Condylar Fracture in a Child with Entrapment of the Inferior Alveolar Nerve. Issue 2 (June 2016)

• Record Type: Journal Article
• Authors: Politis, Constantinus; Sun, Yi; Agbaje, Jimoh; Lambrichts, Ivo; Piagkou, Maria; Jacobs, Reinhilde
• Is Part Of: Craniomaxillofacial trauma & reconstruction. Volume 9:Issue 2(2016)
• Page Start: 149
• Page End: 151
• Publication Date: 2016-06
• Subjects: nerve damage -- condylar fracture -- inferior alveolar nerve -- entrapment -- children; Face -- Wounds and injuries -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Wounds and injuries -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery; Face -- Wounds and injuries; Maxilla -- Surgery; Maxilla -- Wounds and injuries; Maxillofacial Injuries -- Periodicals; Craniocerebral Trauma -- Periodicals; Reconstructive Surgical Procedures -- methods -- Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 617.522
• DOI: 10.1055/s-0035-1563391
• Languages: English
• ISSNs: 1943-3875

Abstract

The aim of this article is to report the clinical case of a right subcondylar fracture in a 4-year-old boy. The displaced and medial angulated fragmented mandibular condyle in coexistence with an enlarged lateral pterygoid process was compressing the inferior alveolar nerve (IAN) during its course in the area of the infratemporal fossa. This was expressed by exhibiting a rubbing behavior with resulting superficial ulceration at the right lower lip. Hypoesthesia of the lower lip may be a sign of the IAN entrapment after a subcondylar fracture in a child. In contrast to the adults where an open reduction is necessary to relieve the symptoms of hypoesthesia, in pediatric population, a conservative approach seems sufficient.