Prevalence of paediatric maxillo-facial trauma in India: a single centre, 5-year retrospective study

Authors

  • Tamanna Jamwal Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India http://orcid.org/0000-0003-0390-6222
  • Vikas K. Singh Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
  • Ruchika Tiwari Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
  • Gaurang Thanvi Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
  • Mahima Choudhary Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
  • Rahul Gupta Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20223423

Keywords:

Maxillofacial trauma, Mandibular fracture, Facial injuries

Abstract

Background: Trauma is one of the most common reasons of fatalities worldwide. A study on the prevalence is important to know about the common causes of trauma. Such studies and data boost the campaigning on prevention and increasing awareness against trauma.

Methods: Traumatised patients who reported to the emergency or casualty department of Mahatma Gandhi hospital, Sitapura, Jaipur or out-patient department of department of oral and maxillofacial surgery of Mahatma Gandhi Dental college and hospital, Sitapura, Jaipur between January 2017 and December 2021 were selected for this study. The hospital records of patients were retrospectively analysed for age, gender, etiology of trauma, distribution of fracture in facial structure and among maxilla and mandible, treatment procedures patients underwent in different age groups.

Results: 371 traumatic patients were analysed for paediatric maxillofacial trauma. The commonly affected age group were found to be 13-16 years, with road traffic accidents being the most common etiology leading to mandible green stick fracture with dentoalveolar and Lefort II fracture in majority of cases. The frequent treatment option was found to be either conservative management, circummandibular wiring, splinting or Open Reduction and Internal Fixation according to age groups.

Conclusions: The facial injury pattern is influenced by growth and age of patient. The effect and the management of trauma depend on the age of child. Road traffic accident are the most common cause of trauma and mandible bone is the most frequently fractured bone with dentoalveolar fracture during facial injuries. A clear male predilection has also been observed.

Author Biographies

Tamanna Jamwal, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery 3rd year resident

Vikas K. Singh, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery

Professor & HOD

Ruchika Tiwari, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery

Professor

Gaurang Thanvi, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery

Senior Lecturer

Mahima Choudhary, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery

3rd year resident

Rahul Gupta, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Department of Oral and Maxillofacial Surgery

3rd year resident

References

Singaram M, Udhayakumar RK. Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: a retrospective study. J Korean Assoc Oral Maxillofac Surg. 2016;42(4):174-81.

Sharma P, Arora P and Valiathan A. Age changes of jaws and soft tissue profile. Sci World Jo. 2014;1:7.

Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: A 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2006;102(1):28-34.

Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(2):126-34.

Hatef DA, Cole PD, Hollier LH Jr. Contemporary management of pediatric facial trauma. Curr Opin Otolaryngol Head Neck Surg. 2009;17(4):308-14.

Sanus GZ, Tanriverdi T, Kacira T, Jackson IT. Effects of rigid fixation on the growing neurocranium of immature rabbits. J Craniofac Surg. 2007;18(2):315-24.

Vanderas AP, Papagiannoulis L. Incidence of dentofacial injuries in children: a 2-year longitudinal study. Endod Dent Traumatol. 1999;15(5):235-8.

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg. 2003;31(1):51-61.

McLaughlin KA, Lambert HK. Child Trauma Exposure and Psychopathology: Mechanisms of Risk and Resilience. Curr Opin Psychol. 2017;14:29-34.

Kurpad SN, Goldstein JA, Cohen AR. Bioresorbable fixation for congenital pediatric craniofacial surgery: a 2-year follow-up. Pediatr Neurosurg. 2000;33(6):306-10.

Saunders BE, Adams ZW. Epidemiology of traumatic experiences in childhood. Child Adolesc Psychiat Clin North Am. 2015;23(2):167-84.

Saravan T, Balaguhan B, Venkatesh A, Geethapriya N, Karthick GA. Prevalence of mandibular fractures. Indian J Denta Res. 2020;31:971-4.

Dorje C, Gupta RK, Goyal S, Jindal N, Kumar V, Masih GD. Sports injury pattern in school going children in Union Territory of Chandigarh. J Clin Orthopaed Trauma. 2014;5(4):227-32.

Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A. Oral and maxillofacial surgery for the clinician.1st ed. Springer; 2021:1076-294.

Miloro M, Ghali GE, Larsen PE, Peterson’s WP. Principles of oral and maxillofacial surgery. 3rd ed. USA: People’s medical publishing house; 2011: 581-2.

Borle RV. Textbook of oral and maxillofacial surgery. 1st ed. New Delhi: Jaypee Brothers Medical Publishers (P) LTD; 2014:423.

Yerit KC, Hainich S, Enislidis G, Turhani D, Klug C, Wittwer G, Ockher M, Undt G, Kermer C, Watzinger F, Ewers R. Biodegradable fixation of mandibular fractures in children: stability and early results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(1):17-24

Dufresne CR, Manson PN. Pediatric craniofacial trauma: challenging pediatric cases-craniofacial trauma. Craniomaxillofac Trauma Reconstr. 2011;4(2):73-84.

Akama MK, Chindia ML, Macigo FG, Guthua SW. Pattern of maxillofacial and associated injuries in road traffic accidents. East Afr Med J. 2007;84(6):287-95.

Ashrafullah, Pandey RK, Mishra A. the incidence of facial injuries in children in indian population: a retrospective study. J Oral Biol Craniofac Res. 2018;8(2):82-5.

Zaggut AW, Rahman MM, Youssef G, Holmes S, Ellamushi H, Shibu M, et al. Craniomaxillofacial war injuries in Misrata, Libya. J Dent. 2020;2(2):3-3.

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Published

2022-12-27

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Original Research Articles