Pediatric trauma involving the bones of the face is associated with severe injury and disability. Although much is known about the epidemiology of facial fractures in adults, little is known about injury patterns and outcomes in children. The most common facial fractures were mandible, nasal and maxillary/zygoma. The most common mechanisms of injury are motor vehicle collisions, violence and falls. These fracture patterns and mechanisms of injury varies with age. Cranial and central facial injuries are more common among toddlers and infants, and mandible injuries are more common among adolescents. Although bony craniofacial trauma is relatively uncommon among the pediatric population, it remains a substantial source of mortality, morbidity and hospital admissions. Continued efforts toward injury prevention are warranted. An overview of various types of fractures and their management modalities is discussed, with case reports.
How to cite this article: Mukherjee CG, Mukherjee U. Maxillofacial Trauma in Children. Int J Clin Pediatr Dent 2012;5(3):231-236.
Zimmermann CE (Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston 02114, USA), Troulis MJ, Kaban LB. Pediatric facial fractures: Recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 2006 Jan;35(1):2-13.
Haug RH (University of Kentucky and Metro Health Medical Center, Kentucky, USA), Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000 Aug;90(2):126-134.
Ferreira PC (Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital de São João, Porto Medical School, Porto, Portugal. email@example.com), Amarante JM, Silva PN, Rodrigues JM, Choupina MP, Silva AC, Barbosa RF, Cardoso MA, Reis JC. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg 2005 May;115(6):1500-1508.
Holland AJ (Department of Surgical Research, The New Children's Hospital, Royal Alexandra Hospital for Children, The University of Sydney, Westmead, Australia), Broome C, Steinberg A, Cass DT. Facial fractures in children. Pediatr Emerg Care 2001 Jun;17(3):157-160.
Faust RA. Maxillary fractures in children. WebMD Web site. Available from: http://www.emedicine.com/ent/topic491.htm. [Accessed June 2006].
Kumar AV (Section of Plastic, Reconstructive & Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA, USA), Staffenberg DA, Petronio JA, Wood RJ. Bioabsorbable plates and screws in pediatric craniofacial surgery: A review of 22 cases. J Craniofac Surg 1997 Mar;8(2):97-99.
Haug RH (Division of Oral and Maxillofacial Surgery, University of Kentucky, College of Dentistry, USA. rhhaug2@email. uky.edu), Cunningham LL, Brandt MT. Plates, screws and children: Their relationship in craniomaxillofacial trauma. J Long- Term Eff Med Implants 2003;13(4):271-287.
Imola MJ (Center for Craniofacial-Skull Base Surgery, 1601 E 19th Ave, Suite 3100, Denver, CO 80218, USA. mjimola@ qwest.net), Hamlar DD, Shao W, Chowdhury K, Tatum S. Resorbable plate fixation in pediatric craniofacial surgery: Longterm outcome. Arch Facial Plast Surg 2001 Apr-Jun;3(2): 79-90.
Thorén H (Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Helsinki, Finland. hanna. firstname.lastname@example.org), Iso-Kungas P, Iizuka T, Lindgvist C, Tornwall J. Changing trends in causes and patterns of facial fractures in Children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Mar;107(3):318-324.
Zerfowski M (Department of Oral and Maxillofacial Surgery, Ruhr-University Bochum, Germany. email@example.com- bochum.de), Bremerich A. Facial trauma in children and adolescents. Clin Oral Investig 1998 Sep;2(3):120-124.
Vyas RM (Division of Plastic & Reconstructive Surgery, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California, USA), Dickinsion BP, Wasson KL, Roostaeian J, Bradley JP. Paediatric facial fracture: Current national incidence, distribution and health care resource use. J Craniofac Surg 2008 Mar;19(2):339-349.
Stylogianni L (Oral and Maxillofacial Surgery Clinic, Dental Faculty, Children's Hospital, P. and A. Kyriakou, Athens, Greece), Arsenopoulos A, Patrikiou A. Fractures of the facial skeleton in children. Br J Oral Maxillofac Surg 1991 Feb;29(1):9- 11.
Theologie-Lygidakis N (University Department of Oral and Maxillofacial Surgery, A. & P. Kyriakou Children's Hospital, Dental School, University of Athens, Athens, Greece. lygidakisnadia@ ath.forthnet.gr), Iatrou I, Alexandridis C. Blowout fractures in children: Six years’ experience. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 Jun;103(6):757-763.
Cucurullo R (Department of Orthodontics, School of Dentistry, University of Milan, Milan, Italy), Giannuzzi I, Clivio A, Biagi R. Management of unilateral condylar fracture in a 9.6-year-old female. Eur J Paediatr Dent 2009 Jun;10(2):95-101.
Kos M (Department of Paediatric Surgery, Marciniak Hospital, Wroclaw, Poland. firstname.lastname@example.org), Luczak K, Godzinski J, Rapala M, Klempous J. Midfacial fractures in children. Eur J Pediatr Surg 2002 Aug;12(4):218-225.