Dataset Information

Pediatric Facial Fractures: A 10-year Study.

ABSTRACT: Aims and Objectives:The aim of the study is to retrospectively analyse the incidence of facial fractures along with age, gender predilection, etiology, commonest site, associated dental injuries and any complications of paediatric patients operated in Craniofacial unit of SDM college of dental sciences and hospital. Materials and Methods:This retrospective study was conducted at the department of OMFS, SDM College of Dental Sciences, Dharwad from January 2003-December 2013. All the patients below 15 years of age were included in the study. Data were recorded for the cause of injury, age and gender distribution, frequency and type of injury, localization and frequency of soft tissue injuries, dentoalveolar trauma, facial bone fractures, complications, concomitant injuries and different treatment protocols. Results:A total of 68 cases of paediatric fracture were treated during these 10 years. Boys were commonly injured than girls with a ratio of 2.9:1, the commonest cause of trauma was fall (59 %), mandible was the commonest bone to be fractured (83 %), treatment protocols were dependant on the age, region and type of fracture but in most of the cases closed reduction was the choice of treatment, dental injuries were seen in 26 % patients and the commonest injury was avulsion. Conclusion:This study was done not only to analyse the different types of facial fractures and the pattern of fracture of paediatric cases admitted at this centre, but also to act as a contributional data which will help us to take preventive measures to avoid such injuries and make the appropriate treatment plan and execute it to achieve the pre-injury status of form and function.

SUBMITTER: Ghosh R

PROVIDER: S-EPMC5878159 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Pediatric Facial Fractures: A 10-year Study.

Ghosh Rajarshi R Gopalkrishnan K K Anand Jawahar J

Journal of maxillofacial and oral surgery 20160923 2

<h4>Aims and objectives</h4>The aim of the study is to retrospectively analyse the incidence of facial fractures along with age, gender predilection, etiology, commonest site, associated dental injuries and any complications of paediatric patients operated in Craniofacial unit of SDM college of dental sciences and hospital.<h4>Materials and methods</h4>This retrospective study was conducted at the department of OMFS, SDM College of Dental Sciences, Dharwad from January 2003-December 2013. All th ...[more]

PMID: 29618879

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Project description:BackgroundThe purpose of this study was to identify the epidemiologic factors of panfacial fractures (PFs), and to evaluate the significance of anatomic PF categories and the Facial Injury Severity Scale (FISS) in classifying and standardizing panfacial injuries.MethodsA retrospective review of all patients treated with PFs at our institution between June 2010 and April 2021 was performed. PF was defined as a concurrent fracture in at least 3 of 4 facial subunits (frontal, upper midface, lower midface, and mandible). Data regarding patient demographics, causes of injury, location of fractures, major concomitant injuries, and postinjury complications were collected, and the FISS score was collected from each patient. Statistical analysis was performed using IBM SPSS Statistics version 22.0.ResultsA total of 227 patients were enrolled. The most commonly fractured bones were the maxillary sinus wall (92.1%), mandible (82.8%), and zygomatic arch (75.3%), and the most common fracture sites in PFs were graphically presented. Four PF patterns were defined: FULM (n = 60), FUL (n = 39), ULM (n = 127), and FUM (n = 1). There was a significant association between PF patterns and sex (p = 0.018), the number of concomitant injuries (p = 0.014), and early surgical airway management (p = 0.003). Different PF patterns were significantly correlated with different types of concomitant injuries and complications. The FISS score showed a significant difference with PF patterns (p = 0.000) and sex (p = 0.007), and a FISS value of 11 or more is the appropriate cutoff for the prediction of multiple concomitant injuries and complications.ConclusionsBoth the anatomic PF categories and FISS were significantly correlated with various concomitant injuries and complications. The combination of PF categories and FISS provided a better positive and negative prediction of concomitant injuries and complications for PF patients. Patients with FULM and FISS > 11 had an obviously higher proportion of the need for multiprofessional treatment.

Project description:BACKGROUND:The aim of this study was to review the demographic and characteristic distribution data of serious rural pediatric eye injuries in Wenzhou and Changsha, located in Zhejiang Province in East China and Hunan Province in Central China. METHODS:This retrospective study included hospitalized pediatric patients aged <?18?years with eye injuries at the Eye Hospital of Wenzhou Medical University and Xiangya Hospital of Central South University from January 2008 to December 2017. Demographic data, injury types, injury causes, and initial and final visual acuity (VA) were recorded and analyzed. The ocular trauma score (OTS) was calculated to assess the severity of injury and evaluate the prognosis. All patient data were obtained from the medical record systems. RESULTS:In total, 1125 children were hospitalized during the 10-year period; 830 (73.8%) were males and 295 (26.2%) were females. The majority of the patients were aged 3 to 8?years (57.4%, n =?646). Among mechanical injuries (n =?1007), penetrating injury was the most common (68.4%, n =?689), followed by contusion (17.2%, n =?173) and rupture (8.1%, n =?82). Overall, the top three injury causes were sharp objects (n =?544, 48.4%), blunt objects (n =?209, 18.6%) and fireworks (n =?121, 10.8%). In Wenzhou, eye injuries occurred mostly in summer (n =?136, 29.1%), and sharp object-related eye injuries accounted for the highest proportion (n =?98, 72.1%). In Changsha, eye injuries occurred mostly in winter (n =?272, 41.3%), and firecracker- and fireworks-associated eye injury accounted for the highest proportion (n =?73, 26.8%). The final VA was positively correlated with the initial VA (r =?0.641, P <?0.001) and the OTS (r =?0.582, P <?0.001). CONCLUSION:The age range of the susceptible pediatric population from rural areas was 3-8?years. Most eye injuries were penetrating, and the main cause of injury was a sharp object. Notably, the differences in the characteristics of eye injuries in the two areas were related to regional features.

Dataset Information

Pediatric Facial Fractures: A 10-year Study.

Publications

Pediatric Facial Fractures: A 10-year Study.

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