Facial Fractures and Mixed Dentition – What Are the Implications of Dentition Status in Pediatric Facial Fracture Management?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ryan S. Berlin ◽  
Margaret M. Dalena ◽  
Nicholas C. Oleck ◽  
Jordan N. Halsey ◽  
Margaret Luthringer ◽  
...  
Keyword(s):  
Mixed Dentition ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Fracture Management

Associated Injuries Related to Patients With Facial Fractures

2022 ◽  
pp. 194338752110690
Author(s):  
Rajarshi Ghosh ◽  
Kulandaswamy Gopalkrishnan
Keyword(s):  
Multidisciplinary Approach ◽  
Clavicle Fracture ◽  
The Body ◽  
Spine Injury ◽  
Associated Injuries ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Fracture Management ◽  
Type Of Injury ◽  
Prompt Diagnosis

Purpose To find out the incidence, type, and severity of injuries in other parts of the body in patients diagnosed with facial fractures. The study also analyzed any correlation between these injuries and facial fractures. Material & Methods A retrospective study of 991 patients with facial fractures during the period of 2006-2016. Results 111 patients reported associated injuries (11.1%). The most common type of injury was limb injury (33.33%), followed by head injury (22.5%), clavicle fracture (14.7%), rib fracture (10.9%), cervical spine injury (5.4%), and other injuries constituted (13.2%). Multiple associated injuries were observed in 14% of patients. Conclusion The findings show that facial fracture management is a multidisciplinary approach. Prompt diagnosis and proper management are important to reduce the mortality rate and improve the prognosis of the patient.

scholarly journals Managing the Pediatric Facial Fracture

2009 ◽  
Vol 2 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Patrick Cole ◽  
Yoav Kaufman ◽  
Larry H. Hollier
Keyword(s):  
Pediatric Population ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Diagnosis And Management ◽  
Fracture Management ◽  
Significant Factors

Facial fracture management is often complex and demanding, particularly within the pediatric population. Although facial fractures in this group are uncommon relative to their incidence in adult counterparts, a thorough understanding of issues relevant to pediatric facial fracture management is critical to optimal long-term success. Here, we discuss several issues germane to pediatric facial fractures and review significant factors in their evaluation, diagnosis, and management.

A Nationwide Study of Skiing and Snowboarding-Related Facial Trauma

2021 ◽  
pp. 194338752199723 ◽  
Author(s):  
Thomas J. Sorenson ◽  
Vedant Borad ◽  
Warren Schubert
Keyword(s):  
Surveillance System ◽  
Pediatric Patients ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Cold Winter ◽  
Injury Surveillance System ◽  
Weighted Estimates ◽  
Patient Demographics ◽  
The Us

Study Design: Retrospective descriptive observational study. Purpose: Skiing and snowboarding offers valuable opportunities for outdoor physical activity throughout the cold winter months, but these activities can result in substantial personally injury. This study aimed to analyze trends in skiing and snowboarding-related facial trauma epidemiology. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for facial trauma related to skiing and snowboarding treated in United States (US) emergency departments between 2010 and 2019. These data and weighted estimates were used to analyze patient demographics, injury location, and etiology. Results: A total of 361 skiing or snowboarding-related facial injuries were recorded. Lacerations were most common injury (165/361; 45.7%), and facial fractures occurred in 21.6% (78/261) of patients. The most common facial fracture locations are the nose (38/78; 48.7%), orbit (17/78; 21.8%), and mandible (15/78; 19.2%). Pediatric patients accounted for 52% (187/361) of these injuries and had higher rates of lacerations (51.9% vs 39.1%, P < 0.05) and hospital admission (4.8% vs 1.15%, P < 0.05) than adults. Adults had a higher rate of facial fracture (30% vs 13.9%, P < 0.001) than children. Conclusions: Skiing and snowboarding-related facial trauma is relatively uncommon in the US. In general, these injuries are largely decreasing, but facial fractures still occur not infrequently during these activities. Based on our data, we strongly urge helmet manufacturers to increase the availability of recreational snowsport helmets that include nose, orbit, and mandible protections, which could help to prevent many of these injuries.

Facial Fracture Management at WBAMC Trauma Unit

1988 ◽  
Vol 153 (11) ◽  
pp. 555-559
Author(s):  
Michael V. Novia ◽  
George E. Smith
Keyword(s):  
Facial Fracture ◽  
Trauma Unit ◽  
Fracture Management

scholarly journals Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

2013 ◽  
Vol 6 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Jesús R. Manzani Baldi ◽  
Daniel A. Wolff de Freitas
Keyword(s):  
Rare Complication ◽  
The Other ◽  
Pathophysiological Mechanism ◽  
X Rays ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Dog Bite ◽  
Facial Region ◽  
Zygomatic Fracture ◽  
Fracture Mandible

