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Pediatric maxillofacial fractures

P M Spring1, D N Cote

  • 1Dept of Otolaryngology--Head and Neck Surgery, Tulane University Medical School, New Orleans, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|May 1, 1996
PubMed
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Pediatric maxillofacial trauma is uncommon, often affecting boys aged 6-12. Boys are more frequently impacted by facial fractures than girls, with nose and dentoalveolar injuries being most common.

Area of Science:

  • Pediatric Maxillofacial Surgery
  • Craniofacial Trauma Research
  • Pediatric Orthodontics

Background:

  • Maxillofacial trauma in children is infrequent, accounting for approximately 5% of all facial fractures.
  • Boys are more commonly affected than girls, with peak incidence between 6 and 12 years of age.
  • Sinus pneumatization and developmental factors contribute to lower fracture rates in younger children.

Purpose of the Study:

  • To review the epidemiology and common injury patterns of pediatric maxillofacial trauma.
  • To outline current management strategies for pediatric facial fractures.
  • To highlight areas of ongoing research, such as the impact of rigid fixation on facial growth.

Main Methods:

  • Literature review of pediatric maxillofacial trauma studies.

Related Experiment Videos

  • Analysis of epidemiological data including age, sex, and etiology.
  • Categorization of fracture sites and discussion of treatment modalities.
  • Main Results:

    • The nose and dentoalveolar complex are the most common sites of pediatric facial fractures.
    • Mandibular fractures, particularly condylar fractures, often managed conservatively.
    • Open reduction and internal fixation reserved for complex fractures of the mandible, midface, and orbit.

    Conclusions:

    • Pediatric maxillofacial fractures, though rare, exhibit distinct epidemiological and etiological patterns.
    • Conservative management is often preferred for mandibular fractures in children.
    • Further research is needed to understand the long-term effects of rigid fixation on pediatric facial skeletal development.