International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 6 ( November-December, 2019 ) > List of Articles

RESEARCH ARTICLE

Prevalence and Etiology of Pediatric Maxillofacial Injuries: A Unicenter-based Retrospective Study

Dichen P Bhutia, Geeta Singh, Shadab Mohammed, Hari Ram, Jagdish Gamit, Debraj Howlader

Citation Information : Bhutia DP, Singh G, Mohammed S, Ram H, Gamit J, Howlader D. Prevalence and Etiology of Pediatric Maxillofacial Injuries: A Unicenter-based Retrospective Study. Int J Clin Pediatr Dent 2019; 12 (6):528-531.

DOI: 10.5005/jp-journals-10005-1687

License: CC BY-NC 4.0

Published Online: 24-11-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

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.


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  1. Ten Leading Causes of Death, US. Atlanta, GA: Center for Disease Control and Prevention, National Center for Injury Prevention and Control; 2004.
  2. Krug EG, Sharma GK, Lozano R Am J Public Health 2000;90(4):523–526. DOI: 10.2105/AJPH.90.4.523.
  3. Nawar EW, Niska RW, Xu J National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Survey. Atlanta, GA: Center for Disease Control and Prevention, National Center for Health Statistics; 2007.
  4. Koltai PJ, Rabkin D. Management of facial trauma in children. Pediatr Clin North Am 1996;43(6):1253–1275. DOI: 10.1016/S0031-3955(05)70518-6.
  5. Kaban LB. Diagnosis and treatment of fractures of the facial bones in children 1943–1993. J Oral Maxillofac Surg 1993;51(7):722–729. DOI: 10.1016/S0278-2391(10)80409-4.
  6. Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(2):126–134. DOI: 10.1067/moe.2000.107974.
  7. Oji C. Fractures of the facial skeleton in children: a survey of patients under the age of 11 years. J Craniomaxillofac Surg 1998;26(5):322–325. DOI: 10.1016/S1010-5182(98)80062-0.
  8. Parks S, Kaufmann C Advanced trauma life support. Chicago: American College of Surgeons; 2004. pp. 243–262.
  9. Mijiti A, Ling W, Tuerdi M, et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: a 5-year retrospective study. J Craniomaxillo 2014 Apr;42(3):227–233. DOI: 10.1016/j.jcms.2013.05.005.
  10. Elbarbary M, Hancock BJ, Morris MI “Trauma in the Pediatric Patient.” Trauma Team Dynamics. Springer International Publishing; 2016. pp. 133–143.
  11. Killey HC. Killey's fractures. In Banks P, ed., Fractures of the Mandible. London: Wright; 1988.
  12. Gassner R, Bosch R, Tuli T. Prevalence of dental trauma in 6000 patients with facial injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87(1):27–33. DOI: 10.1016/S1079-2104(99)70290-8.
  13. Tanaka N, Uchide N, Suzuki K, et al. Maxillofacial fractures in children. J Craniomaxillofac Surg 1993;21(7):289. DOI: 10.1016/S1010-5182(05)80349-X.
  14. Porter SR. Facial fractures in children. Br Dent J 1987;163:144. DOI: 10.1038/sj.bdj.4806222.
  15. Le Fort R. Etude experimentale sur les fractures de la machorie superieure. Rev Chir 1901;123:208.
  16. Adekeye EO. Pediatric fractures of the facial skeleton: a survey of 85 cases from Kaduna, Nigeria. J Oral Surg 1980;38(5):355.
  17. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235–239. DOI: 10.1016/S0300-9785(72)80042-5.
  18. Zerfowski M, Bremerich A. Facial trauma in children and adolescents. Clin Oral Invest 1998;2(3):120. DOI: 10.1007/s007840050056.
  19. Waymann NM, Holzle A, Zachariou Z, et al. Pediatric craniofacial trauma. J Oral Maxillofac Surg 2008;66(1):58–64. DOI: 10.1016/j.joms.2007.04.023.
  20. Gassner R, Tuli T, Hachl O, et al. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004;62(4):399–407. DOI: 10.1016/j.joms.2003.05.013.
  21. Ferreira PC, Amarante JM, Silva PN, et al. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg 2005;115(6):1500–1508. DOI: 10.1097/01.PRS.0000160268.20294.FD.
  22. Ogunlewe MO, James O, Ladeinde AL, et al. Pattern of paediatric maxillofacial fractures in Lagos, Nigeria. Int J Paediatr Dent 2006;16(5):358–362. DOI: 10.1111/j.1365-263X.2006.00757.x.
  23. Imahara SD, Hopper RA, Wang J, et al. Pattern and outcome of pediatric facial fractures in the united states: a survey of the national trauma data bank. J Am Coll Surg 2008;208(5):710–716. DOI: 10.1016/j.jamcollsurg.2008.06.333.
  24. Carroll MJ, Mason DA, Hill CM. Facial fractures in children. Br Dent J 1987;163:289. DOI: 10.1038/sj.bdj.4806278.
  25. Stylogianni L, Arsenopoulos A, Patrikiou A. Fractures of the facial skeleton in children. Br J Oral Maxillofac Surg 1991;29(1):9. DOI: 10.1016/0266-4356(91)90164-Z.
  26. Holland AJ, Broome C, Steinberg A, et al. Facial fractures in children. Pediatr Emerg Care 2001;17(3):157–160. DOI: 10.1097/00006565-200106000-00002.
  27. Thaller SR, Huang V. Midfacial fractures in the pediatric population. Ann Plast Surg 1992;29(4):348. DOI: 10.1097/00000637-199210000-00012.
  28. Rowe NL. Fractures of the facial skeleton in children. J Oral Surg 1968;26(4):505. DOI: 10.1016/0030-4220(68)90331-9.
  29. Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 2005;34(8):823–833. DOI: 10.1016/j.ijom.2005. 06.015.
  30. Strobl H, Emshoff R, Röthler G. Conservative treatment of unilateral condylar fractures in children: a long-term clinical and radiologic follow-up of 55 patients. Int J Oral Maxillofac Surg 1999;28(2):95–98. DOI: 10.1016/S0901-5027(99)80200-8.
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