European Maxillofacial Trauma (EURMAT) in children: a multicenter and prospective study.

Autor: Boffano P; Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands. Electronic address: Paolo.boffano@gmail.com., Roccia F; Department of Maxillofacial Surgery, University of Turin, Turin, Italy., Zavattero E; Department of Maxillofacial Surgery, University of Turin, Turin, Italy., Dediol E; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia., Uglešić V; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia., Kovačič Ž; Maxillofacial Department, UKC Ljubljana, Ljubljana, Slovenia., Vesnaver A; Maxillofacial Department, UKC Ljubljana, Ljubljana, Slovenia., Konstantinović VS; Clinic of Maxillofacial Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia., Petrović M; Clinic of Maxillofacial Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia., Stephens J; Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK., Kanzaria A; Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK., Bhatti N; Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK., Holmes S; Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK., Pechalova PF; Department of Maxillofacial Surgery, Medical University, Plovdiv, Bulgaria., Bakardjiev AG; Department of Maxillofacial Surgery, Medical University, Plovdiv, Bulgaria., Malanchuk VA; Department for Oral and Maxillofacial Surgery, Bogomolets National Medical University, Kiev, Ukraine., Kopchak AV; Department for Oral and Maxillofacial Surgery, Bogomolets National Medical University, Kiev, Ukraine., Galteland P; Department of Maxillofacial Surgery, Oslo University Hospital, Oslo, Norway., Mjøen E; Department of Maxillofacial Surgery, Oslo University Hospital, Oslo, Norway., Skjelbred P; Department of Maxillofacial Surgery, Oslo University Hospital, Oslo, Norway., Grimaud F; Service de Stomatologie et Chirurgie Maxillo-faciale, Chu de Nantes, France., Fauvel F; Service de Stomatologie et Chirurgie Maxillo-faciale, Chu de Nantes, France., Longis J; Service de Stomatologie et Chirurgie Maxillo-faciale, Chu de Nantes, France., Corre P; Service de Stomatologie et Chirurgie Maxillo-faciale, Chu de Nantes, France., Løes S; Department of Maxillofacial Surgery, University of Bergen, Bergen, Norway., Lekven N; Department of Maxillofacial Surgery, University of Bergen, Bergen, Norway., Laverick S; Department of Oral and Maxillofacial Surgery, NHS Tayside, University of Dundee, Dundee, UK., Gordon P; Department of Oral and Maxillofacial Surgery, NHS Tayside, University of Dundee, Dundee, UK., Tamme T; Department of Maxillofacial surgery, Stomatology Clinic, Tartu University, Tartu, Estonia., Akermann S; Department of Maxillofacial surgery, Stomatology Clinic, Tartu University, Tartu, Estonia., Karagozoglu KH; Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands., Kommers SC; Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands., Meijer B; Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands., Forouzanfar T; Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2015 May; Vol. 119 (5), pp. 499-504. Date of Electronic Publication: 2014 Dec 24.
DOI: 10.1016/j.oooo.2014.12.012
Abstrakt: Objective: The aim of this study is to present and discuss the results of a European multicentre prospective study about pediatric maxillofacial trauma epidemiology during a year.
Study Design: The following data were recorded: gender, age, etiology, site of fracture, date of injury. Of the 3396 patients with maxillofacial fractures admitted within the study period, 114 (3.3%) were children aged 15 years and younger, with a male/female ratio of 2.6:1. Mean age was 10.9 years. Most patients (63%) were aged 11-15 years.
Results: The most frequent cause of injury was fall (36 patients). Sport injuries and assaults were almost limited to the oldest group, whereas falls were more uniformly distributed in the 3 groups. The most frequently observed fracture involved the mandible with 47 fractures. In particular, 18 condylar fractures were recorded, followed by 12 body fractures.
Conclusions: Falls can be acknowledged as the most important cause of facial trauma during the first years of life. The high incidence of sport accidents after 10 years may be a reason to increase the use of mouthguards and other protective equipment. Finally, the mandible (and in particular the condyle) was confirmed as the most frequent fracture site.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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