Pediatric craniofacial trauma

Eggensperger Wymann, Nicole M; Hölzle, Alexander; Zachariou, Zacharias; Iizuka, Tateyuki (2008). Pediatric craniofacial trauma. Journal of oral and maxillofacial surgery, 66(1), pp. 58-64. Maryland Heights, Mo.: Elsevier 10.1016/j.joms.2007.04.023

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PURPOSE: Maxillofacial and skull fractures occur with concomitant injuries in pediatric trauma patients. The aim of this study was to determine the causes and distributions of maxillofacial and skull fractures as well as concomitant injuries of pediatric patients in Switzerland. Results were compared with worldwide studies. MATERIALS AND METHODS: A retrospective review was conducted of 291 pediatric patients with maxillofacial and skull fractures presenting to a level-I trauma center over a 3-year span. Data concerning the mechanism of the accident and the topographic location of the injuries were analyzed. RESULTS: The most common causes were falls (64%), followed by traffic (22%) and sports-related accidents (9%). Fifty-four percent of the fractures occurred in the skull vault and 37% in the upper and middle facial third. One third of the patients (n = 95) suffered concomitant injuries, mostly cerebral concussions (n = 94). CONCLUSIONS: The spectrum of craniofacial injuries is related to the specific developmental stage of the craniofacial skeleton. It is probable that national prevention programs will have a positive effect on reducing the incidence of falls. Standardization of studies is needed for international comparison.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Zachariou, Zacharias and Iizuka, Tateyuki

ISSN:

0278-2391

ISBN:

18083416

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

06 Dec 2013 13:47

Publisher DOI:

10.1016/j.joms.2007.04.023

PubMed ID:

18083416

Web of Science ID:

000251966300010

URI:

https://boris.unibe.ch/id/eprint/23817 (FactScience: 44501)

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