Maxilofacial trauma in pediatric and adolescent patients : an epidemiological analysis / Traumatismos faciais em pacientes pediatricos e adolescentes : analise epidemiologica

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

We performed a retrospective study to analyse the different characteristics of such fractures in the pediatric population of Piracicaba Region, Sao Paulo, Brazil. We reviewed the clinical records of 2986 patients. A total of 757 patients under 18 years were treated by the Oral and Maxillofacial Surgery Division of Piracicaba Dental School between 1999 and 2008.The following parameters were evaluated: age, sex, etiology, location and type of fracture, associated injury, treatment and complications. Results: There were 530 boys (70.01%) and 227 girls (29.99%), treated for injuries, with the main prevalence in teenage. The most common injury causes were bicycle accidents (220, 29.06%) followed by falls (215, 28.40%).The facial bone most affected by fractures was the mandible (112, 44.8%) and the associated injuries were lacerations, dentoalveolar trauma and craniofacial trauma. The treatment was surgical in 75 cases (30%) of cases and the main complications were dehiscence, post-operative infection and loosed of internal fixation material and facial paraesthesia. Conclusions: Bicycle accidents and falls were found to be the principal causes of maxillofacial injuries. The facial bone most affected by fractures was the mandible. Epidemiological studies of facial injuries enable the design of the risk circumstances and the identification of the most vulnerable individuals. The evaluation of the effectiveness of treatment instituted and understanding its complications allow a realistic and consistent interpretation about which is the best way for treating these patients.

ASSUNTO(S)

facial injuries fractures in children cirurgia - brasil - estudo de casos fraturas nas crianças surgery traumatismo da face

ACESSO AO ARTIGO

Documentos Relacionados