Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study.
Autor: | Segura-Palleres I; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., Sobrero F; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., Roccia F; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., de Oliveira Gorla LF; Department Diagnosis and Surgery, Araraquara Dental School, São Paulo State University, UNESP, São Paulo, Brazil., Pereira-Filho VA; Department Diagnosis and Surgery, Araraquara Dental School, São Paulo State University, UNESP, São Paulo, Brazil., Gallafassi D; Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, São Paulo State University, UNESP, São Paulo, Brazil., Faverani LP; Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, São Paulo State University, UNESP, São Paulo, Brazil., Romeo I; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., Bojino A; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., Copelli C; Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy., Duran-Valles F; Department Oral and Maxillofacial Surgery, Hospital Universitario Vall D'Hebron, Barcelona, Spain., Bescos C; Department Oral and Maxillofacial Surgery, Hospital Universitario Vall D'Hebron, Barcelona, Spain., Ganasouli D; Department Oral and Maxillofacial Surgery, Hippocratio General Hospital, Athens, Greece., Zanakis SN; Department Oral and Maxillofacial Surgery, Hippocratio General Hospital, Athens, Greece., Hassanein AG; Maxillofacial Surgery Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt., Alalawy H; Department Oral and Maxillofacial Surgery, Medical City, Gazi Alhariri Hospital, Baghdad, Iraq., Kamel M; Department Oral and Maxillofacial Surgery, Medical City, Gazi Alhariri Hospital, Baghdad, Iraq., Samieirad S; Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Jaisani MR; Department Oral and Maxillofacial Surgery, Dharan, Nepal., Rahman SA; Department Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India., Rahman T; Department Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India., Aladelusi T; Department Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria., Carlaw K; Department Plastic, Reconstructive and Maxillofacial Surgery, Nepean Hospital, Sydney, Australia., Aquilina P; Department Plastic, Reconstructive and Maxillofacial Surgery, Nepean Hospital, Sydney, Australia., Rae E; Department Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK., Laverick S; Department Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK., Goetzinger M; Department Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria., Bottini GB; Department Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria. |
---|---|
Jazyk: | angličtina |
Zdroj: | Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2022 Jun; Vol. 38 (3), pp. 213-222. Date of Electronic Publication: 2022 Feb 11. |
DOI: | 10.1111/edt.12735 |
Abstrakt: | Background/aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period. Methods: The following data were collected: age (preschool [0-6 years], school age [7-12 years], and adolescent [13-18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software. Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0-18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p < .001) and older age (p < .001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p < .001). Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0-6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood. (© 2022 The Authors. Dental Traumatology published by John Wiley & Sons Ltd.) |
Databáze: | MEDLINE |
Externí odkaz: |