Maxillofacial Bone Fractures in Children and Adolescents: Overview of 247 Cases in a Major Referral Hospital, Najran, Kingdom of Saudi Arabia

2020 ◽  
pp. 194338752095268
Author(s):  
John Spencer Daniels ◽  
Ibrahim Albakry ◽  
Ramat Oyebunmi Braimah ◽  
Mohammed Ismail Samara
Keyword(s):  
Retrospective Study ◽  
Children And Adolescents ◽  
Treatment Modality ◽  
Bone Fractures ◽  
Age Group ◽  
Facial Bone ◽  
Kingdom Of Saudi Arabia ◽  
Male Predominance ◽  
Fractures In Children ◽  
Maxillofacial Fractures

Study Design: A retrospective study investigating maxillofacial bone fractures in the pediatric and adolescent population. Objective: The aim of this study was to present our experience in the management of pediatric facial bone fractures. Methods: This was a retrospective study of maxillofacial bone fractures in children and adolescents between the ages <1 year and 19 years in a Saudi Arabian subpopulation. Data collected include demographics, etiology, pattern, and treatment of maxillofacial bone fractures. Data were analyzed using IBM SPSS Statistics for Windows Version 25 (IBM Corp.). Results were presented as simple frequencies and descriptive statistics. Results: Of the 1297 patients with maxillofacial bone fractures, 247 were cases involving children and adolescents giving a prevalence of 19.0% (247 patients, N = 1297). There were 233 males and 14 females with an M:F ratio of 16.6:1. The ages ranged from 9 months to 19 years with a mean ± SD of 14.4 ± 4.6. The age-group between 16 and 20 years had the highest frequency of patients (144 (58.4%)). In the 1- to 5-year group, falls accounted for most of the etiology (15 (6.1%)), while in the 16- to 20-year group, motor vehicular accident (MVA) was the main reason (120 (48.6%)). The majority of the fractures occurred in the mandible with 151(61.1%) cases. Open reduction and internal fixation (ORIF) were the main treatment modality in 171 (69.2%) patients. Conclusions: MVA was the main etiology of maxillofacial fractures in children and adolescents with male predominance, while the mandible had been the most frequently fractured bone. ORIF was the main treatment modality.

Retrospective Study of 1251 Maxillofacial Fractures in Children and Adolescents

2005 ◽  
Vol 115 (6) ◽  
pp. 1500-1508 ◽  
Author(s):  
Pedro Costa Ferreira ◽  
Jos?? Manuel Amarante ◽  
Pedro Natividade Silva ◽  
Jorge Manuel Rodrigues ◽  
Miguel Pereira Choupina ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Children And Adolescents ◽  
Fractures In Children ◽  
Maxillofacial Fractures

scholarly journals Management of Frontal Bone Fracture in a Tertiary Neurosurgical Care Center—A Retrospective Study

2022 ◽  
Author(s):  
Rakshith Srinivasa ◽  
Sunil V. Furtado ◽  
Tanvy Sansgiri ◽  
Kuldeep Vala
Keyword(s):  
Retrospective Study ◽  
Ct Scan ◽  
Bone Fracture ◽  
Medical Records ◽  
Bone Fractures ◽  
Frontal Bone ◽  
Csf Leak ◽  
Csf Rhinorrhea ◽  
Fracture Management ◽  
Maxillofacial Fractures

Abstract Aim We present our experience in the management of frontal bone fractures using the previously described radiologic classification of frontal bone fractures. Methodology A retrospective study was conducted, which reviewed the medical records and computed tomographic (CT) scan images of patients with frontal bone fracture from January 2016 to February 2019. Patients with complete medical records and a follow-up of minimum 1 year were included in the study. Demographic details, mechanism of injury, associated intracranial injuries, maxillofacial fractures, management, and complications were analyzed. CT scan images were used to classify the frontal bone fractures using the novel classification given by Garg et al (2014). The indications for surgical treatment were inner table frontal sinus fracture with cerebrospinal fluid (CSF) leak, intracranial hematoma with significant mass effect requiring surgical evacuation, and outer table comminuted fracture that is either causing nasofrontal duct obstruction or for cosmetic purpose. Results A total of 55 patients were included in the study. Road traffic accidents as the commonest cause of frontal bone fractures. The most common fracture pattern was type 1 followed by type 5 and depth B followed by depth A. Four patients presented with CSF rhinorrhea. CSF rhinorrhea was more frequent with fracture extension to the skull base (depth B, C, D), which was statistically significant (p < 0.001). Conclusion Frontal bone fracture management has to be tailor-made for each patient based on the extent of the fracture, presence of CSF leak, and associated intracranial and maxillofacial injuries.

