Pediatric Maxillofacial Injuries; A single institutional experience (original) (raw)
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Pediatric maxillofacial trauma in Upper Egypt, a prospective study
Sohag Medical Journal, 2019
Background: Trauma in children is the most frequent injury seen in the Emergency Department leading to morbidity and mortality. Maxillofacial fractures occur in a significant proportion worldwide and the incidence of maxillofacial pediatric trauma is less compared to adults. However, they may lead to serious complications. The aim of this study is to study the incidence and pattern of pediatric maxillofacial trauma in Upper Egypt and to determine the management of this trauma as regard as bone and soft tissue injuries. Methods:This study was a prospective study which was conducted at
Pediatric maxillofacial injuries in madinah - a retrospective study
2018
Objective: The objective of this retrospective study was to analyze the incidence, etiology and distribution pattern of maxillofacial injuries in the pediatric patients of King Fahad Hospital, Madinah. Method: Medical records of 865 pediatric patients were reviewed from 2014 to 2017. Relevant data in relation to demographics, age and sex, etiology/mechanism of injury, pattern and distribution of injuries were collected. The data was analyzed and results were compared with other studies. Results: The 0 to 6 years age group was commonly involved; peak incidence was at the age of five years. 360 soft tissue injuries were found in pediatric males and 178 in females whereas, 153 hard tissue injuries were documented in males and 69 in female patients. Laceration was the most common maxillofacial soft tissue injury (507) with a high frequency of 94% followed by Contusion 4% (20) and Dermabrasion 2%. Majority of lacerations were of the lips followed by those of the tongue, gingiva and face....
Clinical outcomes of Pediatric Maxillofacial Fractures Management in Three Hospital Series in Egypt
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 2017
Objectives: Pediatric maxillofacial fractures are less common as compared to adults, however, they may lead to serious complications. Methods: The study aimed to retrospectively correlate demographic data, facial fractures characteristics, and patterns among pediatric patients who were managed at 3 of the governmental Egyptian Hospitals from 2008 to 2016, and discussing the treatment protocols. The study included 104 patients presented with maxillofacial traumas. Those with dentoalveolar and/or dental injuries were excluded. All the patients were treated by conservative approaches, except those in whom surgical interventions were mandatory. Results: The mean age of 104 patients was 10.94 ± 3.92 years. The female/male ratio was 1:1.4. Females' fractures were mainly due to falls (17.31%). Road traffic accidents (RTAs) were the most common cause in males, followed by sports injuries (17.31.8%), then assault (10.58%). The most prevalent site of fractures was the mandible (67.31%) in particular condylar fractures. All the fractures were healed successfully, but restricted mouth openings were the most common sequela. Conclusion: The RTAs were the main cause. Males and condylar fractures have the highest predominance. The conservative treatment is still the treatment of choice in pediatric fractures. Pediatric fractures must be followed longitudinally to avoid post-traumatic sequelae.
Pattern of Maxillofacial Injuries in Pediatric Patients – A Hospital Based Retrospective Study
Birat Journal of Health Sciences, 2020
Introduction: Maxillofacial injuries are less frequent in children than adults and are more often minimally displaced. Literature reveals that the incidence of maxillofacial injuries accounts for 1% - 14.7% in children below age 16 years. There is lack of information on epidemiological data for pediatric maxillofacial injury from Nepal. Objectives: The objective of the study is to determine the pattern of maxillofacial injuries in the pediatric population who had been treated in one of the tertiary level hospitals in western Nepal. Methodology: Among 303 cases of maxillofacial trauma registered between March 2017 to February 2019 at UCMS College of Dental Surgery, Bhairahawa, Rupandehi, Nepal; 57 cases of pediatric maxillofacial injuries that were admitted and received treatment were enrolled in the study. Parameters recorded were demographic data, mode of injury, the pattern of maxillofacial injuries and treatment provided. Results: Majority of patients were males (66.67%) among w...
Journal of the Pakistan Dental Association
To establish the etiology, pattern, management and outcome of maxillofacial trauma in pediatric patients. METHODOLOGY: A three-year record of pediatric patients who suffered from maxillofacial trauma was reviewed and analyzed using hospital database. The data gathered from the record of the patients like age was presented as mean and standard deviation whereas data like gender, etiology of particular trauma, anatomic position of fracture, affiliated injuries, kind of treatment used and outcome of the treatment was presented as frequency and percentage. Study Design: Retrospective study.
