Observation

Due to the high incidence of greenstick fractures and the rapid reossification and remodeling, conservative treatment is often the best treatment in a pediatric patient.

Please refer to general considerations on pediatric fractures for further details.

Unlike adult ZMC fractures, observation of pediatric ZMC fractures is more common due to the flexibility and greenstick nature of pediatric fractures.

When no disturbance of the height, width, or projection of the midface is noted, close observation follow-up is recommended.

Due to bone remodeling and bone growth, fractures usually heal without any sequela.

Follow-up is performed at three weeks, once the swelling has subsided, to reevaluate if any functional or esthetic issues have arisen.