Volume 5 Issue 1 Jan. -March 2022
Original Articles
A Prospective Randomized Clinical Study To Evaluate Pattern Of Maxillofacial Injuries In Pediatric Patients – A 2 Years Institutional Study
Manisha Solanki, Sanjay Solanki, SPS Sooch, Gaurav Chauhan, Bhagirath Chauhan, Aditi Gupta
In Childhood, a highly impetous nature and adventurous spirit generally combine to encourage a child’s participation in physical activities, but immediate consequences are never bothered. One of them being maxillofacial injuries.
The purpose of the study was to evaluate maxillofacial injuries in pediatric patients; agewise & sexwise distribution, etiology, location, type, clinical features, radiographic finding & proper management of maxillofacial injuries in pediatric patients at various age groups between 0-16 years.
Material and Method – Study was undertaken at a tertiary hospital Punjab, India. All patients between ages of 0-16 years, who reported with maxillofacial injuries during 2 years period, were included. Complete physical examination was done including intraoral and extraoral examination & Recorded in patient examination form. Radiographs taken and treatment planned accordingly with regular follow ups.
Results - A total of 64 maxillofacial injuries were recorded with Male to female ratio of 1.8: 1. Fall is major cause of injury followed by RTA, sports & other causes. A total of 50% patients range from 12-16 years of age followed by 5-8 (30%), 9-11 (15%), 3-4 (5%) years. Only 20% had dental injuries alone, 10% had soft tissue injuries alone, 15% had facial bone fractures alone while only 20% had combined soft tissue and facial bone fractures, 20% had soft tissue and dental injury, only 15 % had combination of soft tissue injury, dental injury and facial bone fracture. Common site of soft tissue injury was upper lip followed by lower lip, chin, oral mucosa, cheek, eyebrow and gingivae. In only 15 % patient open reduction & internal fixation was done. 5% patients managed conservatively with soft diet and mouth opening exercises. In 45% patients splinting was done for alveolar fractures. Conclusion – The children in12-16 years of age group were found to be more prone to facial injuries. Mandible being most commonly fractured. The high osteogenic potential of pediatric mandible allows non-surgical management.
