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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Main Authors: Maggie M. Mouzourakis, Sarah S. Seo, Resmiye Oral
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
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.
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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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