No abstract

Background: Optimal management of pediatric mandible fractures demands preservation of this structure's growth potential and functional dynamics. We advocate less invasive interventions in dealing with these injuries whenever feasible. Here, we analyze our experience with pediatric mandible fractures at a major pediatric teaching hospital. Methods:We assessed the demographics, management, and outcomes of pediatric mandible fractures presenting over ten years. Management was strati ed as follows: Level A: physical therapy or mandible rest; Level B: external stabilization techniques (C-collar or ACE wrap); Level C: closed reduction and external  xation (CREF), and level D: open reduction and external  xation (ORIF). The effects of fracture pattern on mandibular function and growth were explored, and the impact of operative management on these relationships was assessed.