Document Type : Original Article
Authors
1
Lecturer at Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University.(Correspondent)
2
Assistant Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.
Abstract
Introduction: Pediatric fractures despite being less common than adults is very critical as it can affect growth in the fractured areas
Objectives: This study aimed to detect the incidence, pattern of fracture and treatment modalities in the last 3 years in patients with age ranging from 0-18 years treated at the oral and maxillofacial surgery department, Alexandria University.
Materials and Methods: This study was conducted on patients with age below 18 years admitted to the outpatient clinic of the oral and maxillofacial department, Alexandria university, From January 2016 to December 2018.
Results: The mean age was 12 years, 78.7% were males while 21.27% were females. Causes of fracture were road traffic accidents in 46.8 % of patients, falls in 38.3%, and assault in 14.89%. Regarding mandibular fractures, parasymphyseal fractures were 15.25%, condylar fractures were 13%, symphyseal fractures were 11.86%, angle fractures were 11.86% and body fractures were 10.16%. Regarding midface fractures, zygomatic fractures were 15.25%, nasal fractures were 10.16%, orbital blow out fractures were 6.78% and le fort fractures were 5%. Regarding treatment, 69.17% of the patients were treated by open reduction and fixation, closed reduction accounted for 21.18%and 9.57% needed observation only.
Conclusions: The incidence of pediatric facial fractures is ascending with RTAs and falls as the leading causes. Regarding mandibular fractures, parasymphyseal and condylar fractures were the most frequent; whereas zygomatic and nasal fractures were the most common midface fractures.
In addition, open reduction was the highest treatment modatality in frequency.
Keywords
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