Shahjahan Katpar1*, Maria Shabbir2, Muhtada Ahmed3, Jawad Safdar3, Shoaib Ayub4 and Muneer Zardari5
1Dean, Faculty of Dentistry and Head Department of Oral and Maxillofacial Surgery,
Dow Dental College, Dow University of Health Sciences, Karachi, Pakistan
2Department of Oral and Maxillofacial Surgery, Shaheed Mohtarma Benazir Bhutto
Institute of Trauma and Former Lecturer Dow Dental College, DUHS, Karachi, Pakistan
3Assistant Professors, Department of Oral and Maxillofacial Surgery, Dow Dental
College/DUHS, Karachi, Pakistan
4Former Lecturer, Department of Oral and Maxillofacial Surgery, Dow Dental College/
DUHS, Karachi, Pakistan
5Lecturer, Department of Oral and Maxillofacial Surgery, Dow Dental College/DUHS,
Karachi, Pakistan
*Corresponding Author: Shahjahan Katpar, Dean, Faculty of Dentistry and Head Department of Oral and Maxillofacial Surgery, Dow Dental College, Dow University of Health Sciences, Karachi, Pakistan.
Received: February 18, 2020; Published: April 13, 2020
Introduction: Mandibular fractures occur relatively less frequent in infantile population as compared to adults, due to elasticity of bone, protected anatomical structures and infrequent exposures to road traffic accidents etc. The treatment procedures involved for such cases is different from those of adults, due to concerns regarding growth, developing Dentition and early healing.
Case Report: Here we discuss case of 8 months old female infant patient presented with fracture of anterior mandible following fall from stairs. The fractured jaw was reduced at theatre without any impression taking and cast formation procedure for acrylic splint and we avoiding using resorbable bone plates. Instead, we used Compound impression material cake piece which is a muco-compressive, thermoplastic material, used as a substitute for an acrylic splint. This was secured with silk suture and rubber tube pieces, replacing circum-mandibular stainless steel wire with silk following manual closed reduction of fracture, under general anesthesia.
Results: The clinical application of this technique results in timely and adequate reduction of fracture in pediatric population which was confirmed on post-operative radiographs and clinical follow-up visits of patient and their family reviews.
Conclusion: The article provides an innovative, pioneer, non-invasive surgical procedure to treat infantile mandibular fracture cases by “Prof. Katpar’s DUHS splinting technique” within early days of trauma, avoiding costly resorbable bone plates, acrylic splints and early reduction.
Keywords: Acrylic Splint; Prof. Katpar’s Splint Technique; Circum-Mandibular Silk Thread; Closed Reduction; Impression Compound; Pediatric Fracture Mandible; Resorbable Bone Plates; DUHS; Pakistan
Citation: Shahjahan Katpar., et al. “Treating Infant Population Fracture Mandible by Prof. Katpar’s Innovative Splint Technique: Reported from Duhs Pakistan”. Acta Scientific Dental Sciences 4.5 (2020): 13-17.
Copyright: © 2020 Shahjahan Katpar., 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.
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