Unusual pattern of mandibular fracture displacement in a child: A case report

What is it about?

Most mandibular fractures in children are greenstick-type fractures with minimal displacement. We report a case of a severely displaced condylar and coronoid mandibular fracture along with its clinical presentation and radiological and surgical features. The right condyle and coronoid were laterally displaced, riding completely over the lateral surface of zygomatic arch with a coronoid fragment displaced medially. There was a large haematoma collection in the lateral pharyngeal wall extending downward to the inferior border of the mandible with severe soft tissue injury at the submandibular region.

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Why is it important?

The rarity of such paediatric trauma in the head and neck region and the management of such an injury make this case more interesting for maxillofacial surgeons.