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General Management Considerations in Pediatric Facial Fractures

Siy, Richard W. BA; Brown, Rodger H. MD; Koshy, John C. MD; Stal, Samuel MD; Hollier, Larry H. Jr MD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1190-1195
doi: 10.1097/SCS.0b013e31821c0cf9
Original Articles

The treatment of pediatric facial fractures, although similar to that of adults, requires a separate and thorough understanding of the unique developmental issues inherent to this age group. The contribution of several of these factors allows for a large portion of these injuries to be managed more conservatively; however, operative indications still exist. The optimal form of management in these situations must balance the risks of impacting dentition or future skeletal growth versus obtaining acceptable stability and reduction for healing. Although these principles have remained largely unchanged over the years, a more current discussion on the state of resorbable and titanium fixation is offered to highlight evolving management considerations. Although uniquely challenging, the proper management of pediatric facial trauma is possible if the treating physician remains aware of key anatomic, epidemiological, evaluation, and management issues.

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Received July 16, 2010.

Accepted for publication August 1, 2010.

Address correspondence and reprint requests to Larry H. Hollier, Jr, MD, Division of Plastic Surgery, Baylor College of Medicine, 6701 Fannin St, CC610.00, Houston, TX 77030; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD