Evaluation of facial trauma in pediatric population

Abstract

Aim: The aim of this study was to retrospectively evaluate the incidence and treatment rendered for fractures in pediatric population over a period of 13 years. Materials and Methods: Surgical data over 13 years were evaluated for age, type of fracture, and treatment rendered. Out of a total of 423 trauma cases operated, a total of 38 pediatric trauma cases were seen, with 30 patients requiring at least some type of surgical intervention. The etiology of most of the fractures was road traffic accidents. Results: The eight cases of dentoalveolar and undisplaced parasymphysis trauma were managed by wiring and four cases of soft tissue injury treated by suturing while 18 cases required surgery in the form of osteosynthesis. Bioresorbable plating system was used in 11 cases while Titanium plates were used in seven patients, which were removed within 3 months.Conclusion: We recommend the use of open reduction internal fixation with bioresorbable plating system in children above 10 years of age and arch bar fixation for dentoalveolar trauma.