Citation

Bhardwaj Y, Kumar D. J. Maxillofac. Oral Surg. 2015; 14(3): 687-692.

Affiliation

Mahatma Gandhi Medical Complex, Rampur Bsr., Shimla, Himachal Pradesh India.

Copyright

(Copyright © 2015, Association of Oral and Maxillofacial Surgeons of India, Publisher Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s12663-014-0698-5

PMID

26225063

PMCID

PMC4510078

Abstract

BACKGROUND: The purpose of this study was to assess the etiology, incidence, and various methods of treatment of maxillofacial injuries in children presenting at our centre and to compare our findings with literature.

PATIENTS AND METHODS: We carried out prospective study of 65 pediatric maxillofacial trauma patients treated from January 2011 to October 2012 at our centre. Data was collected on age, gender, etiological factors, anatomic site and treatment methods. Follow-up was performed by recall survey.

RESULTS: Out of 65 patients 17 (26.15 %) presented with isolated soft tissue injuries and 48 (73.84 %) patients reported with 81 craniomaxillofacial fractures. Falls were most common mode of injury with 53 fractures (81.53 %). Treatment for fractures in our series comprised of periodic observation for non-displaced fractures (46.15 %), closed reduction (maxillomandibular fixation with IMF screws, acrylic cap splints) for minimally displaced fractures (15.38 %) and open reduction and internal fixation (ORIF) for grossly displaced fractures (12.30 %).

CONCLUSION: Paediatric maxillofacial trauma can be managed conservatively and surgical treatment by ORIF is required in a very small group of children with grossly displaced fractures as a result of high velocity injuries. LEVEL OF EVIDENCE: Prognostic study, Level II.

Language: en