Author(s)

Bakary Ouattara^1*, Camille Assouan¹, Laurent Boka Koffi¹, Konan René Kouakou¹, Ake Lucien Jonathan Yapo¹, Annick Zoglo-Bro¹, Ahi Morel Mounin Chapo¹, Affoué Linda Marie Pierre Koffi¹, Kahder Morel Diarra¹, Atse Kobo N’Guessan², Konan Marc Koffi¹

¹Department of Stomatology, Maxillofacial Surgery, University Félix Houphouët-Boigny, Abidjan, Republic of Ivory Coast.
²Department of Oral Pathology, University Félix Houphouët-Boigny, Abidjan, Republic of Ivory Coast.

Introduction: Mandibular fractures in children are becoming increasingly common. Treatment of these fractures is difficult due to their anatomical and physiological complexity. Therefore, there is a need for well-codified management. Our main aim was to develop a decision algorithm for the management of mandibular fractures in children based on our experience. Materials and Methods: This was a retrospective descriptive study carried out in the Department of Stomatology and Maxillofacial Surgery at the University Hospital of Cocody over a period of 20 years (2000-2019). Results: We enrolled 58 patients. The mean age of the patients was 9.35 ± 2.3 years with a sex ratio of 2.22. Traffic accidents were the main cause of mandibular fractures (60.35%). Condylar fractures were the most common (46.87%). Treatment was orthopedic in 45.76% of cases, mixed (orthopedic and surgical) in 24.14% and surgical in 5.17%. Patients were followed up weekly for 1 month, then monthly for 6 months and annually for 3 years, with panoramic radiographs of the maxilla starting at 21 days. We observed 2 cases of complications: temporomandibular ankylosis and gingival stomatitis. Conclusion: Mandibular fractures are common in children. Management is difficult due to anatomical and physiological peculiarities. The choice of treatment depends on several criteria.

Fractures, Mandible, Children, Treatment, Ivory Coast

Ouattara, B. , Assouan, C. , Koffi, L. , Kouakou, K. , Yapo, A. , Zoglo-Bro, A. , Chapo, A. , Koffi, A. , Diarra, K. , N’Guessan, A. and Koffi, K. (2024) Management of Mandibular Fractures in Children in Ivory Coast: Experience of the Stomatology and Maxillofacial Surgery Department at the University Hospital of Cocody from 2000 to 2019. Open Journal of Stomatology, 14, 341-349. doi: 10.4236/ojst.2024.147028.