Patterns and characteristics of maxillofacial trauma among children and adolescents: A Bi-institutional retrospective study.

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_178_22
Rahul Koul, Sanjeev Datana, Indranildeb Roy, Vivek Saxena
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Abstract

Introduction: Maxillofacial injuries in children and adolescents always present a challenge due to the peculiar facial anatomy in children. This study aimed to determine the characteristics and pattern of traumatic maxillofacial injuries in children and adolescents reported to outpatient departments of two tertiary care health centers.

Materials and methods: Present study had a retrospective design, and the hospital records of all children and adolescent patients aged between 0 and 18 years, who had undergone maxillofacial fractures and were admitted for the same to two tertiary care health centers between January 2012 and May 2022 were reviewed.

Results: 77 patients suffered maxillofacial trauma with 115 fractures. The leading cause of maxillofacial trauma in the study was found to be road traffic accidents (RTA) followed by falls and sports-related injuries. Maxillofacial trauma was observed more in boys than girls, with an M: F ratio of 3.8:1. Out of 77 patients in the present study, more than half (51.9%) suffered maxillofacial trauma involving the lower one-third of the face, followed by the middle third (45.5%) and upper third (2.6%). A total of 11 patients (14.2%) were treated within 24 hr of sustaining injury. The majority of the patients, (n = 68; 88.3%) underwent open reduction and rigid internal fixation (ORIF), while 9 patients (11.7%) underwent closed reduction.

Conclusions: Pediatric maxillofacial trauma was mainly attributed to road traffic accidents. Lower one-third of faces were more commonly affected and an increasing trend of maxillofacial trauma was observed with age.

儿童和青少年颌面创伤的模式和特征:双机构回顾性研究。
简介由于儿童面部解剖结构的特殊性,儿童和青少年颌面部创伤一直是一个难题。本研究旨在确定向两家三级医疗保健中心门诊部报告的儿童和青少年颌面外伤的特征和模式:本研究采用回顾性设计,回顾了2012年1月至2022年5月期间,两家三级医疗保健中心收治的所有颌面部骨折的0至18岁儿童和青少年患者的住院病历:结果:77名颌面部外伤患者共发生115处骨折。研究发现,导致颌面部创伤的主要原因是道路交通事故(RTA),其次是跌倒和运动相关损伤。颌面部创伤在男孩中的发病率高于女孩,男女比例为 3.8:1。在本研究的 77 名患者中,超过半数(51.9%)的颌面部创伤涉及面部的下三分之一,其次是中三分之一(45.5%)和上三分之一(2.6%)。共有 11 名患者(14.2%)在受伤后 24 小时内接受了治疗。大多数患者(68人;88.3%)接受了开放复位和硬性内固定术(ORIF),9名患者(11.7%)接受了闭合复位术:结论:小儿颌面部创伤主要归因于道路交通事故。结论:小儿颌面部创伤主要归因于道路交通事故,脸部下1/3的部位更常受到影响,而且随着年龄的增长,颌面部创伤呈上升趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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