Maxillofacial Trauma in Pediatric Patients: A Retrospective Study.

Pub Date : 2024-02-01 Epub Date: 2023-01-12 DOI:10.1007/s12663-022-01842-y
Deepika Patidar, Suma Sogi, Ramesh Ram Fry, Dinesh Chand Patidar, Aayush Malhotra
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Abstract

Objective: The study was conducted to analyze the pattern, etiology and management of maxillofacial trauma in children up to 16 years of age.

Study design: Records of the patients who sustained maxillofacial trauma from 2013 to 2018 were retrospectively evaluated for age, gender, etiology, pattern of injuries and their management. Children were divided into three groups-primary (0-5 yrs), mixed (6-11 yrs) and permanent dentition group (12-16 yrs). Maxillofacial trauma was observed as midface fracture, mandible fractures, soft tissue injuries and associated tooth fractures. SPSS software version 19.0 was used for the data analysis.

Result: A total record of 99 children were evaluated. Gender-wise distribution was reported twice in male than females. Fall was observed as the major etiological factor (73.7%) with a significant p value of 0.012 using chi-square test. The highest frequency of maxillofacial trauma is noted in mixed dentition group (47.4%). Mandible fracture was most frequently observed followed by associated soft tissue injury. Conservative approach/closed reduction for management was executed for the majority of cases.

Conclusion: Knowledge gained from the present study would help in assessing the effectiveness of present preventive modalities and facilitate elaboration of future preventive measures and new research works as well.

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儿童颌面创伤的回顾性研究
研究目的研究旨在分析16岁以下儿童颌面部创伤的模式、病因和处理方法:回顾性评估了 2013 年至 2018 年期间颌面部创伤患者的年龄、性别、病因、损伤模式及其处理方法。儿童被分为三组--原始牙组(0-5 岁)、混合牙组(6-11 岁)和恒牙组(12-16 岁)。颌面部创伤包括面中部骨折、下颌骨骨折、软组织损伤和相关牙齿骨折。数据分析采用 SPSS 软件 19.0 版:共有 99 名儿童接受了评估。从性别分布来看,男性比女性多一倍。摔倒是主要的致病因素(73.7%),采用卡方检验,P 值为 0.012,差异显著。混合牙组的颌面部创伤发生率最高(47.4%)。下颌骨骨折最为常见,其次是相关的软组织损伤。大多数病例都采取了保守治疗/闭合复位治疗:从本研究中获得的知识将有助于评估现有预防方法的有效性,并促进未来预防措施的制定和新研究工作的开展。
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