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Maxillofacial Injuries in Pediatric Patients
Hai-Hua Zhou1,2, Kun Lv1,2, Rong-TaoYang1,2
1The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University.
The Journal of Craniofacial Surgery
|January 6, 2021
Summary
Pediatric maxillofacial fractures are linked to age and dental injuries, with older children facing higher risks. Emergency admissions and general anesthesia often necessitate surgical intervention for these injuries.
Area of Science:
- Pediatric Traumatology
- Oral and Maxillofacial Surgery
- Public Health
Background:
- Maxillofacial injuries are common in children, with varying demographic and etiological factors.
- Understanding injury patterns is crucial for effective prevention and treatment strategies in pediatric populations.
Purpose of the Study:
- To analyze demographic characteristics and evolving patterns of maxillofacial injuries in pediatric patients.
- To identify risk factors associated with maxillofacial fractures and soft-tissue injuries in children.
Main Methods:
- Retrospective cohort and case-control study of pediatric patients (<10.5 years) with maxillofacial injuries over 6.5 years.
- Data collection included demographics, trauma mechanisms, injury types, treatment, and costs.
- Statistical analysis involved Chi-square, Fisher exact, t-tests, and logistic regression.
Main Results:
- 643 pediatric patients (1.77:1 male to female ratio) were studied; falls were the most common cause.
- Soft-tissue injuries were prevalent (95.3%), with lips most affected (44.0%).
- Older children (>5 years) had higher fracture risk, especially with dental injuries; emergency admissions and general anesthesia correlated with surgery.
Conclusions:
- Pediatric maxillofacial fractures are associated with age, etiology, dental injuries, and general trauma.
- Older children are more prone to fractures, while younger children sustain more soft-tissue injuries.
- Emergency admission, symphysis/body fractures, and general anesthesia are key indicators for surgical management.
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