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Oral injuries in children presenting to a Japanese pediatric emergency room

Nobuaki Inoue1

  • 1Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Tokyo, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 19, 2017
PubMed

Insights

Children with foreign objects in their mouth are more likely to sustain severe oral injuries and require hospitalization. Parents should be educated on preventing children from moving with objects in their mouth to reduce oral injury risks.

Area of Science:

  • Pediatric Emergency Medicine
  • Oral and Maxillofacial Surgery
  • Childhood Injury Prevention

Background:

  • Oral injuries are frequent in children, yet research on foreign object involvement is scarce.
  • This study investigated oral injury patterns in children with and without foreign objects in the mouth presenting to a pediatric emergency room.
  • The study aimed to compare injury characteristics and outcomes based on the presence of foreign objects.

Purpose of the Study:

  • To compare oral injury patterns in children with and without foreign objects in the mouth.
  • To analyze the impact of foreign objects on injury severity and medical resource utilization.
  • To identify common mechanisms and locations of oral injuries in pediatric patients.

Main Methods:

  • Retrospective analysis of pediatric patients with oral injuries treated at a Japanese emergency room (ER) from 2011-2012.
  • Data collected included injury mechanism, associated objects, procedures, and disposition (hospitalization/discharge).
  • Comparison of injury patterns and outcomes between children with and without foreign objects in the mouth.

Main Results:

  • 319 children were analyzed; median age was 26 months.
  • Falls (tumbles) were the most common injury mechanism (50%).
  • Children with foreign objects (22%, most commonly toothbrushes) had higher rates of posterior oral injuries, required more imaging, and were more likely to be hospitalized (P < 0.001).

Conclusions:

  • Falls are the leading cause of pediatric oral injuries.
  • The presence of foreign objects in a child's mouth significantly increases the need for medical resources.
  • Preventive strategies should emphasize parental education regarding the risks of children moving with objects in their mouths.
Abstract

Keywords:
impaling injuryoral injurypediatric emergency room

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