Prospective analysis of mid-facial fractures in a single-center pediatric-adolescent cohort

Publication date: Available online 22 January 2019

Source: International Journal of Pediatric Otorhinolaryngology

Author(s): Waldemar Reich, Oliver Aust, Alexander Eckert

Abstract

Background

The complex architecture of the midface renders diagnosing and treating fractures challenging, especially for young patients who present the additional risk of suffering growth and development deficiencies, which is to be avoided at all costs.

Objectives

This study sought to characterize pediatric mid-facial fractures considering the possible complications.

Methods

Between September 2008 and September 2018, data was collected on inpatients aged <18 years, treated for mid-facial fractures at the Halle University Hospital. Evaluated parameters were age, gender, cause and type of fracture, associated injuries, treatment, and complications.

Results

In total, 31 patients were examined; 20 were boys. The most common cause of injury was road traffic accident (41.9%). Orbital floor fracture was the most common type of injury (58.1%). In 54.8% of cases, surgery was performed.

Conclusion

The incidence of complications associated with mid-facial fractures was low (n=7), requiring treatment in only three cases (orthodontic, ophthalmological).

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