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Pediatric facial injuries: It's management
Geeta Singh1, Shadab Mohammad, U S Pal
1Department of Oral and Maxillofacial Surgery, C.S.M. Medical University, Lucknow, India.
National Journal of Maxillofacial Surgery
|May 29, 2012
Summary
Pediatric facial trauma management focuses on preserving facial growth. Most childhood facial fractures, particularly mandibular ones, are treatable with conservative methods, minimizing long-term growth impact.
Area of Science:
- Pediatric Traumatology
- Craniofacial Surgery
- Pediatric Oral and Maxillofacial Surgery
Background:
- Facial injuries in children pose diagnostic and management challenges.
- Ensuring unimpeded facial skeletal growth is crucial for pediatric patients with facial trauma.
Purpose of the Study:
- To determine the most effective management strategies for pediatric facial injuries.
- To identify methods that prevent compromising facial growth in children.
Main Methods:
- A study involving sixty randomly selected pediatric patients with facial trauma.
- Management approaches included observation, closed/open reduction, trans-osseous wiring, mini bone plates, splinting, and zygoma fixation.
Main Results:
- Falls were the primary cause of pediatric facial injuries.
- Mandibular fractures were most common (0.60%), followed by dentoalveolar (0.27%).
- The 6-11 year age group (Group II) had the highest incidence (51.67%).
Conclusions:
- Most pediatric mandibular and midface fractures can be managed conservatively.
- Surgical intervention is reserved for specific complex cases.
- Conservative management aids in preserving normal facial growth patterns.
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