Maxillofacial injuries in a group of Brazilian subjects under 18 years of age

Abstract

Objective:The purpose of this study was to perform a clinical retrospective analysis of the etiology, incidence and treatment of selected oral and maxillofacial injuries in Brazilian children and adolescents.Materials and Methods:This study was conducted during a 14-year period between 1986 and 2000. All patients were admitted to Hospital XV in the city of Curitiba, State of Paraná. Age, gender, monthly distribution, etiology, soft injuries, associated injuries, site of fractures and methods of treatment were reviewed.Results:Of the total of 350 patients of all ages treated for facial injuries, 29.42% were within the age range of the study (0 to 18 years). Mean age was 10.61. Of the patients, 63.1% were male. The most common cause of injury was accidental falls (37.87%), followed by bicycle and motorcycle accidents (21.36%). Of the 103 patients, 88.34% had single injuries. Mandibular fractures were the most common and the condylar region was particularly affected.Conclusion:Facial trauma is a relatively common occurrence in children. The study indicates that fractures in children and adolescents differ quite considerably from an adult population.

Pediatric Maxillofacial Trauma Outcomes Based on a Survey of 65 Patients: A Prospective Study of Etiology, Incidence and Methods of Treatment

“…Our study corroborated with these studies and mandibular fractures accounted for 50.61 % of facial fractures. Dentoalveolar fractures were found to account for 25.92 % of the cases in our study and were also frequent in other investigations [7,14].…”

“…Condylar fractures were the most common site of mandibular fractures in our series with 42.55 % of all mandibular fractures as reported by many authors [7,14,15]. The higher incidence of condylar fractures in children may be explained by the higher proportion of medullary bone with only a thin rim of cortex.…”

“…The literature states that facial fractures in children are rare [2][3][4][5][6][7]. Even with extensive soft tissue injuries, there are often no markedly displaced fractures.…”

A six-year retrospective study of maxillofacial fractures from radiographic findings in Brazil

“…Maxillofacial fractures were more common in the mandible, in this study (50.2%) and previous reports 1,[4][5][6][7]9,10,[13][14][15]21,25,28 . In this survey, the most frequent site of maxillofacial fracture visualized by panoramic radiography was the body of the mandible (18%), similar results were found by other studies 5,6,24,28 .…”

An analysis of 45 patients with pure nasal fractures

“…The main etiologies of nasal fractures worldwide are falls, violence, traffic accidents, and sport injuries. [1] Interpretation of these surveys was difficult because there was also variation in the classification of injuries. [2,3] The continuous communication of data associated with nasal trauma epidemiology is extremely important in order to provide the necessary information for preventive action aimed at reducing the incidence of nasal injuries.…”