Pediatric maxillofacial trauma in Upper Egypt, a prospective study

Kenawy, Ahmed; . Amer, Islam; Gafar, Ahmed; El-Sharkawy, Kamal

doi:10.21608/smj.2019.40969

Pediatric maxillofacial trauma in Upper Egypt, a prospective study

Document Type : Original Article

Authors

¹ Department of Gerenal Surgery, Faculty of Medicine, Sohag University.

² Department of General Surgery, Faculty of Medicine, Sohag University.

10.21608/smj.2019.40969

Abstract

Background: Trauma in children is the most frequent injury seen in the Emergency Department leading to morbidity and mortality. Maxillofacial fractures occur in a significant proportion worldwide and the incidence of maxillofacial pediatric trauma is less compared to adults. However, they may lead to serious complications. The aim of this study is to study the incidence and pattern of pediatric maxillofacial trauma in Upper Egypt and to determine the management of this trauma as regard as bone and soft tissue injuries.
Methods:This study was a prospective study which was conducted at Maxillofacial / Head and Neck Surgery Unit of General Surgery Department in Sohag University Hospitals. The study includes patients with maxillofacial trauma less than 16 years during the period from April 2017 to April 2018. Medical records of 63 pediatric patients were reviewed during this period. Relevant data in relation to demographics, age, sex, etiology/mechanism of injury, pattern and distribution of injuries and associated injuries were collected associated with discussing the treatment protocols. All the patients were treated by conservative approaches, except those in whom surgical interventions were mandatory according to the guidelines.
Results:Patient age ranged from 2 to 16 years with a range (median) 7 years. The mean age is 8.21 years. The male: female ratio was 3.5: 1. The Group C (6 to Conclusions: The FFH were the main cause. Males and parasymhesial fractures have the highest predominance. The treatment choice of pediatric fractures (conservatively or surgically) is chosen according to guidelines. Pediatric fractures must be followed longitudinally to avoid post-traumatic complications.

Keywords

Main Subjects

General Surgery.

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