Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population

Background Facial fractures are infrequent in children and adolescents and have different clinical features from those in adults. The low incidence in children and adolescents reflects the flexibility and underdevelopment of their facial skeletons, as well as their more protected environments. Only...

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Main Authors: Sang Hun Kim, Soo Hyang Lee, Pil Dong Cho
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-11-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.6.606
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author Sang Hun Kim
Soo Hyang Lee
Pil Dong Cho
author_facet Sang Hun Kim
Soo Hyang Lee
Pil Dong Cho
author_sort Sang Hun Kim
collection DOAJ
description Background Facial fractures are infrequent in children and adolescents and have different clinical features from those in adults. The low incidence in children and adolescents reflects the flexibility and underdevelopment of their facial skeletons, as well as their more protected environments. Only a few reports have reviewed such patients in Korea. The authors performed a retrospective study to analyze the characteristics of facial fractures in the Korean pediatric population. Methods We conducted a retrospective review on a series of 741 patients, aged <18 years, with facial fractures who had been treated at our hospital between 2006 and 2010. The following parameters were evaluated: age, sex, cause, location and type of fractures, associated injuries, treatment and complications. Results A total of 741 consecutive patients met the inclusion criteria. The ratio of boys to girls was 5.7:1. Facial fractures most commonly occurred in patients between 13 and 15 years of age (36.3%). The most common causes of injury was violence. The nasal fracture was the most common type of fracture (69%) and the blowout fracture was the second most common (20%). Associated injuries occurred in 156 patients (21%). Conclusions The incidence of pediatric facial fractures caused by violence is high in Korea. Our results show that as age increases, etiological factors and fracture patterns gradually shift towards those found in adults. This study provides an overview of facial fractures in these age groups that helps illustrate the trends and characteristics of the fractures and may be helpful in further evaluation and management.
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spelling doaj.art-7d1153e92fbd4a9c9e005c3626379d0a2022-12-22T03:59:46ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-11-01390660661110.5999/aps.2012.39.6.606Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent PopulationSang Hun Kim0Soo Hyang Lee1Pil Dong Cho2Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaDepartment of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaDepartment of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaBackground Facial fractures are infrequent in children and adolescents and have different clinical features from those in adults. The low incidence in children and adolescents reflects the flexibility and underdevelopment of their facial skeletons, as well as their more protected environments. Only a few reports have reviewed such patients in Korea. The authors performed a retrospective study to analyze the characteristics of facial fractures in the Korean pediatric population. Methods We conducted a retrospective review on a series of 741 patients, aged <18 years, with facial fractures who had been treated at our hospital between 2006 and 2010. The following parameters were evaluated: age, sex, cause, location and type of fractures, associated injuries, treatment and complications. Results A total of 741 consecutive patients met the inclusion criteria. The ratio of boys to girls was 5.7:1. Facial fractures most commonly occurred in patients between 13 and 15 years of age (36.3%). The most common causes of injury was violence. The nasal fracture was the most common type of fracture (69%) and the blowout fracture was the second most common (20%). Associated injuries occurred in 156 patients (21%). Conclusions The incidence of pediatric facial fractures caused by violence is high in Korea. Our results show that as age increases, etiological factors and fracture patterns gradually shift towards those found in adults. This study provides an overview of facial fractures in these age groups that helps illustrate the trends and characteristics of the fractures and may be helpful in further evaluation and management.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.6.606facial bonesadolescentviolence
spellingShingle Sang Hun Kim
Soo Hyang Lee
Pil Dong Cho
Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
Archives of Plastic Surgery
facial bones
adolescent
violence
title Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
title_full Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
title_fullStr Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
title_full_unstemmed Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
title_short Analysis of 809 Facial Bone Fractures in a Pediatric and Adolescent Population
title_sort analysis of 809 facial bone fractures in a pediatric and adolescent population
topic facial bones
adolescent
violence
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.6.606
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