A1 Refereed original research article in a scientific journal
DIFFERENT PATTERNS OF MANDIBULAR FRACTURES IN CHILDREN - AN ANALYSIS OF 220 FRACTURES IN 157 PATIENTS
Authors: THOREN H, IIZUKA T, HALLIKAINEN D, LINDQVIST C
Publisher: CHURCHILL LIVINGSTONE
Publication year: 1992
Journal: Journal of Cranio-Maxillofacial Surgery
Journal name in source: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
Journal acronym: J CRANIO MAXILL SURG
Volume: 20
Issue: 7
First page : 292
Last page: 296
Number of pages: 5
ISSN: 1010-5182
DOI: https://doi.org/10.1016/S1010-5182(05)80398-1
Abstract
157 paediatric patients with a total of 220 mandibular fractures were evaluated retrospectively. All patients had been examined with the aid of orthopantomography. 72 % of the children had fractures in the condylar region. The patients were divided into four age groups according to the development of the dentition (group A: 0-5 years, B: 6-9 years, C: 10-12 years, and D: 13-15 years). Bicycle accidents and falls were the two main causes of the fractures in all age groups. However, there were significant differences in the causes and location of the fractures between groups A + B and C + D. The proportion of condylar fractures decreased and the proportion of body and angle fractures increased with increasing age; fractures in the horizontal part of the mandible were mainly observed in groups C and D. Both aetiological factors and fracture patterns in the patients older than 10 years of age resembled those of adults. The differences observed should be taken into consideration in studies concerning mandibular fractures in paediatric patients. In this respect the age limit between the adult and child should probably be lowered significantly.
157 paediatric patients with a total of 220 mandibular fractures were evaluated retrospectively. All patients had been examined with the aid of orthopantomography. 72 % of the children had fractures in the condylar region. The patients were divided into four age groups according to the development of the dentition (group A: 0-5 years, B: 6-9 years, C: 10-12 years, and D: 13-15 years). Bicycle accidents and falls were the two main causes of the fractures in all age groups. However, there were significant differences in the causes and location of the fractures between groups A + B and C + D. The proportion of condylar fractures decreased and the proportion of body and angle fractures increased with increasing age; fractures in the horizontal part of the mandible were mainly observed in groups C and D. Both aetiological factors and fracture patterns in the patients older than 10 years of age resembled those of adults. The differences observed should be taken into consideration in studies concerning mandibular fractures in paediatric patients. In this respect the age limit between the adult and child should probably be lowered significantly.
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