Clinical outcomes of Pediatric Maxillofacial Fractures Management in Three Hospital Series in Egypt

Khalifa, Ghada Amin; El-Kilani, Naglaa Shawki; Nasr, Tamer

doi:10.1016/j.ajoms.2017.06.008

Cited by 5 publications

(11 citation statements)

References 27 publications

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“…Similarly, we observed a low frequency of animal-related facial injuries (n=6, 2.6%) and all but one were among rural residents. This is consistent with the findings of previous studies and supports the observation that human animal conflicts are more common in rural areas 1,12 .…”

Section: Discussionsupporting

confidence: 93%

“…In fact, several previous investigations have suggested male predominance in the incidence of facial trauma, and the sex ratio in the literature varies between 1.6:1 and 3.3:1 [8][9][10][11] . In line with other reports, the male-to-female ratio in our sample increased progressively with age, from 1.1:1 in children aged 0-6 years to 1.6:1 in children aged 7-12 years 12,13 . According to Collao-González et al 13 , the less marked difference in preschool children might be due to age-related childhood activities.…”

Section: Discussionsupporting

confidence: 93%

“…The present study was performed in accordance with the declaration of Helsinki and received approval from the Institutional Review Board of Dr. R. Ahmed Dental College and Hospital (IRB No. DCH/73/ [8][9][10][11][12][13][14][15][16][17][18][19], and the written informed consent was obtained from all patients.…”

Section: Study Design and Settingmentioning

confidence: 99%

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Oral and maxillofacial injuries in children: a retrospective study

Mukhopadhyay

Galui

Biswas

et al. 2020

JKAOMS

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Objectives: The purpose of this retrospective epidemiological study was to determine the etiology and pattern of maxillofacial injuries in a pediatric population. Materials and Methods: Data for pediatric maxillofacial trauma patients aged 12 years and younger who were registered at the Department of Pediatric and Preventive Dentistry, Dr. R. Ahmed Dental College and Hospital, Kolkata, India, were reviewed and examined. Patients who were treated between October 2016 and September 2018 were analyzed according to age, sex, cause of injury, frequency and site of facial fractures, and soft tissue injuries. The chi-square tests were carried out for statistical analyses with a significance level of 5%. Results: Of 232 patients with a mean age of 6.77±3.25 years, there were 134 males (57.8%) and 98 females (42.2%). The overall male to female ratio was 1.39:1. The most common causes of injuries were falls (56.5%) and motor vehicle accidents (16.8%). Incidence of falls decreased significantly with age (P<0.001). Dentoalveolar injuries (61.6%) and soft tissue injuries (57.3%) were more common than facial fractures (42.7%). Mandibular fractures (82.8%) were the most common facial fractures, and perioral or lip injuries were the most prevalent injuries in our patient population. There was a positive association between facial fractures and soft tissue injury (P<0.01) (odds ratio 0.26; confidence interval 0.15-0.46). Conclusion: Falls were the leading cause of maxillofacial trauma in our sample of children, and the most common site of fractures was the mandible.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

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Oral and maxillofacial injuries in children: a retrospective study

Mukhopadhyay

Galui

Biswas

et al. 2020

JKAOMS

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“…The etiology of varies based on differences in social, environmental and cultural factors; however most studies reported RTA and falls to be the main causes of pediatric fractures. Our results coincide with the study done by Khalifa et al 11 in Egypt in which RTAs also showed highest incidence. In addition, Iida and Matsuya 12 also reported an increase in RTAs in pediatrics while falls and assault remain steady.…”

Section: Discussionsupporting

confidence: 92%

“…Furthermore, this study showed falls to be the highest in incidence in children aged 0 to 5 years; whereas, road traffic accidents were of highest frequency in children aged 6 to 12 years and 13 to 18 years. These results coincides with most studies 3,11,12 ; However, it disagrees with Kim et al 15 and joshi et al 10 who stated that falls of highest in frequency in all age groups.…”

Section: Discussionsupporting

confidence: 63%

A Retrospective Analysis of Pediatric Facial Fractures

Halawani

Ragab

2019

Egyptian Dental Journal

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Introduction: Pediatric fractures despite being less common than adults is very critical as it can affect growth in the fractured areas Objectives: This study aimed to detect the incidence, pattern of fracture and treatment modalities in the last 3 years in patients with age ranging from 0-18 years treated at the oral and maxillofacial surgery department, Alexandria University. Materials and Methods:This study was conducted on patients with age below 18 years admitted to the outpatient clinic of the oral and maxillofacial department, Alexandria university, From January 2016 to December 2018. Results:The mean age was 12 years, 78.7% were males while 21.27% were females. Causes of fracture were road traffic accidents in 46.8 % of patients, falls in 38.3%, and assault in 14.89%. Regarding mandibular fractures, parasymphyseal fractures were 15.25%, condylar fractures were 13%, symphyseal fractures were 11.86%, angle fractures were 11.86% and body fractures were 10.16%. Regarding midface fractures, zygomatic fractures were 15.25%, nasal fractures were 10.16%, orbital blow out fractures were 6.78% and le fort fractures were 5%. Regarding treatment, 69.17% of the patients were treated by open reduction and fixation, closed reduction accounted for 21.18%and 9.57% needed observation only. Conclusions:The incidence of pediatric facial fractures is ascending with RTAs and falls as the leading causes. Regarding mandibular fractures, parasymphyseal and condylar fractures were the most frequent; whereas zygomatic and nasal fractures were the most common midface fractures.In addition, open reduction was the highest treatment modatality in frequency.

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A meta‐analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents

Mohammadi

Roochi

Heidar

et al. 2023

Dental Traumatology

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AimsChildren and adolescents who are affected by trauma may have complications that are more serious and dangerous. Herein, a meta‐analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies according to the geographic regions of the world among children and adolescents was conducted.Materials and MethodsA comprehensive search was performed in four databases of PubMed/MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2006 until July 7, 2021. To evaluate the quality of included articles, an adapted version of the Newcastle‐Ottawa scale was used. The prevalence of maxillofacial trauma was estimated by event rates and 95% confidence intervals in relation to etiology and geographic region of study population.ResultsThrough search in the databases and the electronic sources, 3071 records were identified, and 58 studies were eligible for inclusion in the meta‐analysis. A total of 264,433 maxillofacial trauma cases were reported by all included studies. Globally, the overall prevalence of maxillofacial trauma was highest due to Road Traffic Crashes (RTC) (33.8%) followed by falls (20.7%), violence (9.9%), and sports (8.1%) in children/adolescents. The highest prevalence of maxillofacial trauma were observed in African population (48.3%) while trauma due to falls was most prevalent in Asian population (44.1%). Maxillofacial trauma due to violence (27.6%) and sports (13.3%) were highest in North Americans.ConclusionThe findings demonstrate that RTC was the most prevalent etiology of maxillofacial trauma in the world. The prevalent causes of maxillofacial trauma differed between the regions of study population.

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Clinical outcomes of Pediatric Maxillofacial Fractures Management in Three Hospital Series in Egypt

Cited by 5 publications

References 27 publications

Oral and maxillofacial injuries in children: a retrospective study

Oral and maxillofacial injuries in children: a retrospective study

A Retrospective Analysis of Pediatric Facial Fractures

A meta‐analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents

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