Zagazig Journal of Forensic Medicine, 2021
Introduction: Trauma is a critical health problem. Traumatic brain injury(TBI) represents a major health dilemma as it leads to negative long-term or permanent physical and emotional changes. Trauma to the maxillofacial region needs special attention. Aim of the study: To study the medico-legal aspects of maxillofacial trauma cases accompanied by head injury over one year. Methodology: The current study is a retrospective study was performed in the Trauma Unit of Assiut University Hospitals, it included two groups, group A: maxillofacial trauma patients only. Group B: maxillofacial trauma patients accompanied by head injuries. The collected data included, socio-demographic data, medico-legal aspects of cases: cause, manner and sequel of injuries, types of maxillofacial fractures and types of head injury and outcome of the cases. Results: Most of cases were in age group (18-40 years) and male-to-female ratios was (4:1) in both groups. Falling from height was the main cause of injury in group A while in group B it was motor cycle accident. As regards maxillofacial injuries, for both groups the most common injury was soft tissue injury. About 55.5 % of patients with head injuries had skull fractures. Concussion was the most prevalent intracranial injury observed followed by intracranial hemorrhage. Only (34.5%) of group A were required surgical treatment, while in group B it was (60.3%). Concerning the outcome, a significant difference was found between both groups, improvement was the main outcome while death occurred only in 2.3% of group A and 5.3% of group B. Conclusion: In the current study, there was a significant combination between head injuries and maxillofacial trauma as number of maxillofacial trauma cases accompanied by head injuries were three times those with maxillofacial trauma only. So, every maxillofacial fracture patient should be cautiously assessed clinically and radiologically to exclude any underlying head injury and to reduce permanent infirmity and mortality rate.
International Journal of Pediatric Otorhinolaryngology, 2007
Objective: Maxillofacial trauma in children is not common worldwide. Domestic injuries are frequently seen in younger children while older children are mostly involved in motor vehicle accidents (MVA). The objective of this study was to analyze the pattern of maxillofacial injuries in pediatric patients referred to three government main hospitals in different areas of West Malaysia. Methods: Patients' records of three selected hospitals in Malaysia (National University of Malaysia Hospital, Kajang Hospital and Seremban Hospital) from January 1999 to December 2001 were reviewed. Data associated with demographics, etiology of injury in relation to age group, type of injuries whether soft tissues of hard tissue in relation to age group and treatment modalities were collected. Results: A total of 521 pediatric patients' records were reviewed. Malays made up the majority of patients with maxillofacial injuries in the three hospitals. Males
Craniomaxillofacial Trauma & Reconstruction, 2014
Although there is a worldwide increase in maxillofacial trauma incidence; the pattern and etiology of these injuries varies from one country to another depending on socioeconomic, cultural, and environmental factors. This study aims to realize the epidemiological characteristics of maxillofacial fractures in our department. A retrospective cross-sectional study of all facial trauma patients admitted to our department during 2009 to 2012. Patients’ data including gender, age, etiology of trauma, the pattern and demographic distribution of fractures of maxillofacial skeleton, and associated injuries were analyzed and compared with previously published data. The chi-square test was used with a p value of less than 0.05, which was considered statistically significant. There is a significant increase in maxillofacial fractures incidence in the past 2 years than former ones. There is a male predominance with highest incidence in the age group of 20 to 40 years. Road traffic accident is th...
Prevalence and Etiology of Pediatric Maxillofacial Injuries: A Unicenter-based Retrospective Study
International Journal of Clinical Pediatric Dentistry, 2019
Background: Children are uniquely susceptible to craniofacial trauma because of their greater cranial mass-to-body ratio. The craniofacial injuries comprise approximately 11.3% of an overall pediatric emergency, and its etiology affects the incidence, clinical presentation, and treatment modalities, which are influenced by sociodemographic, economic, and cultural factor of the population being studied. Materials and methods: A retrospective review to analyze the epidemiology of facial injuries in pediatric population (age range-0-16 years), divided into three age groups, i.e., group I (0-5 years), group II (6-11 years) and group III (12-16 years), was carried out over a 3-year span, in order to determine the facial injury pattern, mechanism and concomitant injury by age. Results: A total of 1,221 patients with facial injuries, reporting to our trauma center and outpatient department were identified. Majority of these injuries were encountered among boys (64%). Motor vehicle collision (46.5%) was the most common cause of facial fracture and dentoalveolar injuries in group II and group III, while fall was the most common cause among the group I (30.2%). Mandible was the most commonly fractured bone (34.7%) followed by nasal (33.3%), maxilla (17.5%), and zygoma (14.3%). More than 50% sustained concomitant injuries. Conclusion: The importance of epidemiological analysis lies in the identification of trauma burden, which could help motivate and develop more efficient ways to plan resources allocation and deliver adequate care and preventive steps. Improvisation upon National Prevention Programs could lower incidences of such injuries.
Pediatric injuries in maxillofacial trauma: a 5 year study
Journal of Maxillofacial …, 2009
Fractures of the facial skeleton in children are less frequent. This clinical retrospective study of 5 year was conducted on 95 patients aged less than 16 years who sustained maxillofacial injuries during the period 2003 to 2008. Age, sex, etiology incidence and type of fracture were studied. The ratio of boys to girls was 1.9:1. The 7-12 year age group was commonly involved and the highest incidence was at age of ten years. Falls were the most common cause of injury accounting for 41%, followed by road traffic accidents (30%). Sports related injuries, assault and child abuse were also the causes of injury in children. Dentoalveolar injuries were found to be highest incidence with 42.1% followed by mandibular fractures. The soft tissue injuries were associated the pediatric maxillofacial trauma were found to be 34.7% of all cases.