Mandibular fracture in a newborn from birth trauma: A case report
10.32412/pjohns.v39i1.2071
- Author:
ReportIrvin Phillip G. Ablay
1
;
Kathleen Kay K. Yambot
1
;
Neil Aldrine I. Peñaflor
1
Author Information
1. Department of Otolaryngology - Head and Neck Surgery Bicol Medical Center
- Publication Type:Case Reports
- Keywords:
Birth trauma
- MeSH:
Mandibular Fractures;
Infant, Newborn
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2024;39(1):41-43
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To report a case of mandibular fracture in a newborn presenting with post-delivery oral cavity bleeding and to discuss its etiology, clinical findings, diagnosis, management and outcome after treatment.
Methods:Design: Case Report. Setting: Tertiary Government Training Hospital. Patient: One
Results:A newborn girl was referred for oral cavity bleeding after partial breech extraction. An intraoral hematoma and symphyseal step deformity on examination corresponded to a complete
fracture of the symphysis and downward displacement of the left hemimandible on facial CT scans with 3D reconstruction. An uneventful closed reduction with external fixation using acrylic cap splint with circum-mandibular wiring was performed under general anesthesia and she was discharged feeding well. The cap splint and wires were removed after 4 weeks showing good facial symmetry and bone alignment. There were no complications on follow-up after 1 year.
Conclusion:Mandibular fracture can result from traumatic delivery and present with oral bleeding and hematoma. A thorough physical examination and workup should be done to assess for the sites involved. A multidisciplinary approach should be undertaken to provide the best possible care with the least invasive technique.
- Full text:2024061419111873733pjohns 8.pdf
