Abstract
Pediatric facial fractures are rare before 5 years of age. The incidence of facial bone fractures in the 1- to 5-yearold group has been reported to be 1.4% by Panagopoulos in 1947 and up to 4.8% by Rowe and Killey in their 1955 review of 55 fractures. MacLeannan noted that less. than 1% of all facial bone fractures occur in children under 6 years of age. When they do occur, they are more likely to be “green stick” in nature, but this is not always the case. Posnick et al. have recently reviewed a series of craniomaxillofacial fractures occurring at a large pediatric referral center. The mechanism of surgery location and position of facial fractures, pattern of facial injuries, soft tissue injuries, and any associated injuries to other organ systems were recorded and fracture management and complications were recorded (Tables 11.1–11.5).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
Anderson, R.L., Panje, W.R., and Gross, C.E. Optic nerve blindness following blunt forehead trauma. Ophthalmology89: 445, 1982.
Bales, C.R., Randall, P., and Lehr, H.B. Fractures of the facial bones in children. J. Trauma12: 56, 1972.
Beiser, H.I. and Kanat, I.O. Biodegradable internal fixation: A review of the literature. f. Am. Pod. Med. Assoc.80: 72, 1990.
Caroll, M.J., Hill, M.C., and Manson, D.A. Facial fractures in children. Br. Dent. J.163: 23, 1987.
Crysdale, W., Kohli-Dang, N., Mullins, G.C., et al. Airway management in craniofacial surgery: Experience in 542 patients. J. Otolaryngol.16: 207, 1987.
Fortunato, M.A., Fielding, A.F., and Gurensey, LB. Facial bone fractures in children. Oral Surg. Oral Med. Oral Pathol.53: 225, 1982.
Graham, G.G. and Peltier, J.R. The management of mandibular fractures in children. J. Oral Surg.19: 93, 1961.
Gruss, J.S., Mackinnon, S.E., Kassel, E.E., and Cooper, P.W. The role of primary bone grafting in complex craniomaxillofacial trauma. Plast. Reconstr. Surg.75: 17, 1985.
James, D. Maxillofacial injuries in children. In N.L. Rowe and J.L. Williams (Eds.), Maxillofacial Injuries. Vol. 1. Edinburgh: Churchill Livingston, 1985.
Kaban, L.B., Mulliken, J.B., and Murry, J.E. Facial fractures in children: Analysis of 122 fractures in 109 patients. Plast. Reconstr, Surg. 59: 15, 1977.
Kassel, E.E., Noyek, A.M., and Cooper, P.W. CT in facial trauma. J. Otolaryngol.12: 1, 1983.
Keniry, A.J. A survey of jaw fractures of children. Br. J. Oral Surg.8: 231, 1972.
Lehman, J.A. and Saddawi, N.D. Fractures of the mandible in children. J. Trauma16: 773, 1976.
Lin, K.Y., Bartlett, S.P., Yaremchuk M., et al. An experimental study of the effect of rigid fixation on the craniofacial skeleton. Plast. Reconstr. Surg.87: 229, 1990.
Luce, E.A. Frontal sinus fractures: Guidelines to management. Plast. Reconstr. Surg.82: 500, 1987.
McCoy, F.J., Chander, R.A., and Crow, M.L. Facial fractures in children. Plast. Reconstr, Surg. 37: 209, 1966.
McGraw, B. and Cole, R.R. Pediatric maxillofacial trauma: Age-related variation in injury. Arch. Otolaryngol. Ilead Neck Surg.116: 41, 1990.
MacLeannan, W.D. Fractures of the mandible in children under the age of 6 years. Brit. J. Plast. Surg. 9:125–195.
Maisel, H. Postnatal growth and anatomy of the face. In R.H. Mathog (Ed.), Maxillofacial Trauma. Baltimore: Williams & Wilkins; 1984
Manson, P. Commentary on the long-term effects of rigid fixation on the growing craniomaxillofacial skeleton. J. Craniofac. Surg.2: 69, 1991.
Manson, P.N., Crawley, W.A., Yaremchuck, M.J., Rochman, G.M., Hoopes, J.E., and French, J.H. MidfaCial fractures: Advantages of immediate extended open reduction and bone grafting. Plast. Reconstr. Surg.76: 1, 1985.
Manson, P.W. Expert commentary. Perspect. Plast. Surg.3: 14, 1989.
Marshall, M.A., Chidyllo, S.A., and Figueroa A.A., et al. Longterm effects of rigid fixation on the growing craniomaxillofacial skeleton. J. Craniofac. Surg.2: 63, 1991.
