{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:44Z","timestamp":1753877204192,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The mandible is one of the most frequently fractured facial bone, most commonly by automobile accidents followed by fall from heights. However, segmental avulsion of mandible, that too in pediatric population is rarely reported. We report a case of 10-year-old male child sustaining facial injury following fall from a tree, resulting in complete segmental avulsion of the mandible highlighting the importance of early plastic surgery referral to optimize treatment outcomes. After clinical and radiological evaluation, the patient underwent free fibula osseocutaneous flap reconstruction. Given the greater healing potential of facial bones in younger patients, re-fixation of the avulsed segment would have been considered if presenting well within time.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf076","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T18:36:22Z","timestamp":1741113382000},"source":"Crossref","is-referenced-by-count":0,"title":["A unique case of segmental avulsion of mandible in pediatric patient: why is plastic surgery referral mandatory at initial visit?"],"prefix":"10.1093","volume":"2025","author":[{"given":"Niraj","family":"Bhalara","sequence":"first","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences , Patna-801507 , Bihar,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veena","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences , Patna-801507 , Bihar,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansarul","family":"Haq","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences , Patna-801507 , Bihar,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences , Patna-801507 , Bihar,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3029-1462","authenticated-orcid":false,"given":"Anupama","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences , Patna-801507 , Bihar,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"2025030417510789500_ref1","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1016\/s0278-2391(10)80409-4","article-title":"Diagnosis and treatment of fractures of the facial bones in children 1943-1993","volume":"51","author":"Kaban","year":"1993","journal-title":"J Oral Maxillofac Surg"},{"key":"2025030417510789500_ref2","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1054\/jcms.2002.0295","article-title":"Paediatric maxillofacial fractures: their aetiological characters and fracture patterns","volume":"30","author":"Iida","year":"2002","journal-title":"J Craniomaxillofac Surg"},{"key":"2025030417510789500_ref3","doi-asserted-by":"publisher","first-page":"28e","DOI":"10.1097\/01.prs.0000173445.10908.f8","article-title":"The pediatric mandible: II. Management of traumatic injury or fracture","volume":"116","author":"Smartt","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"2025030417510789500_ref4","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1097\/PRS.0b013e31828bd503","article-title":"215 mandible fractures in 120 children: demographics, treatment, outcomes, and early growth data","volume":"6","author":"Smith","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"2025030417510789500_ref5","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1016\/j.ijom.2021.05.017","article-title":"Healing of a large avulsed mandibular bony segment: report of a unique case","volume":"50","author":"Younas","year":"2021","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025030417510789500_ref6","doi-asserted-by":"publisher","first-page":"2853","DOI":"10.1016\/j.joms.2011.03.019","article-title":"Long-termfollow-up of mandibular condylar fractures in children","volume":"69","author":"Lekven","journal-title":"J Oral Maxillofac Surg"},{"key":"2025030417510789500_ref7","doi-asserted-by":"publisher","first-page":"1602","DOI":"10.1016\/j.joms.2009.09.029","article-title":"Maxillofacial fractures resulting from falls","volume":"68","author":"Yamamoto","year":"2010","journal-title":"J Oral Maxillofac Surg"},{"key":"2025030417510789500_ref8","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1055\/s-2008-1081398","article-title":"Reconstruction of head and neck defects: a systematic approach to treatment","volume":"22","author":"Kademani","year":"2008","journal-title":"Semin Plast Surg"},{"key":"2025030417510789500_ref9","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1097\/SAP.0000000000002963","article-title":"Pediatric mandibular reconstruction using the vascularized fibula free flap: functional outcomes in 34 consecutive patients","volume":"87","author":"Zavala","year":"2021","journal-title":"Ann Plast Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf076\/62170673\/rjaf076.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf076\/62170673\/rjaf076.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T18:36:24Z","timestamp":1741113384000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf076\/8042699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf076","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2025,2]]},"article-number":"rjaf076"}}