Koul Rahul, Datana Sanjeev, Rathore Mrinalini, Ghosh Soumyadeep, Chopra Sukhbir Singh, Kulkarni Vishal
Department of Pedodontics and Preventive Dentistry, Army Dental Centre (R&R), New Delhi, India.
Department of Orthodontics and Dentofacial Orthopedics, Army Dental Corps, New Delhi, India.
J Maxillofac Oral Surg. 2025 Jun;24(3):597-614. doi: 10.1007/s12663-025-02536-x. Epub 2025 Apr 11.
The reported incidence of pediatric facial fractures is relatively low, within age limits of up to 5 years, whereas prevalence increases in children and adolescents. Considering the active growth that takes place in children, maxillofacial trauma can have deleterious effects if it involves growth centers present in the facial region and may lead to disability, morbidity as well as major financial consequences linked to the surgical procedures and hospital stay.
The present study aimed to evaluate the relative frequency of maxillofacial traumatic injuries in the SAARC countries, examine their demographic features, and recognize the etiological agents and various management strategies employed.
A comprehensive protocol was developed as per PRISMA guidelines. The following focused question was formulated as per PICO format: (P; Children and adolescents of South Asian Origin aged up to 18 years, I; Exposure to maxillofacial trauma, C; Different countries of South Asia, O; Characteristics of maxillofacial fractures incurred in terms of prevalence, etiology, site distribution, and management strategies). Registration was carried out with PROSPERO (CRD42023324294). A thorough and organized digital search was done by two researchers in Scopus, MEDLINE-PubMed, Google Scholar and the Cochrane Central Register of Controlled Trials (CENTRAL), and a manual search using institutional library resources from the database from January 2003 to January 2024.
Data from 21 studies for the systematic review along with data from 18 and 20 studies were meta-analyzed for site and etiology of trauma, respectively. Mandible had a maximum propensity toward fracture (20%). Falls (47%) were the significant cause, followed by road traffic accidents/motor vehicle collisions and injuries from sports. Males were found to be more affected than females.
Maxillofacial trauma is a significant healthcare problem. There is poor documentation or research on the subject from many SAARC countries that calls for a more serious approach in the research field.
The online version contains supplementary material available at 10.1007/s12663-025-02536-x.
据报道，小儿面部骨折的发病率相对较低，年龄上限为5岁，而儿童和青少年中的患病率则有所上升。考虑到儿童的生长活跃，如果颌面部创伤涉及面部区域的生长中心，可能会产生有害影响，并可能导致残疾、发病以及与手术程序和住院相关的重大经济后果。
本研究旨在评估南盟国家颌面部创伤性损伤的相对频率，检查其人口统计学特征，并识别病因及所采用的各种管理策略。
根据PRISMA指南制定了全面的方案。按照PICO格式提出了以下重点问题：（P；年龄在18岁以下的南亚裔儿童和青少年，I；颌面部创伤暴露，C；南亚不同国家，O；颌面部骨折的患病率、病因、部位分布和管理策略方面的特征）。在PROSPERO（CRD42023324294）上进行了注册。两名研究人员在Scopus、MEDLINE-PubMed、谷歌学术和Cochrane对照试验中央注册库（CENTRAL）中进行了全面且有组织的数字检索，并使用机构图书馆资源从2003年1月至2024年1月对数据库进行了手动检索。
对21项系统评价研究的数据以及分别来自18项和20项研究的数据进行了荟萃分析，以分析创伤的部位和病因。下颌骨骨折倾向最大（20%）。跌倒（47%）是主要原因，其次是道路交通事故/机动车碰撞和运动损伤。发现男性比女性受影响更大。
颌面部创伤是一个重大的医疗保健问题。许多南盟国家对该主题的文献记录或研究不足，这在研究领域需要更严肃的对待。
在线版本包含可在10.1007/s12663-025-02536-x获取的补充材料。
