Pediatric-Specific Midfacial Fracture Patterns and Management: Pediatric Versus Adult Patients.
J Craniofac Surg
; 31(3): e312-e315, 2020.
Article
em En
| MEDLINE
| ID: mdl-31934970
ABSTRACT
PURPOSE:
The purpose of this study was to compare the midfacial fracture patterns and management approaches between pediatric and adult patients.METHODS:
We retrospectively analyzed 164 pediatric patients (<16 years old) and 564 nongeriatric adult patients (16 to 65 years old) with midfacial fractures at a single institution between 2011 and 2016. The location of the fractures, along with the etiology and management of the midfacial fractures, were compared.RESULTS:
Significantly greater proportions of pediatric versus adult patients had sports-related injuries (Pâ<â0.001) and sustained nasal fractures (Pâ<â0.001). On the other hand, significantly greater proportions of adult versus pediatric patients were injured in falls, traffic accidents, or assaults (Pâ=â0.004, Pâ<â0.001, and Pâ=â0.002) and sustained maxillary or zygomatic fractures (Pâ=â0.039 and Pâ<â0.001). Bivariate logistic regression analyses revealed that the risks of nasal, maxillary, and zygomatic fractures were significantly related to age status after adjusting for etiology (Pâ<â0.001, Pâ=â0.045, and Pâ<â0.001). In contrast, the risks of hospitalization and surgical treatment were significantly associated with etiology, but not with age status (Pâ=â0.290 and Pâ=â0.847).CONCLUSION:
These data suggest that the age-related structure and composition of the facial skeleton affect the pediatric-specific fracture patterns independent of the etiology. The comparisons in this study may serve as a guide for the management of pediatric midfacial fractures.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas Cranianas
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
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Aged
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Child
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Child, preschool
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Craniofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Japão