Dog bite injury frequently occurs in children, and many of these bites involve the facial region. On the other hand, facial fractures due to dog attacks are a rare complication, with the orbital, nasal, and maxillary bones most often affected. We present a case report of a child who suffered a double facial fracture, mandible and left zygoma, due to a dog bite. The clinical diagnosis was supported by X-rays and computed tomography, which also provided information about the characteristics of the fracture. Internal fixation was done with titanium miniplates. Finally, the pathophysiological mechanism and the biomechanics of the fracture, as well as the use of resorbable versus nonresorbable material on infants, are discussed.

scholarly journals Antibiotics and Facial Fractures: Evidence-Based Recommendations Compared with Experience-Based Practice

2015 ◽  
Vol 8 (1) ◽  
pp. 64-78 ◽  
Author(s):  
Gerhard S. Mundinger ◽  
Daniel E. Borsuk ◽  
Zachary Okhah ◽  
Michael R. Christy ◽  
Branko Bojovic ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Evidence Based ◽  
Facial Fracture ◽  
Prescribing Practices ◽  
Orbital Surgery ◽  
Level Of Evidence ◽  
Fracture Management ◽  
Mandible Fractures

Efficacy of prophylactic antibiotics in craniofacial fracture management is controversial. The purpose of this study was to compare evidence-based literature recommendations regarding antibiotic prophylaxis in facial fracture management with expert-based practice. A systematic review of the literature was performed to identify published studies evaluating pre-, peri-, and postoperative efficacy of antibiotics in facial fracture management by facial third. Study level of evidence was assessed according to the American Society of Plastic Surgery criteria, and graded practice recommendations were made based on these assessments. Expert opinions were garnered during the Advanced Orbital Surgery Symposium in the form of surveys evaluating senior surgeon clinical antibiotic prescribing practices by time point and facial third. A total of 44 studies addressing antibiotic prophylaxis and facial fracture management were identified. Overall, studies were of poor quality, precluding formal quantitative analysis. Studies supported the use of perioperative antibiotics in all facial thirds, and preoperative antibiotics in comminuted mandible fractures. Postoperative antibiotics were not supported in any facial third. Survey respondents ( n = 17) cumulatively reported their antibiotic prescribing practices over 286 practice years and 24,012 facial fracture cases. Percentages of prescribers administering pre-, intra-, and postoperative antibiotics, respectively, by facial third were as follows: upper face 47.1, 94.1, 70.6; midface 47.1, 100, 70.6%; and mandible 68.8, 94.1, 64.7%. Preoperative but not postoperative antibiotic use is recommended for comminuted mandible fractures. Frequent use of pre- and postoperative antibiotics in upper and midface fractures is not supported by literature recommendations, but with low-level evidence. Higher level studies may better guide clinical antibiotic prescribing practices.

scholarly journals South Australian facial trauma: a population analysis of social economic deprivation and facial fractures

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Jason Diab ◽  
Benjamin Grave ◽  
Walter Flapper ◽  
Peter Anderson ◽  
David J David ◽  
...  
Keyword(s):  
Population Analysis ◽  
Maxillofacial Surgery ◽  
Adelaide Hospital ◽  
Socioeconomic Disadvantage ◽  
Facial Trauma ◽  
Royal Adelaide Hospital ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Operative Notes ◽  
The Relationship

Background: Trauma remains a leading cause of morbidity and mortality in Australia. The objective of this South Australian study was to analyse epidemiological trends in facial fractures and assess the relationship between socioeconomic disadvantage and clinical outcomes. Part one of this paper includes methods and results; part two includes discussion and conclusion. The two papers should be read together. Method: A retrospective analysis of the relationship was conducted between socioeconomic disadvantage and facial fractures. All paediatric and adult patients with facial fractures who attended the Royal Adelaide Hospital and the Women’s and Children’s Hospital Adelaide between January 2012 and January 2017 either as in- or outpatients. The medical records, progress notes, imaging and operative notes from plastics, craniofacial and oral maxillofacial surgery teams were retrospectively collated into a registry and reviewed. Ethics approval was granted from the RAH Human Research and Ethics Committee [HREC/17/RAH/402]. Results: A total of 2559 patients, 1976 males (77.2%) and 583 females (22.8%), sustained a facial fracture. The most disadvantaged group had the highest proportion of facial fractures (36.9%), with the highest incidence in the 25–34 age group (22.4%). Assaults were the most common injury with decreasing odds as socioeconomic advantage increased (p<0.05). Orbitozygomatic fractures were the most common type of facial fracture (27.7%). Indigenous patients were more likely (OR=2.8) to have surgery compared to non–indigenous patients (p<0.05). There were no significant differences in length of stay between socioeconomic groups (F(4,964.387)=2.091, p = 0.080). Conclusion: Socioeconomic status strongly influences the mechanisms on injury, types of fracture and likelihood of surgery with the most disadvantaged having higher rates compared to the least disadvantaged.

Sign in / Sign up

Export Citation Format

Share Document