Penatalaksanaan fraktur mandibula pada anak dengan cedera kepala sedang

Hadira Hadira(1*), Endang Syamsudin(2), Bilzardy Ferry Zulkifli(3)

(1) Residen Program Pendidikan Dokter Gigi Spesialis Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi Universitas Padjadjaran, Bandung, Jawa Barat
(2) Departemen Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi Universitas Padjadjaran, Bandung, Jawa Barat
(3) Bagian Bedah Saraf, Fakultas Kedokteran, Universitas Padjadjaran, Bandung, Jawa Barat
(*) Corresponding Author


Management of mandibular fracture in child with moderate head injury. Mandibular fractures in child with moderate head injuries were relatively rare, the management of child patient need special considerations regarding their age and growth. Management of mandibular fractures in child with moderate head injuries need cooperation with specialists Neurosurgery. This case report aims to explain the management of mandibular fracture in child with moderate head injury. A 7 years old boy ushered to Hasan Sadikin Hospital, with bleeding at head and fracture of the lower jaw. The patient was hit by a motorcycle high speed while crossing the street with unknown mechanism there was history of unconsciousness about 20 minutes, there was bleeding from mouth. GCS 9, asymmetrical face, post suturing in the head and fracture of the lower jaw. Then, examination support, and then diagnosed Moderate Head Injury with Open fractures more than one tabula at right parietal and right mandibular angle fracture, left mandibular parasimphysis fracture. Management according ATLS, with the primary survey, secondary survey and stabilization, then craniectomy debridement. Once a patient is stabilized performed ORIF with regard mandibular growth and development of teeth. craniectomy debridement to prevent the occurrence of intracranial infection because of their open fractures in the bones of the head. Open Reduction and Internal Fixation by installing miniplat with a screw for fixation of mandibular fractures managed to restore the aesthetic and masticatory functions. Open wounds can cause intracranial infections that can develop into meningitis and brain abscess. Management of mandibular fractures in children with head injuries being successful if there is cooperation between specialists Neurosurgery and Oral and Maxillofacial Surgery.


child; moderate head injury; mandibula fracture; management

Full Text:



1. McGillicuddy DC, McGillicuddy JE. Traumatic head injury. New York. Cambridge University Press; 2009. 1 – 2.

2. Whitfield PC, Thomas EO, Summers F, Whyte M, Hutchinson PJ. Head injury a multidisciplinary approach. Cambrige. Cambrige University Press; 2009. 62 – 223.

3. Greenberg MS. Handbook of Neurosurgery. 7th edition. New York. Thieme; 2010. 885 – 917.

4. Zollman FS. Manual of traumatic brain injury management. New York: Demos Medica; 2011. 25 – 31.

5. Thaller SR, Mc Donald WS. Facial trauma. Marcell Dekker New York; 2004. 381 – 410.

6. Perry M, Holmes S. Atlas of operative maxillofacial trauma surgery. London. Spinger; 2014. 681 – 682.

7. McKenna MC, Noble-Haeusslein LJ, Robertson CL. Pediatric traumatic brain injury. London S. Karger; 2011. 335 – 339

8. Mattox KL, Moore EE, Feliciano DV. Trauma. 7th edition. New York. The McGraw Hill; 2013. 356 – 374.

9. Mathog RH. Craniofacial trauma. Philadelhia, Wolters Kluwer & Lippincott Williams & Wlkins; 1992. 116 – 120


Article Metrics

Abstract views : 1749 | views : 21925


  • There are currently no refbacks.

Copyright (c) 2017 MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Currently, Majalah Kedokteran Gigi Klinik indexed by: