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Clinical characteristics of pediatric nasal bone fractures by age group
1Department of Plastic and Reconstructive Surgery, Daegu Catholic University School of Medicine, Daegu, Korea.
Insights
Pediatric nasal fractures show age-related differences in causes and severity. Older children experience more sports injuries and septal damage, with increasing male predominance.
Area of Science:
- Pediatric Otolaryngology
- Facial Trauma Research
- Childhood Injury Epidemiology
Background:
- Pediatric nasal fracture characteristics vary significantly with age, social context, and environment.
- Understanding these variations is crucial for effective diagnosis and management.
Purpose of the Study:
- To analyze the clinical characteristics of pediatric nasal fractures across different age groups.
- To identify age-specific trends in etiology, fracture patterns, and associated injuries.
Main Methods:
- Retrospective review of 98 pediatric patients (aged 2-12 years) treated between 2013-2021.
- Patients were categorized into three age groups: 2-5, 6-9, and 10-12 years.
- Evaluated parameters included sex, age, etiology, fracture type/severity, and septal injury incidence.
Main Results:
- The male-to-female ratio increased with age, notably in the 10-12 year group (3.88:1).
- Etiologies shifted from slipping (2-5 yrs) to bumping (6-9 yrs) to sports accidents (10-12 yrs).
- Septal injuries rose significantly with age, from 4.17% (2-5 yrs) to 28.21% (10-12 yrs).
Conclusions:
- Age is a critical factor influencing pediatric nasal fracture epidemiology and clinical presentation.
- Increasing age correlates with higher rates of male predominance, sports-related injuries, and septal involvement.
- Violence emerged as a minor but present cause in school-aged children, highlighting environmental influences.
Background:
The clinical characteristics of pediatric nasal fractures can vary depending on the child's age, social activities, and environment. Therefore, this study aimed to analyze these characteristics in different age groups.
Methods:
We retrospectively reviewed of a series of patients aged under 12 years who received treatment between 2013 and 2021. The initial study design involved dividing the patients into four age groups, corresponding to different developmental ages, but there were no cases in infants aged 0 to 1 year. Therefore, the patients were divided into three groups: group I, between 2 and 5; group II, between 6 and 9; and group III, between 10 and 12 years of age. The following parameters were evaluated: sex, age, etiology, fracture type and severity, and the incidence of septal injuries.
Results:
In total, 98 patients were included in this study. In group III, the ratio of boys to girls was 3.88:1, exceeding the overall ratio of 1.97:1. The most common cause varied with age: slipping down in group I, bumping accidents in group II, and sports accidents in group III. Concomitant septal injuries were present in 4.17% of patients in group I, 5.71% of patients in group II, and 28.21% of patients in group III.
Conclusion:
Increasing age was accompanied by a greater tendency for male predominance and a higher prevalence of sports-related causes and septal injuries. Violence was infrequent but started to become a contributing factor during school age. These varying environmental factors across age groups can offer valuable insights into the epidemiology and clinical characteristics of pediatric nasal bone fractures.
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