Gussack G S, Luterman A, Powell R W, Rodgers K, Ramenofsky M L
Laryngoscope. 1987 Aug;97(8 Pt 1):925-30.
The purpose of this study was to review mechanisms, etiologies, associated injuries, and treatment of maxillofacial trauma in children and to compare them to similar adult injuries. Thirty blunt injuries (1984-1986) comprised the children's group, and 176 injuries, the adult group. Multiple associated injuries were more common in children, the most frequent being CNS and orthopedic injuries. Detailed anatomy of mandibular fractures required pleuridirectional tomography in 63% of the pediatric cases compared to 12% in adults. In the children's group, the mandibular fractures were favorable in 56% of cases compared to 15% in adults. Children required shorter periods of intermaxillary fixation with no child requiring reapplication of fixation. Based on these comparisons, a protocol for the management of pediatric maxillofacial injuries has been developed.
本研究的目的是回顾儿童颌面部创伤的机制、病因、相关损伤及治疗方法，并将其与成人的类似损伤进行比较。儿童组包括30例钝器伤（1984 - 1986年），成人组包括176例损伤。多发相关损伤在儿童中更为常见，最常见的是中枢神经系统和骨科损伤。63%的儿科下颌骨骨折病例需要多向断层扫描来详细了解其解剖结构，而成人病例这一比例为12%。在儿童组中，56%的下颌骨骨折情况良好，而成人组这一比例为15%。儿童所需的颌间固定时间较短，且没有儿童需要重新进行固定。基于这些比较，已制定了儿童颌面部损伤的处理方案。
