Pediatric craniomaxillofacial injuries after road traffic crashes: characteristics of injuries and protective equipment use

Yunus, Siti Salmiah Mohd; Ngeow, Wei Cheong; Ramli, Roszalina

doi:10.1016/j.ajem.2015.05.009

Cited by 7 publications

(11 citation statements)

References 5 publications

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“…Additionally, an increase in road traffic accidents (around 40%) has been described in some countries which may be partially explained by poor adherence to laws and poor use of protective head gear, therefore increasing susceptibility to craniofacial injuries. 13,33,34 Causal factors for trauma are influenced by sociodemographic characteristics as demonstrated in studies from other countries which are contrary to the results in the current study, in which falls were ranked in first place. [35][36][37] In other studies, domestic and interpersonal violence, as well as the use of firearms, occupied first place.…”

Section: Discussioncontrasting

confidence: 99%

“…Traffic accidents were ranked as the leading cause of oral‐maxillofacial trauma in children and adolescents worldwide with a prevalence of 20%. Additionally, an increase in road traffic accidents (around 40%) has been described in some countries which may be partially explained by poor adherence to laws and poor use of protective head gear, therefore increasing susceptibility to craniofacial injuries …”

Section: Discussionmentioning

confidence: 99%

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Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

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Background/Aims Very few studies have been performed to evaluate cranio‐maxillofacial trauma diagnosed in hospitals in children and adolescents. The aim of this study was to perform an analysis of oral and cranio‐maxillofacial trauma in the aforementioned population. Materials and Methods A hospital‐based retrospective study, which reviewed 1438 patient records, was conducted at the “Teresina Emergency Hospital”, Brazil. Data regarding demographics, day of the week on which trauma occurred, type of injury, etiology, anatomic trauma site, time of hospital admission, and associated comorbidities (or injuries) were collected. Results There were 1092 (75.9%) males and 346 (24.1%) females. The largest group was adolescents aged between 13 and 18 years (956, 66.5%). The majority lived in urban areas (69%). Trauma occurred most frequently during the week. The most prevalent etiology was road traffic accidents involving motorcycles (771, 53.6%) causing facial and skull fractures (598, 41%). The most prevalent soft tissue lesions were facial abrasions (49%), followed by injuries to the cheek (16.7%). Comorbidities associated with craniofacial trauma were present in 82%, with complications from traumatic brain injuries being the most prevalent (65.6%) Dental trauma was recorded in only 81 cases (5.6%). Conclusion Male adolescents living in urban areas were most affected by craniofacial trauma. The most common cause was road traffic accidents involving motorcycles, resulting in facial and skull fractures. Complications from traumatic brain injuries were the most common associated injuries.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

View full text Add to dashboard Cite

show abstract

“…While there have been few studies of helmet effectiveness among children using motorcycles, most studies of injured child motorcyclists examining injury outcome by helmet status have found less head injury and/or less severe injury among children using helmets 5–7 9 28 29…”

Section: Resultsmentioning

confidence: 99%

“…The availability of good quality and adequately sized helmets is a concern in countries without quality control systems for smaller ‘child-size’ helmets,8 34 or legislation requiring standards certified helmets for child passengers 29 35. Non-standards-compliant helmets have reduced effectiveness in preventing head injury8 and oversized helmets may not only reduce protection but also negatively affect helmet retention 27.…”

Section: Resultsmentioning

confidence: 99%

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Children and motorcycles: a systematic review of risk factors and interventions

et al. 2017

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Pediatric motor vehicle crashes injuries: A systematic review for forensic evaluation

Giovannini,

Santelli,

Pelletti

et al. 2024

Int J Legal Med

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Children involved in car crashes can experience either direct trauma or inertial injuries resulting from interactions with external objects, such as other vehicles, or with the restraint system. Furthermore, improper use of restraint systems can lead to additional severe injuries. Recent reports from international institutions underscored the persistent prevalence of inadequate restraint systems utilization and this widespread issue increases children’s vulnerability and risk of injuries.The aim of this study is to provide a systematic review of the literature on injuries sustained in children involved in road accidents describing and analyzing elements useful for forensic assessment.The literature search was performed using PubMed, Scopus and Web of Science from January 1970 to March 2023. Eligible studies have investigated issues of interest to forensic medicine about traffic accidents involving pediatric passengers. A total of 69 studies satisfied the inclusion criteria and were categorized and analyzed according to the anatomical regions of the body affected (head, neck, thoraco-abdominal, and limb injuries), and the assessment of lesions in reconstruction of the accident was examined and discussed.The review highlights that in motor vehicle accidents involving children, the forensic evaluation of both the cause of death and accident dynamics needs to consider several factors, such as the child’s age, the type of restraint system employed, and the specific passenger seat occupied. Considering the complexity of the factors that can be involved in this road accident, it is crucial that there is a comprehensive exchange of information between the judge and the medical expert.

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Pediatric craniomaxillofacial injuries after road traffic crashes: characteristics of injuries and protective equipment use

Cited by 7 publications

References 5 publications

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Children and motorcycles: a systematic review of risk factors and interventions

Pediatric motor vehicle crashes injuries: A systematic review for forensic evaluation

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