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Traumatic Facial Fractures in Children and Adolescents
Hongwei Wang1,2,3,4, Guoli Song2, Weijian Ren1
1Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA.
The Journal of Craniofacial Surgery
|September 21, 2018
Summary
Motor vehicle collisions and falls are leading causes of traumatic facial fractures in Chinese children and adolescents. Mandible and nose fractures are most common, highlighting the need for targeted injury prevention strategies.
Area of Science:
- Pediatric Traumatology
- Facial Surgery
- Public Health
Background:
- Traumatic facial fractures are a significant concern in pediatric and adolescent populations.
- Understanding the epidemiology of these injuries is crucial for effective prevention and treatment.
Purpose of the Study:
- To analyze the incidence, patterns, and etiologies of traumatic facial fractures in a Chinese pediatric and adolescent cohort (≤18 years).
- To identify demographic and temporal trends associated with these injuries.
Main Methods:
- Retrospective analysis of 154 pediatric and adolescent patients with traumatic facial fractures admitted between 2005 and 2010.
- Data collected included patient demographics, fracture sites, etiologies, and associated neurological deficits.
Main Results:
- Motor vehicle collisions (39.0%) and high falls (26.0%) were the most common causes.
- The mandible (50.6%) and nose (21.4%) were the most frequently fractured sites.
- Fracture incidence peaked in the 12-18 year age group, with specific patterns observed in males and females.
Conclusions:
- Traumatic facial fractures in pediatric and adolescent populations are primarily caused by MVCs and falls.
- Mandibular fractures are the most prevalent, necessitating focused prevention efforts.
- Age-specific variations in etiologies and patterns underscore the need for tailored injury prevention strategies.
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