Chao Mimi T, Losee Joseph E
Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Craniomaxillofac Trauma Reconstr. 2009 May;2(2):103-12. doi: 10.1055/s-0029-1215873.
Despite recent advances in the diagnosis, treatment, and prevention of pediatric facial fractures, little has been published on the complications of these fractures. The existing literature is highly variable regarding both the definition and the reporting of adverse events. Although the incidence of pediatric facial fractures is relative low, they are strongly associated with other serious injuries. Both the fractures and their treatment may have long-term consequence on growth and development of the immature face. This article is a selective review of the literature on facial fracture complications with special emphasis on the complications unique to pediatric patients. We also present our classification system to evaluate adverse outcomes associated with pediatric facial fractures. Prospective, long-term studies are needed to fully understand and appreciate the complexity of treating children with facial fractures and determining the true incidence, subsequent growth, and nature of their complications.
尽管近年来小儿面部骨折的诊断、治疗和预防取得了进展，但关于这些骨折并发症的报道却很少。现有文献在不良事件的定义和报告方面差异很大。虽然小儿面部骨折的发生率相对较低，但它们与其他严重损伤密切相关。骨折及其治疗都可能对未成熟面部的生长发育产生长期影响。本文是对面部骨折并发症文献的选择性综述，特别强调小儿患者特有的并发症。我们还提出了我们的分类系统，以评估与小儿面部骨折相关的不良后果。需要进行前瞻性的长期研究，以充分了解和认识治疗小儿面部骨折的复杂性，以及确定其并发症的真实发生率、后续生长情况和性质。
