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Abstract
Fractures of the facial skeleton in children are uncommon. This study presents the
results of 139 children who sustained a total of 161 such fractures and were admitted
to the Royal Hospital for Sick Children, Edinburgh, between January 1983 and December
1992.
The male to female ratio was 3:1 and the highest incidence was at age 10 years. Analysis
of fracture patterns showed that despite differences in anatomy, the fracture patterns
were similar to those occurring in adults, but the relative proportion of each fracture
type was different in children. Nasal fractures occurred most frequently (54 per cent),
mandibular fractures constituted 30 per cent, and middle third fractures only 16 per
cent.
Falls, sporting injuries and road traffic accidents (RTA) were the major causes of
these injuries. Injuries sustained in RTA were most likely to have involved cyclists
or pedestrians in contrast to earlier series which have identified these injuries
mainly among car passengers.
No deaths were recorded and most patients made a complete recovery, although a few
required secondary surgery for complications. This taken in conjunction with the findings
of both high numbers of associated injuries, and increased severity commonly occurring
in both mandibular and middle third injuries leads to the suggestion that these should
be treated in centres where multidisciplinary management can easily be coordinated.
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Article info
Publication history
Accepted:
August 8,
1994
Identification
Copyright
© 1995 Published by Elsevier Inc.
