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Trauma of facial skeleton in children: An indian perspective

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Trauma of facial skeleton in children: An indian perspective

Auteurs : Tanweer Karim [Inde] ; Arshad Hafeez Khan [Inde] ; Syed Saeed Ahmed [Inde]

Source :

The Indian Journal of Surgery [ 0972-2068 ] ; 2010.

RBID : PMC:3452650

Abstract

Aims

Both children and adults are subject to similar types of injuries but fractures of facial bones in children are relatively uncommon. The aim of this study was to evaluate the epidemiology of facial bone fractures among children of <12 years, their management and outcome in an Indian city.

Material and methods

This retrospective study included children of <12 years of age with facial bone fractures admitted over a span of 3 years. In order to compare our results we reviewed the existing literature related to pediatric facial bone fractures.

Results

A total of 45 children were admitted for facial bone fractures. Forty (89%) of them were above 5 years of age and male to female ratio was 2:1. About 53.33% of these injuries were because of fall from height. Mandible fracture was the most common facial bone fracture among admitted patients. Symphysis and para-symphysis was the commonest site of mandibular fractures, seen in 49% cases. Majority of these fractures were managed by Inter-maxillary fixation and inter-osseous wiring. Mini-plates were used for widely displaced compound fractures. For un-displaced fractures observation alone was sufficient.

Conclusion

Mandible is the commonest facial bone fracture in children, more often caused by accidental fall from height. The high osteogenic potential of pediatric mandible allows non-surgical management to be successful in an increased proportion of younger patients.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3452650

DOI: 10.1007/s12262-010-0056-x
PubMed: 23133253
PubMed Central: 3452650

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PMC:3452650

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<author><name sortKey="Karim, Tanweer" sort="Karim, Tanweer" uniqKey="Karim T" first="Tanweer" last="Karim">Tanweer Karim</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgery, MGM’s Medical College, Navi Mumbai, India</nlm:aff>
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<author><name sortKey="Khan, Arshad Hafeez" sort="Khan, Arshad Hafeez" uniqKey="Khan A" first="Arshad Hafeez" last="Khan">Arshad Hafeez Khan</name>
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<author><name sortKey="Ahmed, Syed Saeed" sort="Ahmed, Syed Saeed" uniqKey="Ahmed S" first="Syed Saeed" last="Ahmed">Syed Saeed Ahmed</name>
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<series><title level="j">The Indian Journal of Surgery</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Aims</title>
<p>Both children and adults are subject to similar types of injuries but fractures of facial bones in children are relatively uncommon. The aim of this study was to evaluate the epidemiology of facial bone fractures among children of <12 years, their management and outcome in an Indian city.</p>
</sec>
<sec><title>Material and methods</title>
<p>This retrospective study included children of <12 years of age with facial bone fractures admitted over a span of 3 years. In order to compare our results we reviewed the existing literature related to pediatric facial bone fractures.</p>
</sec>
<sec><title>Results</title>
<p>A total of 45 children were admitted for facial bone fractures. Forty (89%) of them were above 5 years of age and male to female ratio was 2:1. About 53.33% of these injuries were because of fall from height. Mandible fracture was the most common facial bone fracture among admitted patients. Symphysis and para-symphysis was the commonest site of mandibular fractures, seen in 49% cases. Majority of these fractures were managed by Inter-maxillary fixation and inter-osseous wiring. Mini-plates were used for widely displaced compound fractures. For un-displaced fractures observation alone was sufficient.</p>
</sec>
<sec><title>Conclusion</title>
<p>Mandible is the commonest facial bone fracture in children, more often caused by accidental fall from height. The high osteogenic potential of pediatric mandible allows non-surgical management to be successful in an increased proportion of younger patients.</p>
</sec>
</div>
</front>
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  <front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Surg</journal-id>
<journal-title-group><journal-title>The Indian Journal of Surgery</journal-title>
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<article-id pub-id-type="doi">10.1007/s12262-010-0056-x</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
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<title-group><article-title>Trauma of facial skeleton in children: An indian perspective</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Karim</surname>
<given-names>Tanweer</given-names>
</name>
<address><email>karimtanweer@yahoo.co.in</email>
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<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Khan</surname>
<given-names>Arshad Hafeez</given-names>
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<contrib contrib-type="author"><name><surname>Ahmed</surname>
<given-names>Syed Saeed</given-names>
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<xref ref-type="aff" rid="Aff3">3</xref>
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<aff id="Aff1"><label>1</label>
Department of Surgery, MGM’s Medical College, Navi Mumbai, India</aff>
<aff id="Aff2"><label>2</label>
Department of Plastic Surgery, JN Medical College, Aligarh Muslim Universiry, Aligarh, India</aff>
<aff id="Aff3"><label>3</label>
Department of Maxillofacial Surgery, Dental College, Aligarh Muslim University, Aligarh, India</aff>
</contrib-group>
<pub-date pub-type="epub"><day>26</day>
<month>8</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2010</year>
</pub-date>
<volume>72</volume>
<issue>3</issue>
<fpage>232</fpage>
<lpage>235</lpage>
<history><date date-type="received"><day>9</day>
<month>11</month>
<year>2009</year>
</date>
<date date-type="accepted"><day>10</day>
<month>2</month>
<year>2010</year>
</date>
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<permissions><copyright-statement>© Association of Surgeons of India 2010</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Aims</title>
<p>Both children and adults are subject to similar types of injuries but fractures of facial bones in children are relatively uncommon. The aim of this study was to evaluate the epidemiology of facial bone fractures among children of <12 years, their management and outcome in an Indian city.</p>
</sec>
<sec><title>Material and methods</title>
<p>This retrospective study included children of <12 years of age with facial bone fractures admitted over a span of 3 years. In order to compare our results we reviewed the existing literature related to pediatric facial bone fractures.</p>
</sec>
<sec><title>Results</title>
<p>A total of 45 children were admitted for facial bone fractures. Forty (89%) of them were above 5 years of age and male to female ratio was 2:1. About 53.33% of these injuries were because of fall from height. Mandible fracture was the most common facial bone fracture among admitted patients. Symphysis and para-symphysis was the commonest site of mandibular fractures, seen in 49% cases. Majority of these fractures were managed by Inter-maxillary fixation and inter-osseous wiring. Mini-plates were used for widely displaced compound fractures. For un-displaced fractures observation alone was sufficient.</p>
</sec>
<sec><title>Conclusion</title>
<p>Mandible is the commonest facial bone fracture in children, more often caused by accidental fall from height. The high osteogenic potential of pediatric mandible allows non-surgical management to be successful in an increased proportion of younger patients.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Pediatric facial trauma</kwd>
<kwd>Inter-maxillary fixation</kwd>
<kwd>Fracture fixation methods</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Association of Surgeons of India 2010</meta-value>
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</front>
</pmc>
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Trauma of facial skeleton in children: An indian perspective

Trauma of facial skeleton in children: An indian perspective

Source :

Abstract

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