Details

Autor(en) / Beteiligte

• Dalena, Margaret M.
• Khan, Wajiha
• Dobitsch, Andrew A.
• Le, Thuy-My T.
• Halsey, Jordan N.
• Lee, Edward S.
• Granick, Mark S.

Titel

Patterns of Le Fort Fractures in the Pediatric Population

Ist Teil von

• The American surgeon, 2019-08, Vol.85 (8), p.408-410

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2019

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Traumatic injuries are the leading cause of morbidity and mortality in the pediatric population in the United States, and therefore, it is essential to rapidly diagnose and treat these injuries.1 Le Fort fractures are severe, complex fractures of the midface that typically occur because of high-impact or high-velocity trauma. Because of the substantial force required to produce these fractures, serious concomitant injuries may be present, necessitating rapid identification and treatment. The other patient required MMF postoperatively because of a concomitant mandible fracture. Because of the limited amount of scientific literature regarding the prevalence and patterns of Le Fort fractures within the pediatric population, our study chose to focus on this topic. Children are especially susceptible to internal organ injury during traumatic events because of the presence of less internal fat to protect their organs and their smaller body mass, leading to increased force per unit of body area.4 Therefore, thorough physical examinations are crucial in identifying and initiating proper treatment of concomitant injuries. Because of the high osteogenic potential of the pediatric skeleton, some pediatric facial fractures can be managed conservatively compared with adult facial fractures.2 However, because of the severe nature of Le Fort fractures impacting occlusion and the common presence of significant other facial fractures, 12 patients (75%) in our study required surgical treatment.