Koul Rahul, Datana Sanjeev, Roy Indranildeb, Saxena Vivek
Division of Orthodontics and Dentofacial Orthopedics, Armed Forces Medical College, Pune, Maharashtra, India.
Division of Oral and Maxillofacial Surgery, Armed Forces Medical College, Pune, Maharashtra, India.
Natl J Maxillofac Surg. 2024 May-Aug;15(2):246-251. doi: 10.4103/njms.njms_178_22. Epub 2024 Jul 24.
Maxillofacial injuries in children and adolescents always present a challenge due to the peculiar facial anatomy in children. This study aimed to determine the characteristics and pattern of traumatic maxillofacial injuries in children and adolescents reported to outpatient departments of two tertiary care health centers.
Present study had a retrospective design, and the hospital records of all children and adolescent patients aged between 0 and 18 years, who had undergone maxillofacial fractures and were admitted for the same to two tertiary care health centers between January 2012 and May 2022 were reviewed.
77 patients suffered maxillofacial trauma with 115 fractures. The leading cause of maxillofacial trauma in the study was found to be road traffic accidents (RTA) followed by falls and sports-related injuries. Maxillofacial trauma was observed more in boys than girls, with an M: F ratio of 3.8:1. Out of 77 patients in the present study, more than half (51.9%) suffered maxillofacial trauma involving the lower one-third of the face, followed by the middle third (45.5%) and upper third (2.6%). A total of 11 patients (14.2%) were treated within 24 hr of sustaining injury. The majority of the patients, (n = 68; 88.3%) underwent open reduction and rigid internal fixation (ORIF), while 9 patients (11.7%) underwent closed reduction.
Pediatric maxillofacial trauma was mainly attributed to road traffic accidents. Lower one-third of faces were more commonly affected and an increasing trend of maxillofacial trauma was observed with age.
由于儿童面部解剖结构特殊，儿童和青少年的颌面损伤一直是一项挑战。本研究旨在确定在两家三级医疗保健中心门诊部报告的儿童和青少年创伤性颌面损伤的特征和模式。
本研究采用回顾性设计，回顾了2012年1月至2022年5月期间在两家三级医疗保健中心接受颌面骨折治疗并入院的所有0至18岁儿童和青少年患者的医院记录。
77例患者遭受颌面创伤，共115处骨折。研究发现，颌面创伤的主要原因是道路交通事故（RTA），其次是跌倒和与运动相关的损伤。观察到男孩的颌面创伤比女孩更多，男女比例为3.8:1。在本研究的77例患者中，超过一半（51.9%）的颌面创伤累及面部下三分之一，其次是中三分之一（45.5%）和上三分之一（2.6%）。共有11例患者（14.2%）在受伤后24小时内接受治疗。大多数患者（n = 68；88.3%）接受了切开复位内固定术（ORIF），而9例患者（11.7%）接受了闭合复位。
儿童颌面创伤主要归因于道路交通事故。面部下三分之一更常受到影响，并且随着年龄的增长，颌面创伤呈上升趋势。
