[Fractures of the facial skull in multiple injuries in childhood]

The incidence of fractures of the jaws and facial bones in children is less frequent than these same fractured bones in adults. The relative low incidence of facial fractures in children can be related to certain growth factors. Details of facial trauma and associated injuries were collected in 50 patients referred from the Medical School in Hannover. The age and sex distribution, anatomical types of fractures, associated nonmaxillofacial trauma and causes of the injuries are described. Fractures of the mandible occur in greater frequency than those of the middle third of the face in children. Emphasis is placed on paediatric mandibular and condylar fractures and their treatment difference from those in adults are noted. Facial bone fractures in children have the potential of deformity due to growth disturbances. Fractures of the facial skeleton are often accompanied by associated injuries, especially fractures of the skull and intracranial injuries. Of primary importance is an early assessment of the patient's general condition and associated injuries.