Traumatic Facial Fractures in Children and Adolescents

This study showed a retrospective analysis of the incidence and pattern of traumatic facial fractures in a pediatric and adolescent population (≤18 years old) in China. The authors retrospectively reviewed 154 children and adolescent who had traumatic facial fractures and who were admitted to our university-affiliated hospitals from 2005 to 2010. This study enrolled 109 males and 45 females aged 11.9 ± 5.2 years old. The incidence peaked around the periods of 12 to 18 years in the male, ≤6 and 16 to 18 years in the female. The most common etiologies were motor vehicle collisions (MVCs) (60, 39.0%), followed by high fall (40, 26.0%), low fall (32, 20.8%). The most common fracture sites were mandible (78, 50.6%) and nose (33, 21.4%), followed by orbit (31, 20.1%). A total of 35 (22.7%) patients suffered neurological deficit. The patients in the 12 to 18 age range group accounted for the largest proportion of 54.5%. Fracture incidence showed peaks between the hours of 12:00 to 16:00 PM (33.7%), during the autumn season (30.5%) and on Friday to Sunday (50.0%). The most common etiology and fracture site were MVCs and mandible, respectively. Etiologies and patterns of traumatic facial fractures vary with age. Continued efforts toward injury prevention of traumatic facial fracture among the children and adolescents are warranted. Address correspondence and reprint requests to Hongwei Wang, PhD, Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Shenyang, Liaoning 110016, China; E-mail: cplawhw@163.com; Liangbi Xiang, MD, Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Shenyang, Liaoning 110016, China; E-mail: xiangliangbi1963@163.com Received 12 May, 2018 Accepted 19 July, 2018 HW and GS equally contributed to this work. This work was supported by the Foundation of the Liaoning Province Doctor Startup Fund (201601389), the State Key Laboratory of Robotics (2017-O01), the Open Project Program of the State Key Lab of CAD&CG (A1718), the Open Project Program of the State Key Laboratory of Trauma, Burn, and Combined Injury (SKLKF201705), and the State Key Laboratory of Materials Processing and Die & Mould Technology (P2018-011). The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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