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Current management of facial fractures in the preadolescent

Alhumsi, Taghreed R.; Gilardino, Mirko S.

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2014 - Volume 22 - Issue 4 - p 336–341
doi: 10.1097/MOO.0000000000000059
MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum

Purpose of review This article reviews the trends in management of preadolescent facial fractures – a challenging population because of the need to consider growth, dynamic changes in dentition, and evolving fracture patterns.

Recent findings Recent findings are a more thorough understanding of fracture patterns and distribution because of recent comprehensive studies isolating the preadolescent age cohort; the role of rigid internal fixation for significantly displaced fractures; and the potential applications and indications for the use of resorbable hardware for fracture fixation in the preadolescent.

Summary As preadolescent fractures occur in a period of growth and evolving dentition in the facial skeleton, it is mandatory for the treating surgeon to have a thorough knowledge of standard and alternative treatment options to optimally manage these patients.

Division of Plastic and Reconstructive Surgery, H.B. Williams Craniofacial and Cleft Surgery Unit, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada

Correspondence to Mirko S. Gilardino, MD, MSc, FRCSC, FACS, Montreal Children's Hospital, 2300 Tupper Street, C11.35, Montreal, QC H3H 1P3, Canada. Tel: +1 514 934 1934 x23472; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins