Maxillofacial fractures among Sudanese children at Khartoum Dental Teaching Hospital

被引:16
作者
Almahdi H.M. [1 ]
Higzi M.A. [2 ]
机构
[1] Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman
[2] Faculty of Dentistry, University of Khartoum, P.O. Box 102, Khartoum
关键词
Closed Reduction; Road Traffic Accident; Facial Fracture; Concomitant Injury; Mandibular Fracture;
D O I
10.1186/s13104-016-1934-5
中图分类号
学科分类号
摘要
Background: Maxillofacial fractures in children are less frequent compared to adults but result in special complications affecting the growth, function and esthetics. Aim: The study aimed at assessing the characteristics and the pattern of facial fractures among children seen at Khartoum Teaching Dental Hospital (KTDH). Method: The study included 390 patients presenting with maxillofacial trauma at KTDH during a year period (2010-2011). Results: A total of 390 patients, diagnosed with facial fractures, were seen at KTDH; 14.1 % (55) were children below 16 years of age with the mean age of 10 years (SD ± 3.9). The ratio of males to females was 2.2:1. Most fractures were due to road traffic accidents (RTA) 56.4 %, followed by daily living activities 21.8 % and assault 16.4 %. The most prevalent anatomic sites of fractures were mandible 77 %; combination fractures i.e. more than one site 32.7 % and zygomatic-complex (13.5 %). Concomitant injuries were found in 9.1 %. Almost half of the patients were managed conservatively 49.1 %, closed reduction 34.5 % and surgical open reduction 16.4 %. Conclusions: The findings of this study indicated that pediatric facial fractures constitute 14.1 % of the total number of facial fractures. RTA was the main cause, which should be considered in legislative and preventive strategies. © 2016 Almahdi and Higzi.
引用
收藏
相关论文
共 24 条
[1]  
Haug R.H., Foss J., Maxillofacial injuries in the pediatric patient, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 90, 2, pp. 126-134, (2000)
[2]  
Chao M., Losee J., Compilcations in pediatric facial fractures, Craniomaxillofac Trauma Reconstr., 2, 2, pp. 103-112, (2009)
[3]  
Zimmermann C.E., Troulis M.J., Kaban L.B., Pediatric facial fractures: recent advances in prevention, diagnosis and management, Int J Oral Maxillofac Surg, 35, 1, pp. 2-13, (2006)
[4]  
Vyas R.M., Dickinson B.P., Wasson K.L., Roostaeian J., Bradley J.P., Pediatric facial fractures: current national incidence, distribution, and health care resource use, J Craniofac Surg., 19, 2, pp. 339-349, (2008)
[5]  
Gassner R., Tuli T., Hachl O., Moreira R., Ulmer H., Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years, J Oral Maxillofac Surg, 62, 4, pp. 399-407, (2004)
[6]  
Holland A.J., Broome C., Steinberg A., Cass D.T., Facial fractures in children, Pediatr Emerg Care, 17, 3, pp. 157-160, (2001)
[7]  
Thoren H., Iso-Kungas P., Iizuka T., Lindqvist C., Tornwall J., Changing trends in causes and patterns of facial fractures in children, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107, 3, pp. 318-324, (2009)
[8]  
Killey H.C., Fractures of the Mandible, (1967)
[9]  
Statistics cbo, 5th Sudan Population and Housing Census, (2008)
[10]  
Hogg N.J.V., Stewart T.C., Armstrong J.E.A., Girotti M.J., Epidemiology of maxillofacial injuries at Trauma Hospitals in Ontario, Canada, between 1992 and 1997, J Trauma, 49, 3, pp. 425-432, (2000)