A1 Refereed original research article in a scientific journal

Changing trends in causes and patterns of facial fractures in children




AuthorsThoren H, Iso-Kungas P, Iizuka T, Lindqvist C, Tornwall J

PublisherMOSBY-ELSEVIER

Publication year2009

JournalOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology

Journal name in sourceORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY

Journal acronymORAL SURG ORAL MED O

Volume107

Issue3

First page 318

Last page324

Number of pages7

ISSN1079-2104

DOIhttps://doi.org/10.1016/j.tripleo.2008.09.024


Abstract
Objective. To review the epidemiology of facial fractures in children and to analyze whether it has changed over time.Study design. Retrospective review of records of children aged <= 15 years diagnosed for fracture during 2 10-year periods.Results. A total of 378 children were diagnosed with fractures, 187 in 1980-1989 and 191 in 1993-2002. The proportion of children with mandibular fractures decreased by 13.6 percentage-points from the first period to the second, whereas the proportion of patients with midfacial fractures increased by 18.7 percentage-points. Assault as a causative factor increased by 5.5 percentage-points, almost exclusively among children aged 13-15 years, with a high percentage (23.5%).Conclusions. Recognition of a change in fracture patterns over time is probably due to the increased use of computerized tomographic scanning. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:318-324)



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