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Published on: April 11, 2012
Maxillofacial fractures in children.
Kazuhiko Yamamoto1, Yumiko Matsusue, Satoshi Horita
1Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan. kazuyama@naramed-u.ac.jp
The Journal of Craniofacial Surgery
|January 26, 2013
Summary
Maxillofacial fractures in Japanese children are often caused by traffic accidents, particularly bicycle-related ones. Treatment and injury patterns vary significantly with age, highlighting the need for age-specific care.
Area of Science:
- Pediatric Oral and Maxillofacial Surgery
- Trauma Surgery
- Epidemiology
Background:
- Maxillofacial fractures present unique challenges in pediatric populations.
- Understanding the specific etiology and patterns of these injuries in children is crucial for effective management.
Purpose of the Study:
- To retrospectively analyze maxillofacial fractures in Japanese children.
- To identify age-dependent characteristics in injury causes, fracture patterns, and treatment modalities.
Main Methods:
- Retrospective analysis of 287 pediatric patients (≤15 years) with maxillofacial fractures.
- Data collected on demographics, injury mechanisms, fracture locations, injury severity, and treatment approaches.
Main Results:
- Traffic accidents were the leading cause (125 patients), with bicycle accidents prominent (92).
- Mandibular fractures (179) were most common, followed by midface fractures (100). Condylar and symphyseal fractures predominated in the mandible; alveolar fractures in the midface.
- Treatment varied by age, including observation, intramaxillary fixation, maxillomandibular fixation, and open reduction/internal fixation.
Conclusions:
- Maxillofacial fractures in Japanese children exhibit distinct age-related patterns in etiology, fracture sites, and treatment.
- Age is a significant factor influencing the management of pediatric maxillofacial trauma.
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