Juncar Raluca Iulia, Moca Abel Emanuel, Juncar Mihai, Moca Rahela Tabita, Țenț Paul Andrei
Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania.
Doctoral School of Biomedical Sciences, University of Oradea, 1 Universității Street, 410087 Oradea, Romania.
Children (Basel). 2023 Apr 28;10(5):800. doi: 10.3390/children10050800.
Pediatric facial fractures have different clinical patterns and require different therapeutic approaches in comparison with those of facial fractures that occur among adults. The aim of this study was to describe the main clinical characteristics of pediatric facial fractures (such as fracture location, fracture pattern, treatment, complications and evolution) in a group of pediatric patients from NW Romania. This research was a retrospective study that was conducted for 10 years in a tertiary hospital for oral and maxillofacial surgery from NW Romania. A total of 142 pediatric patients were included in this study, with ages between 0 and 18 years. Mandibular (66.2%), midface (25.4%) and combined fractures (8.5%) were identified, and patients from the 13-18 years age group were more frequently affected by facial fractures (78.9%). Most of the diagnosed fractures among all three types of fractures were total fractures, and most mandibular (92.6%) and midface (80.6%) fractures were without displacement. Hematomas, lacerations and abrasions were identified as associated lesions. Patients with associated lesions were more frequently associated with combined fractures or midface fractures than mandibular fractures. The instituted treatment was, in general, orthopedic, for all three types of fractures (mandibular-86.2%; midface-91.7%; combined-66.7%). Most fractures, mandibular (96.8%), midface (100%) and combined (91.7%) fractures, had a favorable evolution. Most fractures did not present any complications at the follow-up. Pediatric facial fractures have unique patterns and must be treated with caution, considering the particularities of pediatric facial anatomy.
与成人面部骨折相比，小儿面部骨折具有不同的临床模式，需要不同的治疗方法。本研究的目的是描述罗马尼亚西北部一组小儿患者中小儿面部骨折的主要临床特征（如骨折部位、骨折类型、治疗、并发症及转归）。本研究是一项回顾性研究，在罗马尼亚西北部一家三级口腔颌面外科医院进行了10年。本研究共纳入142例年龄在0至18岁之间的小儿患者。确定了下颌骨骨折（66.2%）、面中部骨折（25.4%）和复合骨折（8.5%），13 - 18岁年龄组的患者面部骨折发生率更高（78.9%）。在所有三种骨折类型中，大多数诊断出的骨折为完全骨折，大多数下颌骨骨折（92.6%）和面中部骨折（80.6%）无移位。血肿、撕裂伤和擦伤被确定为相关损伤。伴有相关损伤的患者与复合骨折或面中部骨折的相关性高于下颌骨骨折。总体而言，对于所有三种骨折类型（下颌骨骨折 - 86.2%；面中部骨折 - 91.7%；复合骨折 - 66.7%），所采用的治疗方法一般为整复治疗。大多数骨折，下颌骨骨折（96.8%）、面中部骨折（100%）和复合骨折（91.7%），转归良好。在随访中，大多数骨折未出现任何并发症。小儿面部骨折具有独特的模式，考虑到小儿面部解剖结构的特殊性，必须谨慎治疗。
