Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old
While mandibular fractures represent the most common craniofacial injury in the pediatric population, craniofacial fractures in infants are rare. Diagnosis is challenging with nonspecific presenting symptoms and often limited radiographic imaging. We report a case of nondisplaced mandibular condylar...
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Format: | Article |
Language: | English |
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Hindawi Limited
2023-01-01
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Series: | Case Reports in Dentistry |
Online Access: | http://dx.doi.org/10.1155/2023/7611475 |
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author | Maggie M. Mouzourakis Sarah S. Seo Resmiye Oral |
author_facet | Maggie M. Mouzourakis Sarah S. Seo Resmiye Oral |
author_sort | Maggie M. Mouzourakis |
collection | DOAJ |
description | While mandibular fractures represent the most common craniofacial injury in the pediatric population, craniofacial fractures in infants are rare. Diagnosis is challenging with nonspecific presenting symptoms and often limited radiographic imaging. We report a case of nondisplaced mandibular condylar head fractures in a 3-month-old patient as a result of a fall with impact onto the chin, with associated sublingual hematoma (Coleman’s sign). Although the initially observed sole finding of sublingual hematoma raised concern for child physical abuse, detailed history, oral exam, and multidisciplinary review of radiologic records by pediatrics, otolaryngology, and child protection teams established the accidental trauma diagnosis. The patient was managed conservatively with normal resumption of feeding. Detailed history and multidisciplinary approach to the management of pediatric facial trauma are important in establishing diagnoses and management. |
first_indexed | 2024-03-11T18:45:49Z |
format | Article |
id | doaj.art-9bf07411bbb34c19aabc9504a89b4382 |
institution | Directory Open Access Journal |
issn | 2090-6455 |
language | English |
last_indexed | 2024-03-11T18:45:49Z |
publishDate | 2023-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Dentistry |
spelling | doaj.art-9bf07411bbb34c19aabc9504a89b43822023-10-12T00:00:23ZengHindawi LimitedCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/7611475Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-OldMaggie M. Mouzourakis0Sarah S. Seo1Resmiye Oral2Section of OtolaryngologySection of OtolaryngologyChild Advocacy and Protection ProgramWhile mandibular fractures represent the most common craniofacial injury in the pediatric population, craniofacial fractures in infants are rare. Diagnosis is challenging with nonspecific presenting symptoms and often limited radiographic imaging. We report a case of nondisplaced mandibular condylar head fractures in a 3-month-old patient as a result of a fall with impact onto the chin, with associated sublingual hematoma (Coleman’s sign). Although the initially observed sole finding of sublingual hematoma raised concern for child physical abuse, detailed history, oral exam, and multidisciplinary review of radiologic records by pediatrics, otolaryngology, and child protection teams established the accidental trauma diagnosis. The patient was managed conservatively with normal resumption of feeding. Detailed history and multidisciplinary approach to the management of pediatric facial trauma are important in establishing diagnoses and management.http://dx.doi.org/10.1155/2023/7611475 |
spellingShingle | Maggie M. Mouzourakis Sarah S. Seo Resmiye Oral Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old Case Reports in Dentistry |
title | Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old |
title_full | Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old |
title_fullStr | Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old |
title_full_unstemmed | Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old |
title_short | Case of Accidental Trauma Resulting in Condylar Fractures in 3-Month-Old |
title_sort | case of accidental trauma resulting in condylar fractures in 3 month old |
url | http://dx.doi.org/10.1155/2023/7611475 |
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