Epidemiology and resource utilization in pediatric facial fractures

Soleimani, Tahereh; Greathouse, S. Travis; Sood, Rajiv; Tahiri, Youssef; Tholpady, Sunil S.

doi:10.1016/j.jss.2015.10.004

Cited by 8 publications

(4 citation statements)

References 38 publications

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“…The frequency of motor vehicle accidents as another trauma mechanism was found to be 6% in our study and 4% in the literature similarly 4 . Motor vehicle accidents are associated with the severity of trauma and the presence of fractures, 7,8 which varies between 5% and 80%, and the morbidity and mortality of these injuries are higher than the others 4,9 . Another medical-legal situation in maxillofacial injuries is interpersonal violence, and it has increased gradually over the years and correlated with increasing age 3,4 .…”

Section: Discussionsupporting

confidence: 44%

“…4 Motor vehicle accidents are associated with the severity of trauma and the presence of fractures, 7,8 which varies between 5% and 80%, and the morbidity and mortality of these injuries are higher than the others. 4,9 Another medical-legal situation in maxillofacial injuries is interpersonal violence, and it has increased gradually over the years and correlated with increasing age. 3,4 The adolescent age group is most prone to interpersonal violence.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Pediatric Maxillofacial Injury

Ulusoy¹,

Armağan

Çağlar³

et al. 2021

Pediatr Emer Care

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Objective: Isolated facial injuries are less common among pediatric trauma patients. The literature has focused on, especially, fractures in facial injuries. There is a limited number of studies evaluating all facial injuries in childhood. The study aims to evaluate the clinical characteristics of maxillofacial injuries and to identify patients who require further intervention. Methods:The data from pediatric patients with maxillofacial injury (<18 years) between January 2011 and December 2015 were collected. Demographic characteristics, trauma mechanisms, concomitant injuries, treatments, hospitalization, and follow-up results were recorded. Results:The median age of the patients (N = 2926) was 5.0 years (2.0-10.0 years), and 63.1% were boys. Falls and motor vehicle accidents were the leading mechanism of injury. The most common injury types were lacerations (49.3%) and fractures (15.5%). One hundred thirty (0.4%) patients had concomitant injuries. Surgical treatment was performed in only 3.4% of the patients, and the mortality rate was 0.6%. Patients with concomitant injuries had more hospitalization rates, surgical treatment, and organ dysfunction. All patients who underwent cardiopulmonary resuscitation and resulted in mortality were in the concomitant injury group.Conclusions: Isolated facial injuries are unlikely to be life-threatening, and basic interventions are sufficient in most of the maxillofacial injuries. The primary issue in maxillofacial injuries is to recognize and manage concomitant injuries that can lead to organ dysfunction and mortality.

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Section: Discussionsupporting

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Evaluation of Pediatric Maxillofacial Injury

Ulusoy¹,

Armağan

Çağlar³

et al. 2021

Pediatr Emer Care

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“…Owing to the factor of different social, environmental, and economic conditions, the etiology and characteristics of pediatric maxillofacial trauma vary from one country to another with a certain degree of variation 2–5 . Studies have shown that maxillofacial fractures are relatively uncommon in children and account for 1% to 14% of all fractures under 16 years old, while they account for only 0.87% to 1% under 5 years old 6,7 . Anatomically, children are highly resistant to facial fractures because of the flexibility of the pediatric skeleton with special features, the presence of unerupted teeth, as well as the lack of paranasal sinus pneumatization compared with adults 2,8–11 …”

mentioning

confidence: 99%

“…[2][3][4][5] Studies have shown that maxillofacial fractures are relatively uncommon in children and account for 1% to 14% of all fractures under 16 years old, while they account for only 0.87% to 1% under 5 years old. 6,7 Anatomically, children are highly resistant to facial fractures because of the flexibility of the pediatric skeleton with special features, the presence of unerupted teeth, as well as the lack of paranasal sinus pneumatization compared with adults. 2,[8][9][10][11] Pediatric facial trauma has its own characteristics, and the management of maxillofacial trauma would be planned by taking into account the fact that the growth and development stage of children.…”

mentioning

confidence: 99%

Epidemiology and Pattern of Pediatric Maxillofacial Trauma: A 5-Year Retrospective Study

Kelimu,

Wusiman,

et al. 2023

Journal of Craniofacial Surgery

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Purpose: To analyze the epidemiology, pattern, and prevent measurement of pediatric maxillofacial trauma in Xinjiang, China. Patients and Methods: Clinical records of patients aged 0 to 18 years with maxillofacial trauma over the 5 years were reviewed. Epidemiological features of data were collected for the cause of injury, age and sex distribution, frequency and type of injury, localization and frequency of soft tissue injuries, facial bone fractures, and presence of associated injuries. Statistical analyses performed included descriptive analysis, χ2 test, and logistic regression analyses. Results: Among the 450 patients, 333 were male and 117 were female, with a male-to-female ratio of 3.8:1, the mean age was 9.2±5.4 years; 223 cases were soft tissue injuries and 227 cases were maxillofacial fractures. The 16 to 18-year-old group was the highest, with the prevalence of maxillofacial fractures. The most common cause of pediatric maxillofacial trauma was traffic injuries. Conclusion: The incidence of maxillofacial trauma in pediatric patients correlates with a number of factors, including age, sex, and etiology of trauma. The 16 to 18-year-old group is the most prevalent group for maxillofacial trauma in pediatric patients, and traffic accidents are the leading cause of maxillofacial trauma in pediatric patients.

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Health Disparities Research in Facial Plastic and Reconstructive Surgery: A Scoping Review

Barr,

Mackie,

Gorelik

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveHealth disparities contribute significantly to disease, health outcomes, and access to care. Little is known about the state of health disparities in facial plastic and reconstructive surgery (FPRS). This scoping review aims to synthesize the existing disparities research in FPRS and guide future disparities‐related efforts.Data SourcesPubMed, Embase, Web of Science.Review MethodsWe conducted a scoping review in adherence with the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews checklist. Our search included all years through March 03, 2023. All peer‐reviewed primary literature of any design related to disparities in FPRS was eligible for inclusion.ResultsOf the 12283 unique abstracts identified, 215 studies underwent full‐text review, and 108 remained for final review. The most frequently examined topics were cleft lip and palate (40.7%), facial trauma (29.6%), and gender affirmation (9.3%). There was limited coverage of other areas. Consideration of race/ethnicity (68.5%), socioeconomic status (65.7%), and gender/sex (40.7%) were most common. Social capital (0%), religion, occupation, and features of relationships were least discussed (0.01% each). The majority of studies were published after 2018 (59.2%) and were of nonprospective designs (95.4%). Most studies focused on disparity detection (80.6%) and few focused on understanding (13.9%) or reducing disparities (0.06%).ConclusionThis study captures the existing literature on health disparities in FPRS. Studies are concentrated in a few areas of FPRS and are primarily in the detecting phase of public health research. Our review highlights several gaps and opportunities for future disparities‐related focus.

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Epidemiology and resource utilization in pediatric facial fractures

Cited by 8 publications

References 38 publications

Evaluation of Pediatric Maxillofacial Injury

Evaluation of Pediatric Maxillofacial Injury

Epidemiology and Pattern of Pediatric Maxillofacial Trauma: A 5-Year Retrospective Study

Health Disparities Research in Facial Plastic and Reconstructive Surgery: A Scoping Review

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