Related Experiment Video
Updated: May 31, 2026
11:28
A Coupled Experiment-finite Element Modeling Methodology for Assessing High Strain Rate Mechanical Response of Soft Biomaterials
Published on: May 18, 2015
Mechanisms Matter: Intentional Injury and Its Impact on Pediatric Facial Fractures
Alexandra M Dunker1, Christopher M Williams1, Anthony V Basta1
1Division of Plastic Surgery, Department of Surgery, UTHealth Houston McGovern Medical School, Houston, TX.
The Journal of Craniofacial Surgery
|May 29, 2026
Summary
Pediatric facial fractures from violent mechanisms are more common in older males and require more surgery. Understanding these patterns aids in better triage and treatment for young patients with facial trauma.
Area of Science:
- Trauma Surgery
- Pediatric Surgery
- Facial Reconstruction
Background:
- Pediatric facial fractures from violent mechanisms (assault, gunshot, stabbing) present unique challenges.
- Understanding the epidemiology and clinical implications of violent facial trauma in children is crucial.
Purpose of the Study:
- To evaluate how violent mechanisms influence pediatric facial fracture patterns.
- To analyze management strategies and demographic disparities in pediatric facial fractures due to violence.
Main Methods:
- Retrospective review of pediatric patients (<18 years) with facial fractures.
- Comparison of violent mechanisms (VM) versus nonviolent mechanisms (NVM).
- Statistical analysis including logistic regression to identify predictors of VM.
Main Results:
- 17% of 1845 pediatric facial fractures were due to VM.
- VM were independently associated with male sex, Hispanic ethnicity, increasing age, and mandibular fractures.
- Violent injuries had higher rates of operative management (54% vs. 32%).
Conclusions:
- Violent pediatric facial trauma is linked to increased operative rates and specific fracture patterns, particularly mandibular fractures.
- Older male adolescents are disproportionately affected by violent facial trauma.
- Recognizing these patterns can optimize triage, imaging, and surgical consultation for pediatric facial trauma.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:30Impact
Impact occurs when two bodies collide, leading to the application of impulsive forces between them. Analyzing impact mechanics involves considering two colliding particles moving along a line known as the line of impact, which passes through their centers and is perpendicular to the contact plane.
When particles with different initial velocities collide, they induce deformation by applying equal and opposite impulses. At the point of maximum deformation, the particles move together with...
When particles with different initial velocities collide, they induce deformation by applying equal and opposite impulses. At the point of maximum deformation, the particles move together with...