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Pediatric facial fractures and potential long-term growth disturbances

Jonathan Wheeler1, John Phillips

  • 1The Hospital for Sick Children, Centre for Craniofacial Care and Research, Toronto, Ontario.

Craniomaxillofacial Trauma & Reconstruction
|March 2, 2012
PubMed

Insights

Pediatric craniofacial fractures pose management challenges, potentially leading to long-term growth disturbances and deformities. This review examines craniofacial growth, fracture types, and their sequelae in children.

Area of Science:

  • Pediatric orthopedics
  • Craniofacial surgery
  • Developmental biology

Background:

  • Pediatric craniofacial fractures present unique management challenges.
  • Initial trauma and surgical interventions can disrupt normal skeletal development.
  • This can result in significant secondary deformities affecting facial aesthetics and function.

Purpose of the Study:

  • To review normal craniofacial skeletal growth patterns in children.
  • To outline common presentations of facial fractures in pediatric populations.
  • To discuss the potential long-term consequences (sequelae) of these injuries and their treatment.

Main Methods:

  • Literature review of pediatric craniofacial growth.
  • Analysis of typical pediatric facial fracture presentations.
  • Discussion of sequelae and management strategies based on existing evidence.

Main Results:

  • Craniofacial growth is complex and susceptible to disruption from trauma.
  • Facial fractures in children can lead to growth disturbances and secondary deformities.
  • Management strategies aim to minimize these long-term effects.

Conclusions:

  • Understanding normal craniofacial growth is crucial for managing pediatric fractures.
  • Early and appropriate management can mitigate long-term growth disturbances.
  • Further research into optimal treatment protocols is warranted to prevent secondary deformities.

Keywords:
Pediatricfacialfracturesgrowthmandible

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