alexa A Case of Successful Conservative Management of Multiple Facial Bone Fractures in an Infant | OMICS International | Abstract
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

A Case of Successful Conservative Management of Multiple Facial Bone Fractures in an Infant

Kazutaka Soejima1*, Katsumi Shimoda1, Yumi Tanabe2, Takashi Yamaki2, Taro Kono2, Ryohei Higuchi3, Hiroyuki Sakurai2 and Hiroaki Nakazawa1
1Department of Plastic and Reconstructive Surgery, School of Medicine, Nihon University, 30-1 Kamicho, Oyaguchi, Itabashi-ku, Tokyo 173-8610, Japan
2Department of Plastic and Reconstructive Surgery, Tokyo Women’s Medical University, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162-8666, Japan
3Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-9 Musashidai, Fuchu-shi, Tokyo 18308524, Japa
Corresponding Author : Kazutaka Soejima
Department of Plastic and Reconstructive Surgery
School of Medicine, Nihon University
30-1 Kamicho, Oyaguchi, Itabashi-ku
Tokyo 173-8610, Japan
Tel: +81-3-3972-8111
Fax: +81-3-3972-8860
E-mail: [email protected]
Received January 19, 2012; Accepted February 01, 2012; Published February 06, 2012
Citation: Soejima K, Shimoda K, Tanabe Y, Yamaki T, Kono T, et al. (2012) A Case of Successful Conservative Management of Multiple Facial Bone Fractures in an Infant. J Trauma Treatment 1:111. doi:10.4172/2167-1222.1000111
Copyright: © 2012 Soejima K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Displaced facial fractures in infants are rare, with only limited published data, and management of such fractures remains controversial. Various authors have advocated managing severely displaced fractures by open reduction and rigid fixation. We describe our experience in successfully managing a case of multiple fractures of facial bones in an infant by conservative observation. A 17-month-old boy sustained multiple facial fractures in a car accident. A CT scan revealed a severely displaced left zygomatic fracture and an undisplaced mandibular angle fracture. There was no orbital floor defect with entrapment of orbital soft tissue. The patient was managed by conservative observation and the outcome was satisfactory. There was complete remodeling of the severely displaced zygomatic fracture. To our knowledge, there are few or no reports on the management of severe facial fractures in infants by conservative observation. The present case suggests the wisdom of deciding the treatment method for facial fractures in infants only after careful observation and consideration.