Almahdi Hatim M, Higzi Mohammed A
Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman, Sudan.
Faculty of Dentistry, University of Khartoum, P.O. Box 102, Khartoum, Sudan.
BMC Res Notes. 2016 Feb 23;9:120. doi: 10.1186/s13104-016-1934-5.
Maxillofacial fractures in children are less frequent compared to adults but result in special complications affecting the growth, function and esthetics.
The study aimed at assessing the characteristics and the pattern of facial fractures among children seen at Khartoum Teaching Dental Hospital (KTDH).
The study included 390 patients presenting with maxillofacial trauma at KTDH during a year period (2010-2011).
A total of 390 patients, diagnosed with facial fractures, were seen at KTDH; 14.1% (55) were children below 16 years of age with the mean age of 10 years (SD ± 3.9). The ratio of males to females was 2.2:1. Most fractures were due to road traffic accidents (RTA) 56.4%, followed by daily living activities 21.8% and assault 16.4%. The most prevalent anatomic sites of fractures were mandible 77%; combination fractures i.e. more than one site 32.7% and zygomatic-complex (13.5%). Concomitant injuries were found in 9.1%. Almost half of the patients were managed conservatively 49.1%, closed reduction 34.5% and surgical open reduction 16.4%.
The findings of this study indicated that pediatric facial fractures constitute 14.1% of the total number of facial fractures. RTA was the main cause, which should be considered in legislative and preventive strategies.
与成人相比，儿童颌面部骨折的发生率较低，但会导致影响生长、功能和美观的特殊并发症。
本研究旨在评估喀土穆教学牙科医院（KTDH）所见儿童面部骨折的特征和模式。
本研究纳入了在一年期间（2010 - 2011年）在KTDH就诊的390例颌面部创伤患者。
KTDH共诊治了390例被诊断为面部骨折的患者；14.1%（55例）为16岁以下儿童，平均年龄为10岁（标准差±3.9）。男女比例为2.2:1。大多数骨折是由于道路交通事故（RTA），占56.4%，其次是日常生活活动，占21.8%，袭击占16.4%。最常见的骨折解剖部位是下颌骨，占77%；复合骨折即不止一个部位骨折占32.7%，颧骨复合体骨折占13.5%。发现合并伤的比例为9.1%。几乎一半的患者采用保守治疗，占49.1%，闭合复位占34.5%，手术切开复位占16.4%。
本研究结果表明，儿童面部骨折占面部骨折总数的14.1%。道路交通事故是主要原因，在立法和预防策略中应予以考虑。
