Fractures of the facial skeleton in children

Anderson, Peter J.

doi:10.1016/0020-1383(95)90552-9

Cited by 110 publications

(77 citation statements)

References 14 publications

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“…This is in agreement with the reports of Anderson [7] and Bamjee et al [8]. In infants and preschool children (upto age of 6 years), falls in home were most common.…”

Section: Discussionsupporting

confidence: 93%

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Pediatric injuries in maxillofacial trauma: a 5 year study

Kumaraswamy¹,

Nanjappa²,

Keerthi³

et al. 2009

J. Maxillofac. Oral Surg.

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Fractures of the facial skeleton in children are less frequent. This clinical retrospective study of 5 year was conducted on 95 patients aged less than 16 years who sustained maxillofacial injuries during the period 2003 to 2008. Age, sex, etiology incidence and type of fracture were studied. The ratio of boys to girls was 1.9:1. The 7-12 year age group was commonly involved and the highest incidence was at age of ten years. Falls were the most common cause of injury accounting for 41%, followed by road traffic accidents (30%). Sports related injuries, assault and child abuse were also the causes of injury in children. Dentoalveolar injuries were found to be highest incidence with 42.1% followed by mandibular fractures. The soft tissue injuries were associated the pediatric maxillofacial trauma were found to be 34.7% of all cases.

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“…This is in agreement with the reports of Anderson [7] and Bamjee et al [8]. In infants and preschool children (upto age of 6 years), falls in home were most common.…”

Section: Discussionsupporting

confidence: 93%

“…The preponderance of males with the pediatric injury (the actual male: female ratio was 1.9: 1 in this study) is in keeping with earlier studies of facial injuries [7]. The reason is that boys are generally more boisterous than girls and spend more time outdoors.…”

Section: Discussionsupporting

confidence: 89%

Pediatric injuries in maxillofacial trauma: a 5 year study

Kumaraswamy¹,

Nanjappa²,

Keerthi³

et al. 2009

J. Maxillofac. Oral Surg.

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“…La etiología de las fracturas faciales esta frecuentemente relacionado a violencia o actividades ocupacionales por lo que es atributo principalmente de los adultos, sin embargo en niños las injurias maxilofaciales varían ampliamente de acuerdo a factores sociales, culturales y ambientales, dentro de los que encontramos los accidentes en vehículos motorizados (5 al 80,2%), violencia (3,7 al 61,1%), caídas (7,8 al 48%), uso de bicicleta (7,4 al 48%) y deportes (10 al 42%) dentro de las causas más comunes (1,2,7-15). En cuanto al género los varones están mayormente afectados en una relación de 2:1 respecto a las mujeres (1, 2,6,16,17).…”

Section: Introductionunclassified

“…Solo del 1 al 15% de todas las fracturas faciales ocurren en la población pediátrica menor de 16 años (2,7,8,15), y el 1% en aquellos menores de 5 años (1,2,10-14,18-33).…”

Section: Introductionunclassified

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Tratamiento médico quirúrgico de una secuela de fractura mandibular infectada: reporte de caso

Miranda

Mauricio

2014

Rev Estomatol Herediana.

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Tratamiento médico quirúrgico de una secuela de fractura mandibular infectada: reporte de casoGhersi-Miranda H, Carrión-Mauricio L. Tratamiento médico quirúrgico de una secuela de fractura mandibular infectada: reporte de caso. Rev Estomatol Herediana. 2011; 21(4):210-218. RESUMEN Aproximadamente 22 millones de niños sufren lesiones anualmente en el mundo, el 12% es resultado de traumas. Las fracturas mandibulares se encuentran entre ellas pudiendo, potencialmente, generar complicaciones en la erupción dental, pérdidas de dientes, alteración de la oclusión, crecimiento y desarrollo facial. Las causas frecuentes son caídas, accidentes deportivos y vehiculares. El diagnóstico es complejo, por la poca colaboración de los pacientes. Existen controversias respecto al tratamiento en pediátricos. Estas fracturas deben ser tratadas lo antes posible, teniendo en cuenta la edad, ubicación de la fractura, tiempo, etc. Se pueden presentar algunas complicaciones postoperatorias como: infecciones, alteraciones en la sensibilidad, deformidades faciales, etc. Se reporta el manejo médico quirúrgico de un paciente pediátrico, con diagnóstico de proceso infeccioso moderado agudo, asociado a secuela postquirúrgica de fractura mandibular. Fue tratado en el Servicio de Cirugía Oral y Maxilofacial de la Facultad de Estomatología de la Universidad Peruana Cayetano Heredia. Lima-Perú. Conclusiones: Las fracturas en el cuerpo mandibular rara vez infl uyen en el crecimiento óseo si el tratamiento es realizado rápida y correctamente. Las miniplacas reabsorbibles y metálicas son recomendables de acuerdo al operador para las fracturas maxilofaciales, no infl uyendo en las complicaciones postoperatorias. Palabras clave: FRACTURAS MANDIBULARES / OSTEOMIELITIS / QUIMIOTERAPIA.Management in mandibular fracture complication in a child. A case report ABSTRACT Approximately 22 million children are injured each year worldwide, 12% are result of trauma. Mandibular fractures can, potentially, lead to complications in tooth eruption; tooth loss; abnormal occlusion, facial growth and development. Common causes are falls, vehicle accidents and sports. Diagnosis is complex, most of them are uncooperative patients. Some prefer the invasive management (rigid fi xation) and others the conservative one. These fractures should be treated as soon as possible, considering age, fracture location, time, etc. There may be some postoperative complications as infection, hypoesthesia, facial deformities, etc. We report a surgical medical management of a pediatric patient. He came to our clinic with a diagnosis of mild acute infectious process associated with postoperative sequelae of mandibular fracture. He was treated at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry of the Universidad Peruana Cayetano Heredia. Lima-Peru. Conclusions: The mandibular body fractures rarely affect bone growth if treatment is done quickly and correctly. The reabsorbable and metal miniplates are used according to the maxillofacial surgeon, not infl uencing postoper...

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Pediatric Mandibular Fractures

Davison

Clifton

Davison

et al. 2001

Archives of Facial Plastic Surgery

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Background:The treatment of pediatric mandibular fractures is rare, controversial, and complicated by mixed dentition. Objectives:To determine if open mandibular fracture repair with intraoral and extraoral rigid plate placement, after free hand occlusal and bone reduction, without intermaxillary fixation (IMF), is appropriate and to discuss postoperative advantages, namely, maximal early return of function and minimal oral hygiene issues.Patients: A group of 29 pediatric patients with a mandibular fracture were examined. Twenty pediatric patients (13 males and 7 females) with a mean age of 9 years (age range, 1-17 years) were treated using IMF. All patients were treated by the same surgeon (G.S.).Results: Surgical time for plating was reduced by 1 hour, the average time to place patients in IMF. The patients who underwent open reduction internal fixation without IMF ate a soft mechanical diet by postoperative day 3 compared with postoperative day 16 for those who underwent IMF. Complication rates related to fixation technique were comparable at 20% for those who did not undergo IMF and 33% for those who did. Conclusions:We believe that free hand reduction is a valuable technique to reduce operative time for pediatric mandibular fractures. It maximizes return to function while minimizing the oral hygiene issues and hardware removal of intermaxillary function.

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Fractures of the facial skeleton in children

Cited by 110 publications

References 14 publications

Pediatric injuries in maxillofacial trauma: a 5 year study

Pediatric injuries in maxillofacial trauma: a 5 year study

Tratamiento médico quirúrgico de una secuela de fractura mandibular infectada: reporte de caso

Pediatric Mandibular Fractures

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