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Complications of Pediatric Facial Fractures

Maqusi, Suhair MD; Morris, David E. MD; Patel, Pravin K. MD; Dolezal, Rudolph F. MD; Cohen, Mimis N. MD

Journal of Craniofacial Surgery: July 2012 - Volume 23 - Issue 4 - p 1023–1027
doi: 10.1097/SCS.0b013e31824e7106
Original Articles

Pediatric facial fractures account for only 5% of all facial fractures, with even a much lower incidence in children younger than 5 years (1%–1.5%). The evolution of principles in the management of pediatric facial fractures and the differences in management between adult and pediatric patients have been well documented in the literature. Pediatric facial fracture management presents unique challenges because it might affect growth in the area specific to the trauma segment. Children are, in several ways, at a regenerative advantage: greater osteogenic potential, faster healing rate, primary dentition that is thereby temporary, and the capacity for significant dental compensation. Perhaps because of this, complications such as infection, malunion, nonunion, and postinjury malocclusion are relatively rare compared with the adult population. In this article, we will focus on different approaches to complications that arise after pediatric fracture management.

From the Division of Plastic, Reconstructive, and Cosmetic Surgery, Universityof Illinois at Chicago, Chicago, Illinois.

Received August 8, 2011.

Accepted for publication November 20, 2011.

Address correspondence and reprint requests to Mimis N. Cohen, MD, Division of Plastic, Reconstructive, and Cosmetic Surgery, University of Illinois at Chicago, Chicago, IL; E-mail:

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD