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Management of facial trauma in children: A case report
U M Das1, C Nagarathna, D Viswanath
1Dept. of Pedodontics, V. S. Dental College and Hospital, K R Road V V Puram, Bangalore-560 004, Karnataka, India. ushymohandas@gmail.com
Insights
Pediatric craniofacial trauma is rare but can be severe in children under 5. This case report details the management of a 4-year-old with significant maxillofacial injuries and discusses psychological impacts.
Area of Science:
- Pediatric Traumatology
- Craniofacial Surgery
- Child Psychology
Background:
- Children possess a higher cranial mass to body ratio, increasing susceptibility to craniofacial trauma.
- Pediatric facial fractures are uncommon, accounting for only 0.6-1.2% of all facial fractures in children under 5.
- Maxillofacial injuries in children can be visually distressing, causing significant parental anxiety and child distress.
Observation:
- A 4-year-old patient presented with acute maxillofacial injuries.
- The injuries involved dramatic presentation with blood, tooth, and soft tissue debris.
- The potential for long-term psychological impact on the child and family was noted.
Findings:
- The case report documents the specific trauma experienced by the young patient.
- It outlines the follow-up care provided for the maxillofacial injuries.
- The psychological effects of facial disfigurement on children and parents were highlighted.
Implications:
- Early and comprehensive management is crucial for pediatric craniofacial trauma.
- Addressing both the physical and psychological sequelae is vital for optimal recovery.
- This case underscores the need for specialized care protocols for young children with severe facial injuries.
Abstract:
Children are uniquely susceptible to cranio facial trauma because of their greater cranial mass to body ratio. Below the age of 5, the incidence of pediatric facial fractures in relation to the total is very low ranging from 0.6-1.2%. Maxillo-facial injuries may be quite dramatic causing parents to panic and the child to cry uncontrollably with blood, tooth and soft tissue debris in the mouth. The facial disfigurement caused by trauma can have a deep psychological impact on the tender minds of young children and their parents. This case report documents the trauma and follow up care of a 4-year-old patient with maxillofacial injuries.
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