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Pediatric facial trauma
Jeremy D Meier1, Travis T Tollefson
1University of California, Davis Medical Center, Sacramento, CA 95817, USA.
Insights
Pediatric facial trauma is uncommon but can cause significant morbidity. Treatment is conservative, with specialized techniques for the growing pediatric skeleton, though resorbable plating is not yet standard.
Area of Science:
- Pediatric surgery
- Maxillofacial surgery
- Trauma surgery
Background:
- Pediatric facial trauma presents unique challenges due to the developing maxillofacial skeleton.
- Literature often emphasizes injury patterns rather than management strategies.
Purpose of the Study:
- Review the epidemiology, evaluation, and treatment of pediatric facial trauma.
- Highlight unique challenges in managing these injuries in children.
- Discuss current controversies in pediatric facial fracture management.
Main Methods:
- Literature review focusing on epidemiology, evaluation, and treatment of pediatric facial trauma.
- Analysis of current management strategies and controversies.
- Emphasis on the pediatric craniofacial skeleton's unique characteristics.
Main Results:
- Pediatric facial fractures are relatively uncommon but can lead to significant morbidity.
- Treatment approaches are generally more conservative than in adults.
- Open reduction and internal fixation may involve titanium or resorbable plating systems.
- Resorbable plating systems show increasing use but are not standard of care.
Conclusions:
- A comprehensive understanding of the pediatric maxillofacial skeleton is crucial for effective management.
- Pediatric facial fractures require specialized consideration due to growth and development.
- Timely and appropriate management can mitigate short-term and long-term morbidity.
Purpose Of Review:
To review the epidemiology, evaluation, and treatment of pediatric facial trauma, with emphasis on the unique challenges encountered in the pediatric patient. Current controversies in management will be discussed.
Recent Findings:
Much of the current literature relating to pediatric facial trauma focuses on the etiology and epidemiology of these injuries, with few studies concentrating on the management. In general, treatment of pediatric maxillofacial fractures is more conservative than in adults. When open reduction and internal fixation is necessary, either temporary placement of permanent titanium plating systems or absorbable plating is recommended. Increasing use of resorbable plating systems in rigid fixation of pediatric fractures is noted; however, these have not become the standard of care.
Conclusion:
Pediatric facial fractures are relatively uncommon, but can cause significant short-term and long-term morbidity. A thorough understanding of the unique characteristics in the growing maxillofacial skeleton is a requisite for surgeons encountering these injuries.
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