Pittsburgh, Pa. From the Division of Pediatric Plastic Surgery and the Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center.
Plast Reconstr Surg. 2011 Dec;128(6):1263-1271. doi: 10.1097/PRS.0b013e318230c8cf.
Pediatric craniofacial fractures are anatomically distinct from their adult counterparts and must be managed with respect for future growth and development. These injuries must be approached as entities fundamentally different from adult craniofacial fractures. Here, the authors aim to provide context for practitioners managing pediatric facial fractures by augmenting presently available demographic, diagnostic, and treatment data.
This is a retrospective review of demographics, diagnosis, and treatment of patients under 18 years of age presenting to the emergency department of a pediatric level I trauma center between 2000 and 2005 with facial fractures. Patients were included regardless of treating specialty, treatment modality, or inpatient status.
A total of 772 consecutive patients met inclusion criteria. A significant majority (p < 0.001) of patients (68.9 percent) were male; older children were significantly more likely to sustain a facial fracture (p < 0.001). Fracture pattern, level of care, and cause of injury varied by age; 55.6 percent of patients had severe associated injuries. Male subjects, older patients, and patients of lower socioeconomic status were significantly more likely to sustain facial fractures secondary to violence (p ≤ 0.001).
Pediatric facial fractures may be associated with severe concomitant injuries. Injury patterns are significantly correlated with socioeconomic metrics.
小儿颅面骨折与成人颅面骨折在解剖学上有所不同，必须考虑到未来的生长和发育来进行治疗。这些损伤必须被视为与成人颅面骨折根本不同的实体。在这里，作者旨在通过增加目前可用的人口统计学、诊断和治疗数据，为管理小儿面部骨折的医生提供背景信息。
这是对 2000 年至 2005 年间在一家儿科一级创伤中心的急诊科就诊的 18 岁以下面部骨折患者的人口统计学、诊断和治疗情况进行的回顾性分析。无论治疗专业、治疗方式或住院情况如何，患者均被纳入研究。
共有 772 名连续患者符合纳入标准。绝大多数（p < 0.001）患者（68.9%）为男性；年龄较大的儿童更有可能发生面部骨折（p < 0.001）。骨折类型、护理水平和损伤原因因年龄而异；55.6%的患者有严重的合并伤。男性、年龄较大的患者和社会经济地位较低的患者更有可能因暴力而导致面部骨折（p ≤ 0.001）。
小儿面部骨折可能与严重的伴随损伤有关。损伤模式与社会经济指标密切相关。
