Paediatric facial fractures
Ella Starck1, Esa Färkkilä2, Eeva Kormi2
1Faculty of Medicine, Clinicum, University of Helsinki, Helsinki, Finland. ella.starck@helsinki.fi.
Summary
Paediatric facial fractures are rare, with sports incidents being the most common cause for both sexes. Motor vehicle accidents are more prevalent in males, while bicycle accidents are more common in females. Associated injuries are infrequent.
Area of Science:
- Orthopedics
- Pediatric Trauma
- Facial Surgery
Background:
- Pediatric facial fractures are uncommon due to bone elasticity, posing diagnostic challenges.
- Anatomical differences in children influence fracture patterns compared to adults.
- While boys generally experience more trauma, this does not significantly alter facial fracture susceptibility.
Purpose of the Study:
- To investigate the relationship between sex and the mechanisms of injury in pediatric facial fractures.
- To analyze trauma patterns in relation to gender in young patients with facial bone fractures.
Main Methods:
- Retrospective cohort study of pediatric patients (under 18) with facial bone fractures.
- Data collected from 2008-2018 at Päijät-Häme Central Hospital, Finland.
- Inclusion criteria: one or more facial bone fractures.
Main Results:
- 81% of the 37 subjects were male, 19% female.
- For females, bicycle and sports accidents were most common (8.1% each).
- For males, motor vehicle and sports accidents were equally prevalent (24% each). Associated injuries were rare (16%) and linked to motor vehicle accidents.
Conclusions:
- Sports incidents are the leading cause of pediatric facial fractures across both sexes.
- Bicycle accidents are more common in girls, while motor vehicle accidents are more prevalent in boys.
- Associated injuries are infrequent and primarily associated with high-energy trauma like motor vehicle accidents.
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