title: Comminuted mandibular fracture in child victim of dog bite.
abstract: Dog bites represent lesions commonly found in Hospital Emergency Clinic. This type of lesion may cause severe harm to patients, but it rarely affects the underlying bone structure causes facial fracture. This study aims to illustrate a rare clinical case in which a pediatric patient presented a comminuted fracture in the mandible which evolved into a unilateral avulsion of the mandibular condyle, body fractures as well as a mandibular ramus and hemiface that had been deformed, with multiple lacerations and loss of soft-tissue mass. Intermaxillary fixation was performed using the Ivy method, followed by internal rigid fixation using miniplates and screws in attempt to reconstruct the child's mandible. After 2 years of follow-up, a satisfactory esthetics and functional results could be observed.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Joao XXIII Hospital, Belo Horizonte, Brazil. matcarodonto@yahoo.com.br
authors.forename: Matheus Furtado
authors.initials: MF
authors.lastname: de Carvalho
authors.forename: Luiz Augusto Paixão
authors.initials: LA
authors.lastname: Hardtke
authors.forename: Max Filipe Cota
authors.initials: MF
authors.lastname: de Souza
authors.forename: Vasco
authors.initials: V
authors.lastname: de Oliveira Araujo
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D002675:Child, Preschool; D004285:Dogs; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery*; D008446:Maxillofacial Injuries / Q000601:surgery