A unique case of segmental avulsion of mandible in pediatric patient: why is plastic surgery referral mandatory at initial visit?

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.