Pediatric facial trauma:  A Retrospective study

Dr. Sunil Srivastava; Dr. Rahul Yadav. Dr. Kaustubh Shende; Dr. Amit Kumar Sharma

Volume : VI, Issue : IV, April - 2016

Pediatric facial trauma: A Retrospective study

Dr. Sunil Srivastava, Dr. Rahul Yadav. Dr. Kaustubh Shende, Dr. Amit Kumar Sharma

Abstract :

Patients and Methods: 100 patient was included from feb 2013 to feb 2016. The medical records of all patients who underwent removal of bone plates after facial bone trauma were reviewed over a 3–year period. Data concerning age and gender distribution, etiology, type of fracture, treatment offered and complications were evaluated for each patient. Results: Of 100 cases, 85 were males and 15 were females. Mean age was 9.3 year . most common etiology was fall from height 60 patients (60%), followed by road traffic accidents 34 patients (34%). Most common associated injuries was neurosurgical (20%) Most common fractured bone was dentoalveolar 60 patients (60%) followed by mandible patients 50 (50%), most common modality of treatment used closed reduction 55 patients (55%) followed by open reduction 45 patients (45%). Most common material used was stainless steel. Most common technique used for IMF eyelet 30 patients (30%) followed by arch bar 15 patients (15%). Mean day of hospitalization was 2.80 day. Most common complications was surgical site infection 7 patients (7%), followed by plate exposure in 2 patients (2%). Conclusion: Long–term collection of epidemiological data regarding facial fractures and concomitant injuries is important for the evaluation of existing preventive measures and useful in the development of new methods of injury prevention and treatment. In the present study most common etiology was fall from height. Simple measures like increasing the side wall heights can prevent fall, also children must be allowed to play under supervision of adults. Prevention can also be done with better traffic rules and regulation by peoples. Patients can be better managed by choosing appropriate methods and to reduce complications. facial fractures in children most commonly occur in Dento–alvelolar region, followed by mandible bone. The fractures tend to be minimally displaced and in majority of cases can be treated conservatively. Significantly displaced fractures are reduced and immobilized using rigid internal fixation according to principles used in adults. Fractures in condylar region usually are treated using non operative therapies as in most cases fracture heals and condyle is remodeled with successful anatomic and functional results