Oral and Maxillofacial Surgery Department, Al-Adan Specialized Dental Centre, Ministry of Health, Kuwait, Kuwait.
Dent Traumatol. 2021 Aug;37(4):557-561. doi: 10.1111/edt.12662. Epub 2021 Feb 11.
Pediatric maxillofacial fractures always present a challenge due to the unique nature of the facial skeleton anatomy and development. The aim of this study was to investigate the incidence, etiology, site of fracture, and management modalities of pediatric maxillofacial fractures in Kuwait.
A retrospective cross-sectional study was conducted. The records of all pediatric patients who were diagnosed with maxillofacial fractures and admitted to one of the major hospitals in Kuwait between January 2007 and March 2020 were reviewed.
A total of 186 patients aged between 0 and 13 years old were included. An average of 13 patients was seen each year between 2007 and 2020. The leading cause of the pediatric maxillofacial trauma was road traffic accidents (RTA) that accounted for 38.2% of the patients followed by 22% falls from height (FFH). Male patients were more affected than females, with a ratio of 2.3:1. More than half of the children had mid-face fractures, of which 57% were in multiple sites. Conservative management was the main approach for 52.2% of the patients.
Pediatric maxillofacial fractures were mainly attributed to road traffic accidents in Kuwait. Mid-face bone fractures were reported more than mandibular fractures and were mostly managed conservatively.
由于面颅骨解剖结构和发育的独特性，小儿颌面骨折一直是一个挑战。本研究旨在调查科威特小儿颌面骨折的发生率、病因、骨折部位和治疗方式。
这是一项回顾性的横断面研究。对 2007 年 1 月至 2020 年 3 月期间在科威特一家主要医院就诊并诊断为颌面骨折的所有小儿患者的记录进行了回顾。
共纳入 186 名 0 至 13 岁的患者。2007 年至 2020 年期间，每年平均有 13 名患者。小儿颌面外伤的主要原因是道路交通碰撞（RTA），占患者的 38.2%，其次是 22%的高处坠落（FFH）。男性患者比女性患者多，比例为 2.3:1。超过一半的儿童有面中部骨折，其中 57%是多处骨折。52.2%的患者采用了保守治疗。
在科威特，小儿颌面骨折主要归因于道路交通碰撞。面中部骨折的报道多于下颌骨骨折，且大多采用保守治疗。
