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Complications of pediatric facial fractures
Suhair Maqusi1, David E Morris, Pravin K Patel
1Division of Plastic, Reconstructive, and Cosmetic Surgery, Universityof Illinois at Chicago, Chicago, Illinois, USA.
Insights
Pediatric facial fractures are rare and present unique challenges due to potential growth impacts. This review focuses on managing complications after pediatric fracture treatment.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Craniofacial Medicine
Background:
- Pediatric facial fractures constitute a small percentage (5%) of all facial fractures, with lower incidence in young children.
- Management differs from adults due to growth implications and children's regenerative advantages.
- Complications like malunion or infection are less common in pediatric patients.
Purpose of the Study:
- To review the unique challenges in managing pediatric facial fractures.
- To highlight the differences in treatment principles between pediatric and adult patients.
- To focus on the approaches to managing complications following pediatric fracture treatment.
Main Methods:
- Literature review of pediatric facial fracture management principles.
- Analysis of regenerative advantages in pediatric bone healing.
- Focus on complication types and their management strategies.
Main Results:
- Children possess greater osteogenic potential and faster healing rates.
- Primary dentition and dental compensation capacity influence outcomes.
- Infection, malunion, nonunion, and malocclusion are relatively rare.
Conclusions:
- Pediatric facial fracture management requires consideration of growth impacts.
- Children's regenerative capacity leads to fewer complications.
- Effective management strategies are crucial for addressing post-treatment complications.
Abstract:
Pediatric facial fractures account for only 5% of all facial fractures, with even a much lower incidence in children younger than 5 years (1%-1.5%). The evolution of principles in the management of pediatric facial fractures and the differences in management between adult and pediatric patients have been well documented in the literature. Pediatric facial fracture management presents unique challenges because it might affect growth in the area specific to the trauma segment. Children are, in several ways, at a regenerative advantage: greater osteogenic potential, faster healing rate, primary dentition that is thereby temporary, and the capacity for significant dental compensation. Perhaps because of this, complications such as infection, malunion, nonunion, and postinjury malocclusion are relatively rare compared with the adult population. In this article, we will focus on different approaches to complications that arise after pediatric fracture management.
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