Changing trends in causes and patterns of facial fractures in children

被引:37
作者
Thoren, Hanna [1 ,2 ,3 ,4 ]
Iso-Kungas, Petri [2 ,3 ]
Iizuka, Tateyuki [1 ,4 ]
Lindqvist, Christian [2 ,3 ]
Toernwall, Jyrki [2 ,3 ]
机构
[1] Univ Hosp Bern, Dept Craniomaxillofacial Surg, Inselspital, CH-3010 Bern, Switzerland
[2] Univ Helsinki, Cent Hosp, Dept Oral & Maxillofacial Surg, FIN-00014 Helsinki, Finland
[3] Univ Helsinki, Inst Dent, Dept Oral & Maxillofacial Surg, FIN-00014 Helsinki, Finland
[4] Univ Bern, CH-3012 Bern, Switzerland
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY | 2009年 / 107卷 / 03期
关键词
PEDIATRIC MAXILLOFACIAL FRACTURES; MIDFACIAL FRACTURES; MANDIBULAR FRACTURES; ADOLESCENTS; BLOWOUT;
D O I
10.1016/j.tripleo.2008.09.024
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective. To review the epidemiology of facial fractures in children and to analyze whether it has changed over time. Study design. Retrospective review of records of children aged <= 15 years diagnosed for fracture during 2 10-year periods. Results. A total of 378 children were diagnosed with fractures, 187 in 1980-1989 and 191 in 1993-2002. The proportion of children with mandibular fractures decreased by 13.6 percentage-points from the first period to the second, whereas the proportion of patients with midfacial fractures increased by 18.7 percentage-points. Assault as a causative factor increased by 5.5 percentage-points, almost exclusively among children aged 13-15 years, with a high percentage (23.5%). Conclusions. Recognition of a change in fracture patterns over time is probably due to the increased use of computerized tomographic scanning. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:318-324)
引用
收藏
页码:318 / 324
页数:7
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