Facial injury patterns in a UK paediatric population aged under 13 years

Kidd, A. J.; Beattie, Tom F.; Campbell-Hewson, G.

doi:10.1136/emj.2009.075127

Cited by 13 publications

(11 citation statements)

References 14 publications

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“…In the studies on root canal treatment, variables such as degree of bone loss and number of proximal contacts, were not available electronically (37,39). In other studies, data on patient visits to other providers and pharmacy records on medication usage were not accessible (42,50). …”

Section: Resultsmentioning

confidence: 99%

Reusing electronic patient data for dental clinical research: A review of current status

Song¹,

Liu²,

Abromitis³

et al. 2013

Journal of Dentistry

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Section: Resultsmentioning

confidence: 99%

Reusing electronic patient data for dental clinical research: A review of current status

Song¹,

Liu²,

Abromitis³

et al. 2013

Journal of Dentistry

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“…6,8 Therefore, it is paramount that children who require surgical intervention are appropriately identified and managed. 6,8 Therefore, it is paramount that children who require surgical intervention are appropriately identified and managed.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study of the Influence of Telemedicine in the Management of Pediatric Facial Lacerations

Farook¹,

Davis²,

Sadiq³

et al. 2013

Pediatric Emergency Care

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A study was carried out to determine the influence of telemedicine on management of facial lacerations in children. Proforma was designed, and information was collected retrospectively over a 4-month period. Of the 2524 telemedicine referrals, 27% (693/2524) were pediatric referrals. One hundred forty-five of these were children with facial lacerations, of which only 98 were admitted for possible surgical management. During the same period, a further 45 children were admitted to the pediatric ward through verbal referral. The average age of the children admitted was 4.85 years and male-to-female ratio was 2:1. Lacerations to the lips (42%) were the most common site of injury, and the majority sustained the injury as a result of a mechanical fall (42%). Among the telemedicine group, 86% had surgery, whereas in the nontelemedicine group it was 82%. On average, 2 to 3 photographs accompanied the referrals, and none of the patients who were treated conservatively by the referring centers following telemedicine referral and discussion with Queen Victoria Hospital required a re-referral. The results from this study confirm that clinical findings together with images from telemedicine provide adequate information to make clinical decisions in children with facial lacerations.

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“…The reported incidence of paediatric facial fractures ranges between 1 and 15% [ 1 ]. The most common facial fractures amongst children involve the dental aveolus and nasal bone [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Isolated paediatric orbital fractures: a case series and review of management at a major trauma centre in the UK

Harrison

Hafeji

Green

et al. 2022

Oral Maxillofac Surg

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Purpose Paediatric orbital fractures are rare. Existing literature demonstrates wide variation in estimates of incidence, aetiology, management protocols and outcomes. Despite this, it is generally acknowledged that orbital fractures with entrapment of the extraocular muscles constitute a surgical emergency due to the potential for persistent diplopia secondary to muscle ischaemia and necrosis. Methods This retrospective study was conducted to determine the characteristics and outcomes of management of orbital fractures amongst the paediatric population. It involved patients presenting to a major trauma unit in London between 2010 and 2020. Results Thirteen patients with isolated orbital fractures presented to our unit in this period. The average age was 13 years. Surprisingly the predominant aetiology was interpersonal violence. The most common fracture pattern involved the orbital floor and medial wall. One medial wall fracture case was missed in the emergency department. Eight patients required surgical intervention due to diplopia caused by muscular entrapment of extraocular muscles; the final patient had a large defect resulting in enophthalmos requiring a large titanium plate. A transconjuctival approach was preferred for surgical access and resorbable sheet was used in the remaining cases. Five patients had nausea, vomiting or bradycardia associated with the oculocardiac reflex. Surgical intervention occurred within 24–48 h of injury in 6 cases. Resolution of diplopia occurred in 7 patients within 6 months. Conclusion Paediatric patients with orbital fractures should be assessed on the day of injury by a maxillofacial surgeon. Due to the risk of persistent diplopia, urgent surgical intervention in patients with entrapment of extraocular muscles should occur as soon as possible.

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Facial injury patterns in a UK paediatric population aged under 13 years

Abstract: A large number of children presented with facial injuries during the study period. Facial lacerations, oral trauma and dental trauma were the most common injuries. The majority of patients were dealt with without admission or referral to another speciality.

Cited by 13 publications

References 14 publications

Reusing electronic patient data for dental clinical research: A review of current status

Reusing electronic patient data for dental clinical research: A review of current status

A Retrospective Study of the Influence of Telemedicine in the Management of Pediatric Facial Lacerations

Isolated paediatric orbital fractures: a case series and review of management at a major trauma centre in the UK

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