Management of Mandibular Fractures in Children in Ivory Coast: Experience of the Stomatology and Maxillofacial Surgery Department at the University Hospital of Cocody from 2000 to 2019

作     者：Bakary Ouattara Camille Assouan Laurent Boka Koffi Konan René Kouakou Ake Lucien Jonathan Yapo Annick Zoglo-Bro Ahi Morel Mounin Chapo Affoué Linda Marie Pierre Koffi Kahder Morel Diarra Atse Kobo N’Guessan Konan Marc Koffi Bakary Ouattara;Camille Assouan;Laurent Boka Koffi;Konan René Kouakou;Ake Lucien Jonathan Yapo;Annick Zoglo-Bro;Ahi Morel Mounin Chapo;Affoué Linda Marie Pierre Koffi;Kahder Morel Diarra;Atse Kobo N’Guessan;Konan Marc Koffi

作者机构：Department of Stomatology Maxillofacial Surgery University Flix Houphout-Boigny Abidjan Republic of Ivory Coast Department of Oral Pathology University Flix Houphout-Boigny Abidjan Republic of Ivory Coast 

出 版 物：《Open Journal of Stomatology》 (口腔学期刊（英文）)

年 卷 期：2024年第14卷第7期

页      面：341-349页

学科分类：1003[医学-口腔医学] 10[医学] 

主　　题：Fractures Mandible Children Treatment Ivory Coast 

摘      要：Introduction: Mandibular fractures in children are becoming increasingly common. Treatment of these fractures is difficult due to their anatomical and physiological complexity. Therefore, there is a need for well-codified management. Our main aim was to develop a decision algorithm for the management of mandibular fractures in children based on our experience. Materials and Methods: This was a retrospective descriptive study carried out in the Department of Stomatology and Maxillofacial Surgery at the University Hospital of Cocody over a period of 20 years (2000-2019). Results: We enrolled 58 patients. The mean age of the patients was 9.35 ± 2.3 years with a sex ratio of 2.22. Traffic accidents were the main cause of mandibular fractures (60.35%). Condylar fractures were the most common (46.87%). Treatment was orthopedic in 45.76% of cases, mixed (orthopedic and surgical) in 24.14% and surgical in 5.17%. Patients were followed up weekly for 1 month, then monthly for 6 months and annually for 3 years, with panoramic radiographs of the maxilla starting at 21 days. We observed 2 cases of complications: temporomandibular ankylosis and gingival stomatitis. Conclusion: Mandibular fractures are common in children. Management is difficult due to anatomical and physiological peculiarities. The choice of treatment depends on several criteria.