PDF(752 KB)
Clinical analysis of 346 minor patients with maxillofacial fractures
Yan Kaixin, Li Maoye, Chang Xinnan, Li Hui, Zheng Xiaohui, Liu Lei
PDF(752 KB)
PDF(752 KB)
Clinical analysis of 346 minor patients with maxillofacial fractures
), Li Maoye1,2(), Chang Xinnan1, Li Hui1, Zheng Xiaohui1, Liu Lei1()Objective This study aims to analyze the clinical epidemiology, diagnostic and treatment characteristics of minor patients with maxillofacial fracture and provide a reference for the prevention and treatment. Methods The clinical data of minor patients with maxillofacial fracture in Departmentof Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, from January 1, 2015 to December 31, 2020 were retrospectively studied and statistically analyzed in terms of age, gender, etiology, anatomic sites and treatment modalities. Results The mean age of the patients was (10.65±5.15) years, and the male-to-female ratio was 1.91∶1. High fall was the primary cause of maxillofacial fractures in minors aged 0-6 years. Traffic accident injuries were the main cause of maxillofacial fractures in minors aged 7-12 and 13-17 years. About 65.13% of the midface and 83.08% non-condylar fractures were mainly treated by surgery, and condylar fractures were treated conservatively in 74.73% and by surgical treatment in 25.27%. Conclusion The etiology of maxillofacial fractures in minors differs at different ages, so prevention strategies should be adjusted according to age. Surgical treatment has become the preferred treatment modality for midface and non-condylar fractures. Conservative treatment is still the main treatment method for condylar fractures, but the proportion of surgical treatment increases.
maxillofacial fracture / minors / children / epidemiology / treatment
R782.4
| 1 | Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: recent advances in prevention, diagnosis and management[J]. Int J Oral Maxillofac Surg, 2006, 35(1): 2-13. |
| 2 | Mukhopadhyay S, Galui S, Biswas R, et al. Oral and maxillofacial injuries in children: a retrospective study[J]. J Korean Assoc Oral Maxillofac Surg, 2020, 46(3): 183-190. |
| 3 | Fu XJ, Li WS, Xiang L, et al. Analysis of 256 pediatric oral and maxillofacial emergency in-patients during the outbreak of COVID-19[J]. Dent Traumatol, 2022, 38(5): 367-373. |
| 4 | Zhou HH, Lv K, Yang RT, et al. Maxillofacial injuries in pediatric patients[J]. J Craniofac Surg, 2021, 32(4): 1476-1479. |
| 5 | Li L, Acharya K, Ghimire B, et al. Conservative management of mandibular fractures in pediatric patients during the growing phase with splint fiber and ligature arch wire[J]. BMC Oral Health, 2023, 23(1): 601. |
| 6 | Mukhopadhyay S. A retrospective study of mandibular fractures in children[J]. J Korean Assoc Oral Maxillofac Surg, 2018, 44(6): 269-274. |
| 7 | Vyas RM, Dickinson BP, Wasson KL, et al. Pediatric facial fractures: current national incidence, distribution, and health care resource use[J]. J Craniofac Surg, 2008, 19(2): 339-349. |
| 8 | AlAli AM, Ibrahim HHH, Algharib A, et al. Characteristics of pediatric maxillofacial fractures in Kuwait: a single-center retrospective study[J]. Dent Traumatol, 2021, 37(4): 557-561. |
| 9 | Rabbani CC, Kao R, Shin TJ, et al. The association of weather, temperature, and holidays on pediatric maxil-lofacial trauma[J]. Laryngoscope Investig Otolaryngol, 2020, 5(5): 846-852. |
| 10 | Huang W, Hu S, Wang C, et al. Analysis of pediatric maxillofacial fractures: a 10-year retrospective study[J]. J Craniofac Surg, 2023, 34(2): 448-453. |
| 11 | Posnick JC, Wells M, Pron GE. Pediatric facial fractures: evolving patterns of treatment[J]. J Oral Maxillofac Surg, 1993, 51(8): 836-844. |
| 12 | Koltai PJ, Rabkin D, Hoehn J. Rigid fixation of facial fractures in children[J]. J Craniomaxillofac Trauma, 1995, 1(2): 32-42. |
| 13 | Güven O, Keskin A. Remodelling following condylar fractures in children[J]. J Craniomaxillofac Surg, 2001, 29(4): 232-237 |
| 14 | Lekven N, Neppelberg E, Tornes K. Long-term follow-up of mandibular condylar fractures in children[J]. J O-ral Maxillofac Surg, 2011, 69(11): 2853-2859. |
| 15 | Bansal A, Yadav P, Bhutia O, et al. Comparison of outcome of open reduction and internal fixation versus clo-sed treatment in pediatric mandible fractures—a retrospective study[J]. J Craniomaxillofac Surg, 2021, 49(3): 196-205. |
| 16 | Santos DLP, Miranda ML, Jacob ES, et al. Early pediatric multiple facial fractures treatment with resorbable fi-xation[J]. J Craniofac Surg, 2021, 32(4): e381-e384. |
| 17 | Luck JD, Lopez J, Faateh M, et al. Pediatric zygomaticomaxillary complex fracture repair: location and number of fixation sites in growing children[J]. Plast Reconstr Surg, 2018, 42(1): 51e-60e. |
| 18 | Alagarsamy R, Lal B, Arangaraju R, et al. Nonendosco-pic intraoral approach for condylar fracture management—a systematic review[J]. Oral Surg Oral Med Oral Pa-thol Oral Radiol, 2023, 135(5): 596-613. |
| 19 | Li J, Yang H, Han L. Open versus closed treatment for unilateral mandibular extra-capsular condylar fractures: a meta-analysis[J]. J Craniomaxillofac Surg, 2019, 47(7): 1110-1119. |
| 20 | Lopez J, Lake IV, Khavanin N, et al. Noninvasive management of pediatric isolated, condylar fractures: less is more[J]. Plast Reconstr Surg, 2021, 147(2): 443-452. |
| 21 | Yang RC, Cui MJ, Zhou HH, et al. Fracture fragment of the condyle determines the ramus height of the mandible in children with intracapsular condylar fractures treated conservatively[J]. Sci Rep, 2022, 12(1): 19924. |
| 22 | Gagné-Thivierge C, Barbeau J, Levesque RC, et al. A new approach to study attached biofilms and floating communities from Pseudomonas aeruginosa strains of various origins reveals diverse effects of divalent ions[J]. FEMS Microbiol Lett, 2018, 365(14): 1-10. |
| 23 | Zhou HH, Lv K, Yang RT, et al. Mandibular condylar fractures in children and adolescents: 5-Year retrospecti-ve cohort study[J]. Int J Pediatr Otorhinolaryngol, 2019, 119: 113-117. |
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