Pediatric Mandibular Fracture

• Etiology:
• Imaging Radiograph:
  — Mandibular radiographs are difficult to perform in children so with high level of suspicion CT is good choice
• Imaging CT:
  — Look at mandibular condyles and tempromandibular joints as it is easy to miss fractures in that location
  — Mandible is a ring so mandibular fractures rarely occur in isolation so when one fracture is present look for second fracture or dislocation
  — Can be subcondylar, coronoid, ramus, angle, body, parasymphyseal, symphyseal
  — Condylar more common than parasymphyseal which is more common than angle which is more common than symphysis
  — Condylar: Less than 6 years intracapsular, Types – intracapsular crush or high and low condylar or subcondylar (often incomplete), comminution and displacement, condyle in relation to temperomandibular joint
• DDX:
• Complications:
• Treatment:
• Clinical: Patients with dislocation of temperomandibular joint can present with acute pain and failure to close mandible

Radiology Cases of Mandibular Fracture