FACIAL TRAUMA IN CHILDREN AND ADOLESCENTS OF NEPAL
Abstract
Aims: Traumatic facial soft tissue injuries are commonly encountered. Although rarely lifethreatening, the treatment of these injuries can be complex and may have significant impact on the patient's facial function and aesthetics. The goal of this study was to assess the impact of the main causes of accidents among children resulting in craniomaxillofacial trauma and its management.
Methods: Data of 121 patients younger than 18 years of age who sustained facial injuries were recorded for cause of injury, age and gender distribution, frequency and type of injury, injury mechanisms, localization and frequency of soft tissue injuries, dentoalveolar trauma, facial bone fractures, and concomitant injuries.
Results: The boy to girl ratio was 2.18:1.The most common age group was 7-10 years followed by the age group of 4-6years.Seventy-five children (61.99%) mostly older children were injured playing outdoor while 46 patients (38. 02%) were injured in indoor activity. Forty-nine (40.50%) were injured during sport activities. Accidents involving furniture accounted in 31 children (25.62%). The injury due to fall or dropped from bed or height was seen in 15 children (12.4%). Road traffic accidents and physical assault were the cause of injuries to thirteen (10.75%) and 10 children (8.26%) respectively. Three injuries were due to dog bite. Most common injury was type I. Most of the injuries were simple and they were managed by the simple dressing.
Conclusions: Facial trauma is a relatively common occurrence in young children, with a preponderance of minor injuries. As age increases, the severity of injuries sustained increases.
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References
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