Clinical analysis of maxillofacial fracture in 54 preschoolers: a retrospective study

doi:10.19438/j.cjoms.2022.06.012

Abstract

Abstract: PURPOSE: The aim of the study was to retrospectively analyze the clinical feature and treatment of maxillofacial fracture in preschool children. METHODS: This retrospectively study was conducted from January 2011 to December 2021. All preschool children with maxillofacial fracture admitted to our department were collected and data were recorded for age, gender distribution, causes of injury, clinical feature, treatment protocols and postoperative prognosis. RESULTS: A total of 54 cases of preschool children with maxillofacial fractures were collected from January 2011 to December 2021, including 31 boys and 23 girls, with an average age of (4.41±1.68) years. Among the enrolled patients, the highest incidence was mandibular fracture (50 cases, 92.6%), followed by maxillary fracture (7 cases, 13.0%) and zygomatic fracture (5 cases, 9.3%). There were 31 cases (57.4%) with maxillofacial soft tissue injury, and 7 cases (13.0%) with tooth injury. The main treatment protocols were conservative treatment, and all patients had good prognosis. During follow-up, one patient with condylar fracture with conservative treatment developed TMJ ankylosis after 2 years, which was released after surgical treatment again. CONCLUSIONS: The incidence of maxillofacial fracture in preschool children is low. Treatment protocols were dependent on the age and type of fracture. At the same time, attention should be paid to the growth and development of children's maxillofacial region after injury.

Key words: Preschool children, Maxillofacial fracture, Surgical treatment, Conservative treatment

CLC Number:

R782.4

PANG Chao-yuan, MA Dong-yang, ZHANG Wen-kai, WANG Bing-wu, LIU Dong. Clinical analysis of maxillofacial fracture in 54 preschoolers: a retrospective study[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 586-589.

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