{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T06:49:53Z","timestamp":1765176593350,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,16]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Mandibular fractures are rare in infants, and diagnosis can be easily missed due to the difficulty in obtaining an adequate history and the subtle signs. A high index of suspicion and detailed history taking from the caregiver are mandatory to pick up these cases.<\/jats:p>\n               <jats:p>There are a plethora of management options that have been reported in dealing with such fractures. They range from conservative management to internal fixation by absorbable plates. While conservative management does not interfere with mandibular growth and teeth development, any surgical intervention can carry this risk. Nevertheless, a severely displaced fracture may need anatomical reduction and fixation to allow early nutrition.<\/jats:p>\n               <jats:p>This study reports a 3-month-old male infant with a fracture in the mandibular symphysis who underwent reduction of the fracture and circummandibular fixation using immobilisation by an acrylic splint for 4 weeks. His long-term follow-up after 20 months showed adequate dentition with proper healing of the fracture site.<\/jats:p>","DOI":"10.1136\/bcr-2021-245661","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T11:15:59Z","timestamp":1638357359000},"page":"e245661","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Symphyseal fracture in a three-month-old infant"],"prefix":"10.1136","volume":"14","author":[{"given":"Amir","family":"Labib","sequence":"first","affiliation":[{"name":"Plastic Surgery Department, Faculty of Medicine, St George's University Hospitals NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Samir","family":"Elbarbary","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"key":"2025082804081248000_14.12.e245661.1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(94)90291-7"},{"key":"2025082804081248000_14.12.e245661.2","first-page":"823","article-title":"Infant Multiple Mandibular Fracture : Case Report","volume":"3","author":"Claudia","year":"2016","journal-title":"Int J Med Surg Sci"},{"key":"2025082804081248000_14.12.e245661.3","unstructured":"Enlow DH , Moyers RE . Handbook of facial growth. WB Saunders company, 1982."},{"key":"2025082804081248000_14.12.e245661.4","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2020.102874","article-title":"Maxillofacial trauma in children: association between age and mandibular fracture site","volume":"42","author":"Cleveland","year":"2021","journal-title":"Am J Otolaryngol"},{"key":"2025082804081248000_14.12.e245661.5","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.ijom.2005.06.015","article-title":"Pediatric facial fractures: recent advances in prevention, diagnosis and management","volume":"34","author":"Zimmermann","year":"2005","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082804081248000_14.12.e245661.6","doi-asserted-by":"crossref","first-page":"1732.e1","DOI":"10.1016\/j.joms.2021.02.037","article-title":"Novel and affordable low-cost technique for fixation of Parasymphyseal fractures in infants with Unerupted dentition","volume":"79","author":"Abdelhalim","year":"2021","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082804081248000_14.12.e245661.7","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.tripleo.2005.07.020","article-title":"Treatment of a mandibular fracture with biodegradable plate in an infant: report of a case","volume":"101","author":"Senel","year":"2006","journal-title":"Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology"},{"key":"2025082804081248000_14.12.e245661.8","first-page":"225","article-title":"Pediatric mandibular fractures: introduction of a novel therapeutic modality","volume":"64","author":"Laster","year":"2008","journal-title":"J Trauma"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245661","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:08:17Z","timestamp":1756379297000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,1]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/bcr-2021-245661"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245661","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}