Messinger, A., Radkowski, M.A., Greenwald, M.J., and Pensler, J.M. Orbital roof fractures in the pediatric population. Plast. Reconstr. Surg.84: 213, 1989.
Miller, R.I. and McDonald, D.K. Remodeling of bilateral condylar fractures in a child. J. Oral Maxillofac. Surg.44: 1008, 1986.
Morgan, W.C. Pediatric mandibular fractures. Oral Surg. 40: 320, 1975.
Posnick, J.C. Craniomaxillofacial fractures in children. Oral and maxillofacial clinics of North America. Philadelphia: Saunders, 1994.
Posnick, J.C. Diagnosis and management of pediatric craniomaxillofacial fractures. In L.J. Peterson and A.T. Indresano (Eds.), Principles of Oral and Maxillofacial Surgery, Vol. 1, Part V, Philadelphia: Lippincott 27:623–640, 1992.
Posnick, J.C. Injury to tooth buds from rigid fixation screws. Reply to letter. J. Oral Maxillofac. Surg.51: 1410, 1993.
Posnick, J.C. Management of facial fractures in children and adolescents. Ann. Plast. Surg.33: 442 – 457, 1994.
Posnick, J.C. Mandibular fractures in infants: Review of the literature and report of seven cases. J. Oral Maxillofac. Surg.52: 245 – 246, 1994.
Posnick, J.C. Pediatric orbital fractures. In S.A. Schendel (Ed.), Oral and Maxillofacial Surgery Clinics of North America. Philadelphia: Saunders, 1993.
Posnick, J.C. The effects of rigid fixation on the craniofacial growth of rhesus monkesy.Plast. Reconstr. Surg.93: 11 – 13, 1994.
Posnick, J.C. The role of plate and screw fixation in the treatment of pediatric facial fractures. In J.S Gruss, P.M. Manson, and M.J. Yaremchuk (Eds.), Rigid Fixation of the Craniofacial Skeleton, 396–419. Butterworth, 1992.
Posnick, J.C. The use of rigid fixation in the treatment of pediatric facial features. Submitted for publication.
Posnick, J.C. and Goldstein, J.A. Surgical management of temporomandibular joint ankylosis in the pediatric population. Plast. Reconstr. Surg.51: 836 – 844, 1993.
Posnick, J.C. and Smith, K.A. Pediatric facial fractures. In L.J. Peterson (Ed.), Principles of Oral and Maxillofacial Surgery. Philadelphia: Lippincott, 1992.
Posnick, J.C. and Yaremchuk, M. The effects of nonresorbable internal fixation devices placed on and within a child’s cranial vault: Brain function, morbidity and growth restriction. Plast. Reconstr. Surg. 96:966–968.
Posnick, J.C., Goldstein, J.A., Armstrong, D., and Rutka, J.T. Reconstruction of skull defects in children and adolescents by the use of fixed cranial bone grafts: Longterm results. Neurosurgery32: 785 – 791, 1993.
Posnick, J.C., Wells, M., and Pron, G.E. Pediatric facial fractures: Evolving patterns of treatment. J. Oral Maxillofac. Surg.51: 836 – 844, 1993.
Raflo, G.T. Blow-in and blow-out fractures of the orbit: Clinical correlations and proposed mechanisms. Ophthalmic Surg. 15: 114, 1984.
Ramba, J. Fractures of the facial bones in children. Int. J. Oral Surg.14: 472, 1985.
Resnick, B.M., Kinney B.M., and Kawamoto, H. The effect of rigid internal fixatin on cranial growth. Ann. Plast. Surg.25: 372, 1990.
Rowe, N.L. Fractures of the facial skeleton in children. J. Oral Surg.26: 505, 1968.
Rowe, N.L. Fractures of the jaws in children.J.Oral Surg. 27: 487, 1969.
Rowe, N.L. Mandibular joint lesions in infants and adults. Int. Dent. J.10: 484, 1960.
Tomiyama, F. Clinical and roetgenographic studies on maxillary fractures. J. Japan Stomatol. Soc.42: 288, 1975.
Wong, L., Dufrense C.T., and Richtsmeier, J.T., et al. The effects of rigid fixation on growth of the neurocranium. Plast. Reconstr. Surg.88: 395, 1991.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer Science+Business Media New York
About this chapter
Cite this chapter
Posnick, J.C. (1997). Facial Fractures in the Pediatric Patient. In: Ferraro, J.W. (eds) Fundamentals of Maxillofacial Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1898-2_11
Download citation
DOI: https://doi.org/10.1007/978-1-4612-1898-2_11
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7330-1
Online ISBN: 978-1-4612-1898-2
eBook Packages: Springer Book Archive