TY - JOUR
T1 - Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents
T2 - A multicentric and prospective study
AU - Segura-Palleres, Ignasi
AU - Sobrero, Federica
AU - Roccia, Fabio
AU - de Oliveira Gorla, Luis Fernando
AU - Pereira-Filho, Valfrido Antonio
AU - Gallafassi, Daniel
AU - Faverani, Leonardo Perez
AU - Romeo, Irene
AU - Bojino, Alessandro
AU - Copelli, Chiara
AU - Duran-Valles, Francesc
AU - Bescos, Coro
AU - Ganasouli, Dimitra
AU - Zanakis, Stelios N.
AU - Hassanein, Ahmed Gaber
AU - Alalawy, Haider
AU - Kamel, Mohammed
AU - Samieirad, Sahand
AU - Jaisani, Mehul Rajesh
AU - Rahman, Sajjad Abdur
AU - Rahman, Tabishur
AU - Aladelusi, Timothy
AU - Carlaw, Kirsten
AU - Aquilina, Peter
AU - Rae, Euan
AU - Laverick, Sean
AU - Goetzinger, Maximilian
AU - Bottini, Gian Battista
N1 - © 2022 The Authors. Dental Traumatology published by John Wiley & Sons Ltd.
This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.
PY - 2022/6
Y1 - 2022/6
N2 - Background/Aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period.Methods: The following data were collected: age (preschool [0-6 years], school age [7-12 years], and adolescent [13-18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software.Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0-18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p < .001) and older age (p < .001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p < .001).Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0-6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood.
AB - Background/Aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period.Methods: The following data were collected: age (preschool [0-6 years], school age [7-12 years], and adolescent [13-18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software.Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0-18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p < .001) and older age (p < .001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p < .001).Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0-6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood.
KW - adolescent
KW - children
KW - epidemiology
KW - maxillofacial fractures
KW - multicentric
KW - prospective
UR - http://www.scopus.com/inward/record.url?scp=85124530037&partnerID=8YFLogxK
U2 - 10.1111/edt.12735
DO - 10.1111/edt.12735
M3 - Article
C2 - 35146900
SN - 1600-4469
VL - 38
SP - 213
EP - 222
JO - Dental Traumatology
JF - Dental Traumatology
IS - 3
ER -
