Hyperostosis as a late sequel of parasymphyseal mandibular fractures in 2 children

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2005

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Anderson, P.
David, D.

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Journal of Cranio-Maxillofacial Surgery, 2005; 33(3):188-190

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Peter J. Anderson and David J. David

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Abstract

Background: The potential problem of growth anomalies affecting a mandible following a fracture of a mandibular condyle in childhood is well established. However, there have been no previous reports of this phenomenon affecting other fracture sites in the mandible. Patients: Two patients who had parasymphyseal fractures treated in childhood presented at skeletal maturity with hyperostosis at the fracture site, producing chin asymmetry in their teens. Results: In both cases the hyperostosis produced significant chin asymmetry without disturbance of the occlusion. Both patients were managed with corrective genioplasty. Conclusion: These cases reinforce the previous recommendations regarding the need for long-term follow-up of children who sustain facial fractures of the mandible, and that the protocol should be expanded to include parasymphyseal fractures as well as fractures of the condyle.

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