Pattern and treatment of facial trauma in pediatric and adolescent patients
| Autor: | José Luis Muñante-Cárdenas, Luciana Asprino, Sergio Olate, José Ricardo de Albergaria Barbosa, Márcio de Moraes, Roger William Fernandes Moreira |
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| Rok vydání: | 2011 |
| Předmět: |
Facial trauma
Male medicine.medical_specialty Adolescent Lacerations Facial Bones Fracture Fixation Internal Postoperative Complications Sex Factors Mandibular Fractures Fracture fixation medicine Humans Nasal Bone Child Facial Injuries Retrospective Studies Zygomatic Fractures Dental trauma Skull Fractures business.industry Age Factors Soft tissue Infant Tooth Injuries Retrospective cohort study General Medicine medicine.disease Nonsurgical treatment Surgery Bicycling Otorhinolaryngology Child Preschool Oral and maxillofacial surgery Etiology Accidental Falls Female Maxillofacial Injuries business Brazil Follow-Up Studies |
| Zdroj: | The Journal of craniofacial surgery. 22(4) |
| ISSN: | 1536-3732 |
| Popis: | Pediatric maxillofacial trauma is a challenge for surgeons. There are no completely defined protocols, and sometimes, the initial management could be complex. The aim of this research was to perform a retrospective study to analyze the pattern and treatment of maxillofacial fractures in pediatric and adolescent patients. We reviewed the clinical records of 2986 patients treated at the Oral and Maxillofacial Surgery Division of Piracicaba Dental School between 1999 and 2008. Seven hundred fifty-seven patients were younger than 18 years and were divided into 3 groups according to age; the age and sex of the patients, etiology, fractures and associated injury, treatment, and complications were evaluated. Five hundred thirty boys (70.01%) and 227 girls (29.99%) were treated for injuries with major prevalence in adolescents. The most common injury causes were bicycle accidents (29.06%) and falls (28.40%). The mandible was the most fractured bone (44.8%); associated injuries were lacerations of the soft tissue and dental trauma. Surgical treatment was performed in 75 cases (30%) with minor complications (10% of surgical patients). We conclude that maxillofacial trauma in child is associated to fall and bicycle accidents; the mandible is more affected than other maxillofacial structures, and frequently, nonsurgical treatment is performed. |
| Databáze: | OpenAIRE |
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