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Pattern and Treatment of Facial Trauma in Pediatric and Adolescent Patients

Muñante-Cárdenas, Jose Luis DDS, MS; Olate, Sergio DDS, MS, PhD; Asprino, Luciana DDS, MS, PhD; de Albergaria Barbosa, Jose Ricardo DDS, MS, PhD; de Moraes, Márcio DDS, MS, PhD; Moreira, Roger W. F. DDS, JD, MS, PhD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1251-1255
doi: 10.1097/SCS.0b013e31821c696c
Original Articles

Pediatric maxillofacial trauma is a challenge for surgeons. There are no completely defined protocols, and sometimes, the initial management could be complex. The aim of this research was to perform a retrospective study to analyze the pattern and treatment of maxillofacial fractures in pediatric and adolescent patients. We reviewed the clinical records of 2986 patients treated at the Oral and Maxillofacial Surgery Division of Piracicaba Dental School between 1999 and 2008. Seven hundred fifty-seven patients were younger than 18 years and were divided into 3 groups according to age; the age and sex of the patients, etiology, fractures and associated injury, treatment, and complications were evaluated. Five hundred thirty boys (70.01%) and 227 girls (29.99%) were treated for injuries with major prevalence in adolescents. The most common injury causes were bicycle accidents (29.06%) and falls (28.40%). The mandible was the most fractured bone (44.8%); associated injuries were lacerations of the soft tissue and dental trauma. Surgical treatment was performed in 75 cases (30%) with minor complications (10% of surgical patients). We conclude that maxillofacial trauma in child is associated to fall and bicycle accidents; the mandible is more affected than other maxillofacial structures, and frequently, nonsurgical treatment is performed.

From the Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, Campinas, Brazil; and the Division of Oral and Maxillofacial Surgery, School of Medicine, University of La Frontera, Temuco, Chile.

Received September 20, 2010.

Accepted for publication December 5, 2010.

Address correspondence and reprint requests to Prof Dr Roger W. F. Moreira, Division of Oral and Maxillofacial Surgery, State University of Campinas, Av Limeira 901, Caixa Postal 52-CEP 13414-903, Piracicaba-SP, Brazil; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD