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Pediatric mandibular fractures.

S R Thaller1, S Mabourakh

  • 1Department of Surgery, University of California, Davis Medical Center, Sacramento 95817.

Annals of Plastic Surgery
|June 1, 1991
PubMed
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Pediatric facial fractures, especially mandibular fractures, are rare, accounting for only 0.08% of cases. Despite their low incidence, these injuries in children often involve severe associated trauma.

Area of Science:

  • Orthopedics
  • Pediatric Trauma
  • Maxillofacial Surgery

Background:

  • Facial fractures represent a small fraction of all bone fractures.
  • Pediatric facial fractures, particularly mandibular fractures, are uncommon.
  • Existing literature details injury patterns and treatments for pediatric facial fractures.

Purpose of the Study:

  • To analyze the incidence of pediatric mandibular fractures at a major trauma center.
  • To investigate the characteristics and associated injuries in pediatric facial fracture patients.

Main Methods:

  • Retrospective analysis of 204 patients treated for mandible fractures between January 1989 and January 1990.
  • Specific focus on patients aged 17 years and younger.
  • Review of medical records to determine age, fracture type, and associated injuries.

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Main Results:

  • Only 15 patients (0.08%) were 17 years or younger.
  • A significant proportion of these pediatric patients (15/204) sustained severe associated injuries.
  • The study identified a low incidence but high severity of associated injuries in pediatric mandibular fractures.

Conclusions:

  • Pediatric mandibular fractures are infrequent but associated with a high risk of severe concomitant injuries.
  • Early identification and management of associated trauma are crucial in pediatric facial fracture cases.
  • Further research is warranted to understand the specific mechanisms and optimal management strategies for this patient group.