Zygomatic fracture in 15 months old girl: Case report

Facial fractures are considered infrequent and scarce between paediatric patients. From the total percentage of facial fracture incidents, children younger than 5 years account for approximately 1% and is even lower in younger ages. What is more, midfacial fractures are much rarer, with zygomatic fractures being so uncommon in young children that no case of a child younger than 3 years experiencing such a fracture exists in the literature. Case Report: In this report we present the case of a 15-month-old girl, who was examined in the Oral and Maxillofacial Department, General Hospital of Nicosia. The patient had been in a car accident which led to a zygomatic fracture on the right side. This was confirmed with a computed tomography followed by a closed reduction surgery with the aid of intraoperative ultrasonography. The reduction was controlled three days postoperatively with a planned MRI and the results correlated with the ultrasonography. The patient made an uneventful recovery. Conclusions: To the best of our knowledge, after an extensive review of the literature, no similar case report with a patient of this young age exists. The reasons for the rarity of these fractures in the paediatric population are discussed together with the step by step management.