Retrospective Study of 186 Children and Adolescents with Maxillofacial Fractures

doi:10.13701/j.cnki.kqyxyj.2024.12.010

Abstract

Abstract: Objective: To analyze the clinical features of maxillofacial fractures in children and adolescents, and to conduct a preliminary study on the fracture accompanying traumatic dental injury (TDI). Methods: The data of patients with maxillofacial fractures aged 0-18 years from the First Affiliated Hospital of Bengbu Medical University from January 2018 to December 2023 were collected.The age, gender, trauma cause, fracture site, treatment method and TDI were classified. Results: One hundred and eighty-six patients were included. There were statistical differences in fractures caused by falling, motor vehicle-person traffic accidents, and falling down among three age groups (P<0.05). The surgical treatment rates of fractures in the 3 age groups were 35.00%, 50.00%, and 66.96%. There were 96 patients (51.61%) with fracture accompanied by TDI. The most common tooth position was central incisor (41.93%), and the common injury type was periodontal tissue injury (68.32%). The rate of tooth loss was 31.37%. Conclusion: Trauma causes and treatment of maxillofacial fractures in children and adolescents are characterized by age distribution. Fractures accompanied by TDI are common and frequent, and the rate of tooth loss is high. The timeliness and accuracy of diagnosis and treatment should be improved.

Key words: maxillofacial fracture, child, traumatic dental injury, adolescent

QIU Ruolan, MA Haodong, FANG Minjian, LIU Liang. Retrospective Study of 186 Children and Adolescents with Maxillofacial Fractures[J]. Journal of Oral Science Research, 2024, 40(12): 1086-1090.

References

[1] Alcalá-Galiano A, Arribas-García IJ, Martín-Pérez MA, et al. Pediatric facial fractures: children are not just small adults[J]. Radiographics, 2008, 28(2):441-461.
[2] Mao J, Li X, Cao K, et al. Epidemiology of maxillofacial fractures in northwest China: an 11-year retrospective study of 2240 patients[J]. BMC Oral Health, 2023, 23(1):313.
[3] Al-Bokhamseen M, Salma R, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series[J]. Saudi Dent J, 2019, 31(1):129-136.
[4] 卜海力齐古丽·麦麦提图尔荪,帕孜来提·肖克来提,古丽,等.新疆地区2492例口腔颌面部创伤患者临床流行病学分析[J].口腔颌面外科杂志,2019,29(4): 212-217.
[5] Levin L, Day PF, Hicks L, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: General introduction[J]. Dent Traumatol, 2020, 36(4):309-313.
[6] Ashrafullah, Pandey RK, Mishra A. The incidence of facial injuries in children in Indian population: A retrospective study[J]. J Oral Biol Craniofac Res, 2018, 8(2):82-85.
[7] Bataineh AB. Pattern and management of maxillofacial fractures in Jordanian children and adolescents[J]. Med Oral Patol Oral Cir Bucal, 2023, 28(3):e272-e277.
[8] Segura-Palleres I, Sobrero F, Roccia F, et al. Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study[J]. Dent Traumatol, 2022, 38(3):213-222.
[9] AlAli AM, Ibrahim HHH, Algharib A, et al. Characteristics of pediatric maxillofacial fractures in Kuwait: A single-center retrospective study[J]. Dent Traumatol, 2021, 37(4):557-561.
[10] Singh RK, Kumar V, Ganguly R, et al. Helmet shielding effect in mandibular fractures during road traffic accident[J]. Natl J Maxillofac Surg, 2021, 12(1):56-61.
[11] Abhinandan Patel KN, Sneha TR, Reddy KR, et al. Changing trends in the pattern of maxillofacial injuries in helmeted motorcycle accident patients when compared to non-helmeted motorcycle accident patients[J]. J Maxillofac Oral Surg, 2023, 22(1):18-24.
[12] Rahimi-Nedjat RK, Sagheb K, Walter C. Concomitant dental injuries in maxillofacial fractures-a retrospective analysis of 1219 patients[J]. Dent Traumatol, 2014, 30(6):435-441.
[13] 闫凯欣,李茂叶,常欣楠,等.346例未成年颌面部骨折患者的临床分析[J].华西口腔医学杂志,2024,42(3): 340-345.
[14] Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature[J]. Aust Dent J, 2016, 61 Suppl 1:4-20.
[15] Eslamipour F, Iranmanesh P, Borzabadi-Farahani A. Cross-sectional study of dental trauma and associated factors among 9- to 14-year-old schoolchildren in Isfahan, Iran[J]. Oral Health Prev Dent, 2016, 14(5):451-457.
[16] Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries[J]. Dent Traumatol, 2018, 34(2):71-86.
[17] Parvini P, Lermen Y, Sader R, et al. Traumatic dental injuries over an 8-year period at a German dental center: a retrospective overview and cross-sectional analysis[J]. Int J Implant Dent, 2023, 9(1):40.
[18] Djemal S, Aryafar M, Petrie A, et al. Traumatic dental injuries in adults attending a London-based trauma clinic in the UK: a seven-year survey[J]. Br Dent J, 2022, 233(12):1022-1028.
[19] Lembacher S, Schneider S, Lettner S, et al. Prevalence and patterns of traumatic dental injuries in the permanent dentition: A three-year retrospective overview study at the university dental clinic of vienna[J]. Int J Environ Res Public Health, 2022, 19(23):15725.
[20] Azadani EN, Peng J, Townsend JA, et al. Traumatic dental injuries in high school athletes in the United States of America from 2005 to 2020[J]. Dent Traumatol, 2023, 39(2):109-118.
[21] Zhang JL, Peng ZL, Huang J, et al. A two-year retrospective study on traumatic dental injury in the primary dentition[J]. Medicine(Baltimore), 2023, 102(45):e35750.
[22] Kannari L, Marttila E, Thorén H, et al. Dental injuries in paediatric mandibular fracture patients[J]. Oral Maxillofac Surg, 2022, 26(1):99-104.
[23] Hecova H, Tzigkounakis V, Merglova V, et al. A retrospective study of 889 injured permanent teeth[J]. Dent Traumatol, 2010, 26(6):466-475.
[24] Walker LJ, Koba S, Demiroglu A, et al. Retention of teeth in the fracture gaps of the mandible: a retrospective analysis[J]. Clin Oral Investig, 2023, 27(10):6055-6061.
[25] Sexton P, ElMinshawi A, O'Higgins C, et al. The necessity of removal of third molars involved in mandibular fractures: A retrospective study[J]. J Craniomaxillofac Surg, 2024, 52(3):279-282.
[26] Zanakis S, Tasoulas J, Angelidis I, et al. Tooth in the line of angle fractures: the impact in the healing process. A retrospective study of 112 patients[J]. J Craniomaxillofac Surg, 2015, 43(1):113-116.