scholarly journals PROPTOSE EM CÃES E GATOS: ANÁLISE RETROSPECTIVA DE 64 CASOS

2005 ◽  
Vol 10 (1) ◽  
Author(s):  
C.V.S. BRANDÃO ◽  
J.J.T. RANZANI ◽  
L.F.L.P. MARINHO ◽  
G.N. RODRIGUES ◽  
D.N. CREMONINI
Keyword(s):  
Retrospective Study ◽  
Corneal Epithelium ◽  
Medical Records ◽  
Bone Fractures ◽  
Etiologic Factor ◽  
Corneal Ulceration ◽  
Facial Bone ◽  
Favorable Prognosis ◽  
The Common ◽  
Worse Prognosis

Foi realizado um estudo retrospectivo envolvendo 45 cães e 19 gatos com proptose traumática do bulbo ocular. Foram estudados vários aspectos, tais como sexo, raça, idade, etiologia, tempo decorrente entre a lesão e admissão, seqüelas, além daqueles relacionados ao tratamento. O principal fator etiológico verificado entre cães foi a briga, enquanto na maioria dos gatos, a causa era desconhecida. Os cães adultos sem raça definida, seguidos pelo Pinscher, Poodle, Cocker Spaniel e Boxer foram os mais acometidos. As complicações mais comuns associadas à proptose foram ceratite ulcerativa, estrabismo, hifema, quemose, hiperemia, hemorragia de conjuntiva e periocular, ressecamento e opacidade da córnea, prolapso de terceira pálpebra, além de fratura nos ossos da face. Quinze cães e apenas 2 gatos avaliados foram submetidos ao reposicionamento do bulbo e tarsorrafia. Desses animais, somente 13 cães recuperaram a visão. Conclui-se que a precocidade na admissão dos cães influencia sobremaneira a obtenção de um prognóstico mais favorável, bem como na escolha do tratamento. Os gatos apresentam pior prognóstico em relação aos cães. Proptose in dogs and cats: retrospective analyses of 64 medical records Abstract A retrospective study of 45 dogs and 19 cats with traumatic proptosis was performed. Sex, breed-specific, age, etiologic factors, time between trauma and admission, sequels and treatment were obtained for these animals. The principal etiologic factor in dogs was fight and in cats was unknown. Mongrel dogs, Pinscher, Cocker and Boxer were the most affected breeds. The common complications were corneal ulceration, strabismus, hyphema, chemosis, hyperemia, conjunctive hemorrhage, defects in the corneal epithelium, third eyelid prolapsed and facial bone fractures. Fifteen dogs and only two cats suffered repositioning followed by tarsorrhaphy. From these animals, only thirteen dogs recovered the eye vision. In conclusion, the precocity in the admission was important for a more favorable prognosis as much as the treatment choice. The cats presented worse prognosis when compared to dogs.

Can Condylar Fracture Still Be Treated with Conservative Approach?? – A Retrospective Study

2021 ◽  
Vol 13 (3) ◽  
pp. 169-175
Author(s):  
Arunima Awasthy ◽  
Pramod Krishna B ◽  
Rajdeep Singh ◽  
Heena Mazhar ◽  
Durgesh Kumbhare ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Closed Reduction ◽  
Clinical Results ◽  
Conservative Approach ◽  
Male Predominance ◽  
Maxillofacial Fractures ◽  
Difference Of Opinion ◽  
To Come ◽  
Condylar Fractures ◽  
Larger Sample

Background: Ideal management of mandibular condylar fractures remains controversial in maxillofacial trauma. Traditionally, conservative approach was implemented but recently ORIF (Open Reduction with Internal Fixation) has become prevalent. A difference of opinion has been acknowledged in the review of literature concerning the results achieved by open/closed reduction of fractures of the condyle in mandible. Research Objectives: To assess the preference of treatment for fractures of condyle and their indications, advantages, disadvantages and complications for open/closed reduction of fractures of condyle. Methodology: A 13-year retrospective study involving 56 patients who reported with fractures of condylar region were selected from 264 patients who experienced maxillofacial fractures. Out of them, seven were treated with ORIF, while 49 underwent closed reduction. Every patient was critically evaluated for identifying their indications, advantages, disadvantages, their effectiveness and complications of chosen interventions used in the management of condylar fractures. Findings: A male predominance was observed. Closed reduction with concomitant active physical therapy after inter-maxillary fixation gave similar results to that of open method. Conclusion: This study manifested that an appropriately followed conservative treatment provided similar clinical results when compared to ORIF for the management of condylar fractures. In cases with severe loss of height of mandible, surgical intervention is to be preferred to restore it. Further prospective randomized controlled trials with larger sample size are required to come to a decisive conclusion.

