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Published on: August 14, 2018
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How Do Le Fort-Type Fractures Present in a Pediatric Cohort?
Alexandra Macmillan1, Joseph Lopez2, J D Luck3
1Research Fellow, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
Summary
Severe facial fractures in children are rare, especially Le Fort-type fractures. This study found most pediatric patients with pterygoid plate fractures sustained Le Fort-type injuries, often at an older age.
Area of Science:
- Pediatric Traumatology
- Craniofacial Surgery
- Maxillofacial Trauma
Background:
- Le Fort-type fractures are uncommon in pediatric populations.
- Literature on the frequency and characteristics of pediatric Le Fort-type fractures is limited.
- Pterygoid plate fractures often accompany severe facial trauma.
Purpose of the Study:
- To investigate the etiology, frequency, and fracture patterns of severe facial trauma in children with pterygoid plate fractures.
- To analyze demographic and injury characteristics in a pediatric cohort.
- To compare Le Fort-type and non-Le Fort-type facial fractures in children.
Main Methods:
- Retrospective cohort study of pediatric patients (<16 years) with pterygoid plate and facial fractures (1990-2010).
- Review of patient charts and radiologic records for demographic and fracture data.
- Categorization into Le Fort-type (group B) and non-Le Fort-type (group A) facial fractures; univariate analysis.
Main Results:
- 24 children identified; 66.7% had Le Fort-type fractures (group B).
- Mean age differed significantly between groups (5.9 years for non-Le Fort vs. 9.9 years for Le Fort; P=.009).
- No significant differences in Injury Severity Score, operative repair rates, or length of stay between groups.
Conclusions:
- Le Fort-type fracture patterns were predominant in children with severe facial trauma and pterygoid plate fractures.
- Children with Le Fort-type fractures were significantly older on average.
- Le Fort-type fractures can occur in younger children with mixed or deciduous dentition.
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