comment

Author Affiliations

Division of Craniofacial, Plastic, and Reconstructive Surgery
Children's Hospital and Regional Medical Center
4800 Sandpoint Way NE
PO Box 5371
Seattle, WA 98105-0371
(e-mail: jgruss@chmc.org)

 

Division of Craniofacial, Plastic, and Reconstructive Surgery
 Children's Hospital and Regional Medical Center
 4800 Sandpoint Way NE
 PO Box 5371
 Seattle, WA 98105-0371
 (e-mail: jgruss@chmc.org)


Arch Facial Plast Surg. 2001;3(3):190. doi:

Fractures of the pediatric mandible are rare and have unique difficulties and problems in management that have been clearly outlined in the article by Davison et al. This is particularly true during the phase of mixed dentition when the application of arch bars is difficult. Davison et al have shown clearly that excellent results can be obtained with the careful reduction and internal fixation of pediatric mandibular fractures without the application of formal intermaxillary fixation. That this technique is feasible is not in doubt as has been clearly shown in this article. This technique, however, is unsuitable for the neophyte or inexperienced surgeon. The application of these techniques requires the surgeon to be experienced and comfortable in the treatment of all types of mandibular fractures with conventional techniques of intermaxillary fixation, and to understand fully the applications and technical intricacies and potential complications of rigid internal fixation of the mandible and other bones in the craniofacial skeleton.

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