A Differential Approach to the Choice of Treatment of Facial Bone Fractures in the Children

10.12737/3564 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-5
Author(s):  
Тихонов ◽  
E. Tikhonov ◽  
Харитонов ◽  
D. Kharitonov ◽  
Гаршина ◽  
...  
Keyword(s):  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Facial Bone ◽  
Differential Approach ◽  
Fractures In Children ◽  
Choice Of Treatment ◽  
Post Traumatic

The choice of treatment of facial bone fractures in the early age remains a challenge for dentists and maxillofacial surgeons due to the peculiarities of child organism. The purpose of this study was to develop a differential approach to the choice of treatment of children´s facial bone fractures taking into account the age of a child, location of injury and possible complications. This paper presents the analysis of current epidemiological situation regarding to facial bone fractures in children in Voronezh city and Voronezh region. It is shown that the most common injuries is a fall from a height of its own growth, i.e. low-trauma; at the same time the number of high-speed traumas, such as road-traffic accidents, high falls, has decreased. The analysis was carried out 58 cases of facial bone fractures in a group of children from 1 month to 16 years being treated in Maxillofacial Department of Voronezh Regional Pediatric Hospital №2. The developed model of differential choice of treatment of facial bone fractures in children allows to choosing the method taking into account a child age, location of injury and severity, as well as possible consequences of surgery. The clinical monitoring has proved the efficacy of the model which gives an opportunity to decrease post-traumatic complications associated with growth and occlusion deformations as well as complications of inflammatory genesis. It was convincingly shown the need for follow-up care of children with facial fracture that the doctor-orthodontist should continue. The presented data of this study about correlation between surgical and conservative treatment of facial bone fractures in children coincide with the worldwide statistics showing the current tendency to a wide application of mini-invasive methods of fractures fragments immobilization.

scholarly journals Surgical management of burst fractures in children and adolescents: A Multicentre Retrospective Study

2020 ◽  
Vol 106 (1) ◽  
pp. 173-178
Author(s):  
Emmanuelle Ferrero ◽  
Roxane Compagnon ◽  
Sébastien Pesenti ◽  
Yan Lefèvre ◽  
Eva Polirsztok ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Children And Adolescents ◽  
Surgical Management ◽  
Burst Fractures ◽  
Fractures In Children ◽  
Multicentre Retrospective Study

scholarly journals Recurrent abdominal pain in children and adolescents: a hospital based study

2017 ◽  
Vol 4 (3) ◽  
pp. 726
Author(s):  
Arindam Bandyopadhyay ◽  
Pijush Kanti Mondal
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Physical Examination ◽  
Children And Adolescents ◽  
Patient Population ◽  
Recurrent Abdominal Pain ◽  
Parasitic Infections ◽  
Age Group ◽  
Male Predominance ◽  
The Common

Background: Recurrent abdominal pain (RAP) is very common in children of age group below 15 years. It affects about 10-20% of school going children. It is comprised of both organic and nonorganic causes and is therefore very challenging in diagnosing and treating the disorder. Hence this study was aimed to determine causes of RAP in the patients involved in the study.Methods: This was a hospital based study and includes 100 patients of age group of 2 to 15 years attending the pediatric and medicine OPD of College of medicine and Sagore Dutta Hospital, from May 2014 to April 2015. These children were subjected to thorough physical examination, systemic and clinical examinations, lab investigations and finally categorized the causes for RAP either as organic or nonorganic.Results: Out of 100 patients of RAP, male predominance (67%) was seen and forty-four (44%) of the patient population belonged to age group of 4 to 6 years. Organic RAP was found in 88% of patients and RAP due to non-organic causes was found in 12% of patients.Conclusions: Organic cause predominantly parasitic infections were found to be the common etiological factor for RAP in most of the children. Family history associated RAP was dominated in nonorganic etiology. 

scholarly journals Rational for Maxillofacial Fracture Plate Removal

2021 ◽  
Vol 15 (6) ◽  
pp. 1431-1433
Author(s):  
S. Ali ◽  
M. A. Khan ◽  
S. Khan ◽  
A. U. Rahim ◽  
U. Hussain ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Trauma Patients ◽  
Invasive Procedures ◽  
Facial Bone ◽  
Related Complication ◽  
Plate Removal ◽  
Osteosynthesis Plate ◽  
Maxillofacial Fractures ◽  
Fracture Osteosynthesis

Aim: To estimate indications and frequency of plate removal in patient treated for maxillofacial fractures. Method; In this retrospective study, records were reviewed from March 2015 to March 2018, over a period of 3 years. 139 Maxillofacial trauma patients treated with Open reduction and Internal Fixation with 202 plate, Result; In 139 patients, 202 plates were implanted for bone fractures. In total, 128(92%) were male and 11(8%) were female, 32(23.02%) had revisited with complaint and subsequently 47(23.26%) plates were removed. Mandible was commonest location where majority of the plates32(68.08%) were removed. Most common reason for plates removal was infection 20(42%). Minimum time for plate in situ was 3 months. Conclusion; the reason for plate removal is multifactorial. Establishing measures to minimize plate related complication and avoid patients from further invasive procedures. Keywords: Facial Bone Fracture, Osteosynthesis Plate, Plate Removal Trauma.

Sign in / Sign up

Export Citation Format

Share Document