Pediatric maxillofacial injuries and its management |
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| Authors: | V.K. Prajapati Ajoy Shahi Om Prakash Subia Ekram |
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| Affiliation: | 1. Division of Public Health Dentistry, Centre for Dental Education and Research, WHO Collaborating Centre for Oral Health Promotion, National Centre of Excellence for Implementation of National Oral Health Programme, All India Institute of Medical Sciences, New Delhi, India;2. Department of Dentistry, Nodal Officer for Regional Training Centre for Oral Health Promotion, Dental Public Health & Oral Health Data Bank for the State of MP, All India Institute of Medical Sciences (AIIMS), Bhopal, India;3. Department of Public Health Dentistry, Shri Aurobindo College of Dentistry, Indore, India;4. Department of Dentistry, All India Institute of Medical Sciences, Bhopal, India;1. Department of Pediatric Dentistry / Special Needs Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan;2. Department of Gerodontology and Oral Rehabilitation, Division of Gerontology and Gerodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan;1. Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Harran University, 63300, Haliliye, Sanliurfa, Turkey;2. Department of Pediatric Dentistry, Faculty of Dentistry, Harran University, 63300, Haliliye, Sanliurfa, Turkey |
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| Abstract: | ![]()
BackgroundPediatric facial injuries are common due to children's high level of activity which gradually decreases as age advances. Main etiology in cases of pediatric age group are self-fall, sports related injuries, interpersonal violence and lastly road traffic accident. Pattern and management of facial fracture in pediatric age group is different to that of adult population.Material and methodsThis study included 87 patients who had facial injuries and who reported at dental institute RIMS, Ranchi over a period of three years from 2017 to 2020. Initial assessment diagnosis and management were given to the patients.ResultsSelf-fall accounted as the leading cause of fracture (47.1%). Most frequent age group with facial injuries were from 7 to 12 years age group (49.1%). Dentoalveolar pattern of facial fracture was most common accounting for (39.1%) followed by mandible fracture in 33.3%. Closed reduction of the fracture was the most common way of treatment. Open reduction and fixation was carried out in 3.4% patients.ConclusionSelf-fall was the main etiology in our study and younger age group patients were more involved. Conservative treatment are generally given to pediatric age group, with open reduction in few cases on the basis of displacement. Close monitoring and follow up is mandatory in these age group. |
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| Keywords: | Self-fall Aetiology Pediatric fracture Circummandibular wiring Splints |
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