CC BY-NC 4.0 · Arch Plast Surg 2012; 39(06): 606-611
DOI: 10.5999/aps.2012.39.6.606
Original Article

Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population

Sang Hun Kim
Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
,
Soo Hyang Lee
Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
,
Pil Dong Cho
Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
› Author Affiliations

Background Facial fractures are infrequent in children and adolescents and have different clinical features from those in adults. The low incidence in children and adolescents reflects the flexibility and underdevelopment of their facial skeletons, as well as their more protected environments. Only a few reports have reviewed such patients in Korea. The authors performed a retrospective study to analyze the characteristics of facial fractures in the Korean pediatric population.

Methods We conducted a retrospective review on a series of 741 patients, aged <18 years, with facial fractures who had been treated at our hospital between 2006 and 2010. The following parameters were evaluated: age, sex, cause, location and type of fractures, associated injuries, treatment and complications.

Results A total of 741 consecutive patients met the inclusion criteria. The ratio of boys to girls was 5.7:1. Facial fractures most commonly occurred in patients between 13 and 15 years of age (36.3%). The most common causes of injury was violence. The nasal fracture was the most common type of fracture (69%) and the blowout fracture was the second most common (20%). Associated injuries occurred in 156 patients (21%).

Conclusions The incidence of pediatric facial fractures caused by violence is high in Korea. Our results show that as age increases, etiological factors and fracture patterns gradually shift towards those found in adults. This study provides an overview of facial fractures in these age groups that helps illustrate the trends and characteristics of the fractures and may be helpful in further evaluation and management.



Publication History

Received: 22 June 2012

Accepted: 20 August 2012

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • REFERENCES

  • 1 Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 126-134
  • 2 Grunwaldt L, Smith DM, Zuckerbraun NS. et al. Pediatric facial fractures: demographics, injury patterns, and associated injuries in 772 consecutive patients. Plast Reconstr Surg 2011; 128: 1263-1271
  • 3 Murphy Jr RX, Birmingham KL, Okunski WJ. et al. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg 2001; 107: 34-37
  • 4 Vyas RM, Dickinson BP, Wasson KL. et al. Pediatric facial fractures: current national incidence, distribution, and health care resource use. J Craniofac Surg 2008; 19: 339-349
  • 5 Ferreira PC, Amarante JM, Silva PN. et al. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg 2005; 115: 1500-1508
  • 6 Losee JE, Afifi A, Jiang S. et al. Pediatric orbital fractures: classification, management, and early follow-up. Plast Reconstr Surg 2008; 122: 886-897
  • 7 Pappachan B, Alexander M. Correlating facial fractures and cranial injuries. J Oral Maxillofac Surg 2006; 64: 1023-1029
  • 8 Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope 2003; 113: 102-106
  • 9 Kieser J, Stephenson S, Liston PN. et al. Serious facial fractures in New Zealand from 1979 to 1998. Int J Oral Maxillofac Surg 2002; 31: 206-209
  • 10 Anderson PJ. Fractures of the facial skeleton in children. Injury 1995; 26: 47-50
  • 11 Holland AJ, Broome C, Steinberg A. et al. Facial fractures in children. Pediatr Emerg Care 2001; 17: 157-160
  • 12 Shaikh ZS, Worrall SF. Epidemiology of facial trauma in a sample of patients aged 1-18 years. Injury 2002; 33: 669-671
  • 13 Gassner R, Tuli T, Hachl O. et al. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004; 62: 399-407
  • 14 Sherick DG, Buchman SR, Patel PP. Pediatric facial fractures: a demographic analysis outside an urban environment. Ann Plast Surg 1997; 38: 578-584
  • 15 Iida S, Matsuya T. Paediatric maxillofacial fractures: their aetiological characters and fracture patterns. J Craniomaxillofac Surg 2002; 30: 237-241
  • 16 Oh M, Kim YS, Youn HH. et al. Clinical analysis of pediatric facial bone fracture; 10-years experiences in 201 cases. J Korean Soc Plast Reconstr Surg 2005; 32: 55-59
  • 17 Arbogast KB, Durbin DR, Kallan MJ. et al. The role of restraint and seat position in pediatric facial fractures. J Trauma 2002; 52: 693-698
  • 18 Mericli AF, DeCesare GE, Zuckerbraun NS. et al. Pediatric craniofacial fractures due to violence: comparing violent and nonviolent mechanisms of injury. J Craniofac Surg 2011; 22: 1342-1347
  • 19 Imahara SD, Hopper RA, Wang J. et al. Patterns and outcomes of pediatric facial fractures in the United States: a survey of the National Trauma Data Bank. J Am Coll Surg 2008; 207: 710-716
  • 20 Munante-Cardenas JL, Olate S, Asprino L. et al. Pattern and treatment of facial trauma in pediatric and adolescent patients. J Craniofac Surg 2011; 22: 1251-1255