Epidemiological profile of pediatric maxillofacial trauma: a 20-year retrospective study of patients treated by a university graduate service in Araçatuba, Brazil
DOI:
https://doi.org/10.33448/rsd-v9i8.6722Keywords:
Pediatrics; Traumatology; Epidemiology.Abstract
The objective of this study is to present a 20-year retrospective analysis of cases of pediatric patients affected by facial trauma, attended by the team of Oral and Maxillofacial Surgery and Traumatology of the School of Dentistry of Araçatuba (UNESP), Brazil, and to show the incidence of these types of trauma , as well as the most common etiological factors, age and sex of pediatric patients who suffered some type of fracture and show how the social and cultural characteristics of the papulation directly alter the epidemiology of these diseases in a given region. For this purpose, a retrospective survey was carried out on the medical records of patients up to 12 years of age, according to the eligibility criteria adopted by the study, over a period of 20 years. The chi-square test was used to compare groups and Pearson's correlation to verify the association between variables. Of the 312 medical records analyzed, facial fractures were recorded in 263 (84%), which shows a high incidence of fractures in the study population, the majority of which occurred in males and the main source of trauma was related to high impact, such as traffic accidents, which caused the prevalence of fractures in the middle third of the face. Thus, it is possible to conclude that child morbidity and mortality due to maxillofacial trauma was high in our study, but it is worth mentioning that these numbers can be reduced with education and traffic safety measures, both for children and adults, who are truly responsible for this series.
References
Allred, L. J., Crantford, J. C., Reynolds, M. F., & David, L. R. (2015). Analysis of Pediatric Maxillofacial Fractures Requiring Operative Treatment: Characteristics, Management, and Outcomes. J Craniofac Surg: 26: 2368-2374.
Boffano, P., Roccia, F., Zavattero, E., Dediol, E., Ugle, V., Kova, Z., Vesnaver, A., Konstantinovi, V. S., Petrovic, M., Stephens, J., Kanzaria, A., Bhatti, N., Pechalova, P. F., Bakardjiev, A. G. (2015). European Maxillofacial Trauma (EURMAT) in children: A multicenter and prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol: 119, 1-6
Boyette, J. R. (2014). Facial fractures in children. Otolaryngol Clin North Am.; 47(5), 747-761. doi:10.1016/j.otc.2014.06.008
Brasil. (2010). [Estatuto da criança e do adolescente (1990)]. Estatuto da criança e do adolescente: lei n. 8.069, de 13 de julho de 1990, e legislação correlata [recurso eletrônico]. (9a ed.), Brasília: Câmara dos Deputados, Edições Câmara, 207 p. – (Série legislação; n. 83)
Costa, E. A., et al. (1980). Fratura da face em crianças. Rev Bras Cir: 70, 73-84.
Faverani, L. P., Jardim, E. C. G., Gulinelli, J. l., Queiroz, T. P., Panzarini, S. R., Garcia, I. R. Jr, Magro Filho, O. (2008). Traumas faciais: estudo retrospectivo de 1190 casos na região de Araçatuba. Rev. Bras. Cir. Cabeça Pescoço: 38, 22-25.
Ferreira, P. C., Barbosa, J., Amarante, J. M., Carvalho, J., Rodrigues, A. G., & Silva, A. C. (2015). Associated injuries in pediatric patients with facial fractures in Portugal: Analysis of 1416 patients. Journal of Cranio-Maxillo-Facial Surgery: 43, 437-443.
Ferreira, P., Barbosa, J., Amarante, J., Insua-Pereira, I., Soares, C., & Silva, A. (2015). Changes in the characteristics of facial fractures in children and adolescents in Portugal 1993–2012. British Journal of Oral and Maxillofacial Surgery: 53, 251-256.
Fonseca, M. A., Feigal, R. J., & Ten Bensel, R. W. (1992). Dental aspects of 1248 cases of child maltreatment on file at a major county hospital. Pediatr Dent: 14, 152-157.
Gassner, R., Tuli, T., Ha Chl, O., Moreira, R., & Ulmer, H. (2004). Craniomaxillofacial Trauma in Children: A Review of 3,385 Cases with 6,060 Injuries in 10 Years. J Oral Maxillofac Surg: 62, 399-407.
Imahara, S. D., Hopper, R. A., Wang, J., Rivara, F. P., & Klein, M. B. (2008). Patterns and Outcomes of Pediatric Facial Fractures in the United States: A Survey of the National Trauma Data Bank. J Am Coll Surg: 207, 710-716.
Kellman, R. M., & Tatum, S. A. (2014). Pediatric craniomaxillofacial trauma. Facial Plast Surg Clin North Am: 22, 559-572.
Kempe, C. H., et al. (1962). The battered child syndrome. Journal of the American Medical Association: 181, 17-24.
Lima, S. M., Santos, S. E., Kluppel, L. E., Asprino, L., Moreira, R. W., & Moraes, M. (2011). A comparison of motorcycle and bicycle accidents in oral and maxillofacial trauma. J Oral Maxillofac Surg [Epub ahead of print]. doi: 10.1016/j. joms.2011.03.035.
Minari, I., Figueiredo, C., Oliveira, J., Brandini, D., & Bassi, A. (2020). Incidence of multiple facial fractures: a 20-year retrospective study. Research, Society and Development, 9(8), e327985347.
Montovani, J. C., Campos, L. M. P., Gomes, M. A., Moraes, V. R. S., Ferreira, F. D., & Nogueira, A. (2006). Etiologia e incidência das fraturas faciais em adultos e crianças: experiência em 513 casos. Revista Brasileira de Otorrinolaringologia: 72, 235-241.
Muñante-Cárdenas, J. L., Asprino, L., Moraes, M., Albergaria-Barbosa, J. R., & Moreira, R. W. (2010). Mandibular fractures in a group of Brazilian subjects under 18 years of age: A epidemiological analysis. Int J Pediatr Otorhinolaryngol: 74, 1276-1280.
Posnick, J. C., Wells, M., & Pron, G. E. (1993). Pediatric facial fractures: evolving patterns of treatment. J Oral Maxillofac Surg: 51, 836-844.
Qing-bin, Z., Zhao-qiang, Z., Dan, C., & Yan Z. (2013). Epidemiology of maxillofacial injury in children under 15 years of age in southern China. Oral Surg Oral Med Oral Pathol Oral Radiol: 115, 436-441.
Silva, J. J. L., Lima, A. A. A. S., Melo, I. F. S., Maia, R. C. L., & Pinheiro Filho, T. R. C. (2011). Trauma facial: análise de 194 casos. Revista Brasileira de Cirurgia Plástica: 26, 37-41.
Souza, D. f., Santili, C., Freitas, R. R., Akkari, M., & Figueiredo, M. J. (2010). Epidemiology of children’s facial fractures in the emergency room of a tropical metropolis. Acta Ortop Bras:18, 335-8.
Spring, P. M., & Cote, D. N. (1996). Pediatric maxillofacial fractures. J La State Med Soc.;148(5),199-203.
Svider, P. F., Bobian, M., Hojjat, H., Sheyn, A., Zuliani, G., Eloy, J. A., & Folbe, A. J. (2016). A chilling reminder: Pediatric facial trauma from recreational winter activities. International Journal of Pediatric Otorhinolaryngology: 87, 78-82.
Zachariades, N., Papavassiliou, D., & Koumoura, F. (1990). Fractures of the facial skeleton in children. J Craniomaxillofac Surg: 18, 151-153.
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