Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1111/edt.12735 http://hdl.handle.net/11449/230376 |
Resumo: | Background/Aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period. Methods: The following data were collected: age (preschool [0–6 years], school age [7–12 years], and adolescent [13–18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software. Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0–18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p <.001) and older age (p <.001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p <.001). Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0–6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood. |
id |
UNSP_fdd7d980897585e7bbfdfe89ea8a3559 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/230376 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective studyadolescentchildrenepidemiologymaxillofacial fracturesmulticentricprospectiveBackground/Aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period. Methods: The following data were collected: age (preschool [0–6 years], school age [7–12 years], and adolescent [13–18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software. Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0–18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p <.001) and older age (p <.001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p <.001). Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0–6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood.Division of Maxillofacial Surgery Città della Salute e della Scienza University of TurinDepartment Diagnosis and Surgery Araraquara Dental School São Paulo State University UNESPDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery São Paulo State University UNESPDepartment Oral and Maxillofacial Surgery Hospital Universitario Vall D’HebronDepartment Oral and Maxillofacial Surgery Hippocratio General HospitalMaxillofacial Surgery Unit General Surgery Department Faculty of Medicine Sohag UniversityDepartment Oral and Maxillofacial Surgery Medical City Gazi Alhariri HospitalOral and Maxillofacial Diseases Research Center Mashhad University of Medical SciencesDepartment Oral and Maxillofacial SurgeryDepartment Oral and Maxillofacial Surgery Aligarh Muslim UniversityDepartment Oral and Maxillofacial Surgery College of Medicine University of IbadanDepartment Plastic Reconstructive and Maxillofacial Surgery Nepean HospitalDepartment Oral and Maxillofacial Surgery University of DundeeDepartment Oral and Maxillofacial Surgery Paracelsus Medical UniversityDepartment Diagnosis and Surgery Araraquara Dental School São Paulo State University UNESPDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery São Paulo State University UNESPUniversity of TurinUniversidade Estadual Paulista (UNESP)Hospital Universitario Vall D’HebronHippocratio General HospitalSohag UniversityGazi Alhariri HospitalMashhad University of Medical SciencesAligarh Muslim UniversityUniversity of IbadanNepean HospitalUniversity of DundeeParacelsus Medical UniversitySegura-Palleres, IgnasiSobrero, FedericaRoccia, Fabiode Oliveira Gorla, Luis Fernando [UNESP]Pereira-Filho, Valfrido Antonio [UNESP]Gallafassi, Daniel [UNESP]Faverani, Leonardo Perez [UNESP]Romeo, IreneBojino, AlessandroCopelli, ChiaraDuran-Valles, FrancescBescos, CoroGanasouli, DimitraZanakis, Stelios N.Hassanein, Ahmed GaberAlalawy, HaiderKamel, MohammedSamieirad, SahandJaisani, Mehul RajeshRahman, Sajjad AbdurRahman, TabishurAladelusi, TimothyCarlaw, KirstenAquilina, PeterRae, EuanLaverick, SeanGoetzinger, MaximilianBottini, Gian Battista2022-04-29T08:39:32Z2022-04-29T08:39:32Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/edt.12735Dental Traumatology.1600-96571600-4469http://hdl.handle.net/11449/23037610.1111/edt.127352-s2.0-85124530037Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDental Traumatologyinfo:eu-repo/semantics/openAccess2022-04-29T08:39:32Zoai:repositorio.unesp.br:11449/230376Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-06T00:14:10.998733Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
title |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
spellingShingle |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study Segura-Palleres, Ignasi adolescent children epidemiology maxillofacial fractures multicentric prospective |
title_short |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
title_full |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
title_fullStr |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
title_full_unstemmed |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
title_sort |
Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study |
author |
Segura-Palleres, Ignasi |
author_facet |
