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Complications in pediatric facial fractures
1Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Insights
Pediatric facial fractures can lead to serious complications affecting facial growth. This review highlights unique pediatric complications and proposes a classification system for adverse outcomes.
Area of Science:
- Pediatric surgery
- Craniofacial trauma
- Otolaryngology
Background:
- Pediatric facial fractures, though infrequent, are linked to severe injuries and can impact facial development.
- Existing literature lacks standardized definitions and reporting for adverse events associated with these fractures.
- Treatment and fractures themselves may cause long-term consequences on the growing pediatric face.
Purpose of the Study:
- To review complications of pediatric facial fractures, focusing on unique pediatric aspects.
- To introduce a novel classification system for evaluating adverse outcomes.
- To emphasize the need for prospective, long-term studies in this field.
Main Methods:
- Selective literature review on pediatric facial fracture complications.
- Development of a classification system for adverse outcomes.
- Emphasis on complications specific to pediatric patients.
Main Results:
- Limited published data exists on the definition and incidence of adverse events.
- Pediatric facial fractures are associated with other significant injuries.
- Potential for long-term effects on facial growth and development.
Conclusions:
- Complications of pediatric facial fractures require further investigation.
- A standardized classification system is proposed for adverse outcomes.
- Long-term prospective studies are essential to understand the full impact on pediatric patients.
Abstract:
Despite recent advances in the diagnosis, treatment, and prevention of pediatric facial fractures, little has been published on the complications of these fractures. The existing literature is highly variable regarding both the definition and the reporting of adverse events. Although the incidence of pediatric facial fractures is relative low, they are strongly associated with other serious injuries. Both the fractures and their treatment may have long-term consequence on growth and development of the immature face. This article is a selective review of the literature on facial fracture complications with special emphasis on the complications unique to pediatric patients. We also present our classification system to evaluate adverse outcomes associated with pediatric facial fractures. Prospective, long-term studies are needed to fully understand and appreciate the complexity of treating children with facial fractures and determining the true incidence, subsequent growth, and nature of their complications.
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