Siy Richard W, Brown Rodger H, Koshy John C, Stal Samuel, Hollier Larry H
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
J Craniofac Surg. 2011 Jul;22(4):1190-5. doi: 10.1097/SCS.0b013e31821c0cf9.
The treatment of pediatric facial fractures, although similar to that of adults, requires a separate and thorough understanding of the unique developmental issues inherent to this age group. The contribution of several of these factors allows for a large portion of these injuries to be managed more conservatively; however, operative indications still exist. The optimal form of management in these situations must balance the risks of impacting dentition or future skeletal growth versus obtaining acceptable stability and reduction for healing. Although these principles have remained largely unchanged over the years, a more current discussion on the state of resorbable and titanium fixation is offered to highlight evolving management considerations. Although uniquely challenging, the proper management of pediatric facial trauma is possible if the treating physician remains aware of key anatomic, epidemiological, evaluation, and management issues.
小儿面部骨折的治疗虽然与成人相似，但需要对该年龄组特有的发育问题进行单独且全面的了解。其中一些因素的作用使得大部分此类损伤可以采用更保守的处理方法；然而，手术指征仍然存在。在这些情况下，最佳的处理方式必须在影响牙列或未来骨骼生长的风险与实现可接受的稳定性及复位以促进愈合之间取得平衡。尽管这些原则多年来基本未变，但本文将对可吸收固定和钛固定的现状进行更新的讨论，以突出不断演变的处理考量。小儿面部创伤的处理虽极具挑战性，但如果治疗医生能了解关键的解剖学、流行病学、评估和处理问题，恰当的处理仍是可行的。