Segura-Palleres, Ignasi Sobrero, Federica Roccia, Fabio de Oliveira Gorla, Luis Fernando [UNESP] Pereira-Filho, Valfrido Antonio [UNESP] Gallafassi, Daniel [UNESP] Faverani, Leonardo Perez [UNESP] Romeo, Irene Bojino, Alessandro Copelli, Chiara Duran-Valles, Francesc Bescos, Coro Ganasouli, Dimitra Zanakis, Stelios N. Hassanein, Ahmed Gaber Alalawy, Haider Kamel, Mohammed Samieirad, Sahand Jaisani, Mehul Rajesh Rahman, Sajjad Abdur Rahman, Tabishur Aladelusi, Timothy Carlaw, Kirsten Aquilina, Peter Rae, Euan Laverick, Sean Goetzinger, Maximilian Bottini, Gian Battista |
author_role |
author |
author2 |
Sobrero, Federica Roccia, Fabio de Oliveira Gorla, Luis Fernando [UNESP] Pereira-Filho, Valfrido Antonio [UNESP] Gallafassi, Daniel [UNESP] Faverani, Leonardo Perez [UNESP] Romeo, Irene Bojino, Alessandro Copelli, Chiara Duran-Valles, Francesc Bescos, Coro Ganasouli, Dimitra Zanakis, Stelios N. Hassanein, Ahmed Gaber Alalawy, Haider Kamel, Mohammed Samieirad, Sahand Jaisani, Mehul Rajesh Rahman, Sajjad Abdur Rahman, Tabishur Aladelusi, Timothy Carlaw, Kirsten Aquilina, Peter Rae, Euan Laverick, Sean Goetzinger, Maximilian Bottini, Gian Battista |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
University of Turin Universidade Estadual Paulista (UNESP) Hospital Universitario Vall D’Hebron Hippocratio General Hospital Sohag University Gazi Alhariri Hospital Mashhad University of Medical Sciences Aligarh Muslim University University of Ibadan Nepean Hospital University of Dundee Paracelsus Medical University |
dc.contributor.author.fl_str_mv |
Segura-Palleres, Ignasi Sobrero, Federica Roccia, Fabio de Oliveira Gorla, Luis Fernando [UNESP] Pereira-Filho, Valfrido Antonio [UNESP] Gallafassi, Daniel [UNESP] Faverani, Leonardo Perez [UNESP] Romeo, Irene Bojino, Alessandro Copelli, Chiara Duran-Valles, Francesc Bescos, Coro Ganasouli, Dimitra Zanakis, Stelios N. Hassanein, Ahmed Gaber Alalawy, Haider Kamel, Mohammed Samieirad, Sahand Jaisani, Mehul Rajesh Rahman, Sajjad Abdur Rahman, Tabishur Aladelusi, Timothy Carlaw, Kirsten Aquilina, Peter Rae, Euan Laverick, Sean Goetzinger, Maximilian Bottini, Gian Battista |
dc.subject.por.fl_str_mv |
adolescent children epidemiology maxillofacial fractures multicentric prospective |
topic |
adolescent children epidemiology maxillofacial fractures multicentric prospective |
description |
Background/Aims: Paediatric maxillofacial trauma accounts for 15% of all maxillofacial trauma but remains a leading cause of mortality. The aim of this prospective, multicentric epidemiological study was to analyse the characteristics of maxillofacial fractures in paediatric patients managed in 14 maxillofacial surgery departments on five continents over a 1-year period. Methods: The following data were collected: age (preschool [0–6 years], school age [7–12 years], and adolescent [13–18 years]), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injuries, day of the maxillofacial trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software. Results: Between 30 September 2019 and 4 October 2020, 322 patients (male:female ratio, 2.3:1) aged 0–18 years (median age, 15 years) were hospitalized with maxillofacial trauma. The most frequent causes of the trauma were road traffic accidents (36%; median age, 15 years), followed by falls (24%; median age, 8 years) and sports (21%; median age, 14 years). Alcohol and/or drug abuse was significantly associated with males (p <.001) and older age (p <.001). Overall, 474 fractures were observed (1.47 per capita). The most affected site was the mandibular condyle in children <13 years old and the nose in adolescents. The proportion of patients who underwent open reduction and internal fixation increased with age (p <.001). Conclusion: The main cause of paediatric maxillofacial fractures was road traffic accidents, with the highest rates seen in African and Asian centres, and the frequency of such fractures increased with age. Falls showed an inverse association with age and were the leading cause of trauma in children 0–6 years of age. The choice of treatment varies with age, reflecting anatomical and etiological changes towards patterns more similar to those seen in adulthood. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-29T08:39:32Z 2022-04-29T08:39:32Z 2022-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/edt.12735 Dental Traumatology. 1600-9657 1600-4469 http://hdl.handle.net/11449/230376 10.1111/edt.12735 2-s2.0-85124530037 |
url |
http://dx.doi.org/10.1111/edt.12735 http://hdl.handle.net/11449/230376 |
identifier_str_mv |
Dental Traumatology. 1600-9657 1600-4469 10.1111/edt.12735 2-s2.0-85124530037 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Dental Traumatology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129598107418624 |