Apex Hospitals Surgeons Successfully Treat Rare Pediatric Jaw Fracture with Modified Gunning Splints
Mumbai: Apex Hospitals has successfully managed a rare and complex pediatric mandibular fracture in a 4-year-old boy, marking a significant milestone in minimally invasive maxillofacial surgery. The child, Master chinmay patil (name changed) suffered a displaced condylar process fracture with temporomandibular joint (TMJ) dislocation following a fall while playing.
The surgical team, led by Dr. Vinod Pal, MDS (Oral & Maxillofacial Surgery), Fellowship in Head & Neck Oncology and Reconstructive Surgery, performed a closed reduction with intermaxillary fixation (IMF) using modified Gunning splints—a conservative technique that avoids open surgery and helps preserve the child’s natural jaw growth. He was assisted by Dr. Gaurav Naik, MDS (Oral & Maxillofacial Surgery), Implantologist, with anesthesia care provided by Dr. Sumeet Warang, MBBS, DA, Fellowship in Pediatric Pulmonology.
Imaging had revealed an antero-medially displaced condylar process fracture, raising concerns of long-term facial asymmetry and impaired jaw function. The modified Gunning splints, customized for pediatric use, were applied to stabilize the jaw for two weeks, followed by elastic guidance for one week.
Speaking about the case, Dr. Vinod Pal MDS (Oral & Maxillofacial Surgery), Fellowship in Head & Neck Oncology and Reconstructive Surgery from Apex Hospitals said: “In pediatric patients, the condylar region is a vital growth center. Open reduction can compromise future jaw development. With modified Gunning splints, we can achieve stability, restore occlusion, and preserve growth potential—all while avoiding invasive procedures. This child’s recovery has been excellent, with no facial asymmetry or functional limitations at follow-up.”
Post-surgery, the child was placed on a soft/liquid diet and began gentle physiotherapy after splint removal. Within weeks, he regained normal mouth opening and chewing function. Follow-up at three months confirmed complete functional recovery with no deviation of the mandible.
Dr. Gaurav Naik MDS (Oral & Maxillofacial Surgery), Implantologist added: “This case highlights the importance of early diagnosis, careful imaging, and choosing conservative techniques in children. Modified Gunning splints are a simple yet highly effective solution that ensures stable outcomes.”
This case underscores the hospital’s commitment to providing advanced, child-friendly surgical care with minimal morbidity. Apex Hospitals continues to be at the forefront of innovative treatments in oral and maxillofacial surgery, prioritizing patient safety, functional outcomes, and long-term well-being.
About Apex Group of Hospitals:- Apex Group of Hospitals is a leading healthcare provider in Mumbai, recognized for its specialized departments, advanced medical infrastructure, and highly experienced team of doctors. For over 25 years, the group has been committed to delivering world-class yet affordable healthcare while promoting preventive health practices. With over 350 beds and modern facilities across Borivali, Kandivali, and Mulund, Apex hospitals are equipped with state-of-the-art infrastructure and patient-centric treatment systems, making them a trusted name in quality healthcare.
