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Pediatric Facial Fractures: A Review of 2071 Fractures

Ferreira, Pedro Costa MD; Barbosa, Joselina MPH; Braga, José Miguel MD; Rodrigues, Acácio MD, PhD; Silva, Álvaro Catarino MD; Amarante, José Manuel MD, PhD

doi: 10.1097/SAP.0000000000000346
Head and Neck Surgery

Background Facial fractures are infrequent in children and adolescents, and there are only few reports that review a significant number of patients. The objective of this study was to analyze the pattern of maxillofacial fractures in pediatric patients of Portugal.

Study Design We reviewed the clinical records of a series of 1416 patients 18 years or younger with facial fractures, treated by the Department of Plastic Reconstructive, Aesthetic and of Maxillofacial Surgery of São João Hospital, Porto, Portugal, between 1993 and 2012. The following parameters were evaluated: age; sex; cause of the accident; hour, day, and month of hospital admission; location and type of fractures; presence and location of associated injuries; treatment methods; length of in-hospital stay; and complications.

Results A total of 2071 fractures were treated. The ratio of boys to girls was 3.1:1. Patients between 16 and 18 years old were the major group (43.9%). Motor vehicle accident was the most common cause of injuries (48.7% of patients). Mandibular fractures were the most common (44.4%). Associated injuries occurred in 1015 patients (71.7%).

Conclusions Pediatric facial fractures are usually associated with severe trauma. There has been a highly significant decrease (P < 0.001) in pediatric facial fractures in Portugal for the past 20 years.

From the *Department of Plastic Reconstructive, Aesthetic, Maxillofacial Surgery and Burn Unit, Centro Hospitalar de São João, Porto Medical School; †Faculty of Medicine, Center for Medical Education, University of Porto; and ‡Department of Microbiology, Porto Medical School, Porto, Portugal.

Received June 18, 2014, and accepted for publication, after revision, August 6, 2014.

Conflicts of interest and sources of funding: none declared.

Reprints: Pedro Costa Ferreira, Rua João Rosa n° 52, Habitação D72, 4460-189 Senhora da Hora, Portugal. E-mail:

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