Australian Craniofacial Unit.
Royal Adelaide Hospital.
J Craniofac Surg. 2021 Oct 1;32(7):2317-2321. doi: 10.1097/SCS.0000000000007666.
Facial fractures of children are relatively infrequent compared to adults. There are variations in facial fractures depending on the socioeconomic, cultural, and educational factors of the country and time. Our aim is to describe epidemiological trends of facial fractures in the pediatric population, understand differences amongst the age groups, and the impact this has on clinical outcomes and management in South Australia.
A retrospective review was conducted from January 2012 to January 2017 at the Women and Children's Hosptial, Adelaide. All facial fractures of children, aged 16 years and below, that attended or were referred to the unit were included in this study.
A total of 265 pediatric patients presented with a facial fracture with a male predominance. Some 49.1% occurred from a sports-related injury with bicycle motocross as the single most common type of sport. The mandible was the common fracture type with 21.9% of the total cohort having an associated injury. There were significant differences between boys and girls for age, age groups, mechanism of injury, and type of sport (P < 0.05). Boys were 2.3 times more likely to have a sport-related facial fracture than girls. Early adolescence were 5.2 times more likely to have an orbitozygomatic fracture than children of early childhood (P < 0.05). Age, associated injuries, and sport-related facial fractures were independently associated with increased length of stay (P < 0.001).
There are differences amongst boys and girls and an understanding of these differences can aid the diagnosis and management in a growing child's face.
与成年人相比，儿童的面部骨折相对较少。由于国家和时间的社会经济、文化和教育因素的不同，面部骨折也存在差异。我们的目的是描述儿童人群中面部骨折的流行病学趋势，了解不同年龄组之间的差异，以及这对南澳大利亚临床结果和管理的影响。
对 2012 年 1 月至 2017 年 1 月在阿德莱德妇女儿童医院就诊或转来的儿童面部骨折患者进行回顾性研究。本研究纳入了所有年龄在 16 岁及以下的儿童面部骨折患者。
共有 265 例儿童患者因面部骨折就诊，其中男性居多。49.1%的骨折是由与运动相关的损伤引起的，而自行车越野是最常见的单一运动类型。下颌骨是最常见的骨折类型，占总队列的 21.9%有相关损伤。男孩和女孩之间在年龄、年龄组、损伤机制和运动类型方面存在显著差异（P<0.05）。男孩发生运动相关面部骨折的可能性是女孩的 2.3 倍。青少年早期发生眶颧骨折的可能性是幼儿的 5.2 倍（P<0.05）。年龄、相关损伤和运动相关面部骨折与住院时间延长独立相关（P<0.001）。
男孩和女孩之间存在差异，了解这些差异可以帮助诊断和管理儿童面部的生长。
