215 mandible fractures in 120 children: Demographics, treatment, outcomes, and early growth data

Darren M. Smith, Michael R. Bykowski, James J. Cray, Sanjay Naran, Stephen Rottgers, Sameer Shakir, Lisa Vecchione, Lindsay Schuster, Joseph E. Losee

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Optimal management of pediatric mandible fractures demands that the practitioner balance reduction and fixation with preservation of growth potential and function. The ideal synthesis of these goals has not yet been defined. The authors catalogue their experience with pediatric mandible fractures at a major pediatric teaching hospital with reference to demographics, injury type, treatment, and outcomes to inform future management of these injuries. METHODS: Demographics, management, and outcomes of pediatric mandible fractures presenting over 10 years at a pediatric trauma center were assessed. Cephalometric analysis was conducted. Relationships among demographics, fracture type, management, outcomes, and growth were explored. RESULTS: TWO HUNDRED FIFTEEN: mandible fractures in 120 patients younger than 18 years were analyzed (average follow-up, 19.5 months). The condylar head and neck were fractured most frequently. Operative management was significantly more likely for children older than 12 years (p <0.05). Operative management and multiple fractures were significantly associated with a higher rate of adverse outcomes (p <0.05), but no adverse outcomes were considered to significantly affect mandibular function by patient or surgeon. No significant growth differences existed on cephalometric analysis between our cohort and age- and sex-matched controls (p > 0.05). CONCLUSIONS: This study reports the demographics, treatment, and early follow-up of a sizable cohort of pediatric mandible fractures. Management principles for these injuries are outlined. Although definitive recommendations must be withheld until longer follow-up is available, the data presented here show that the treatment protocols used at the authors' center have yielded largely uncompromised mandibular function and growth thus far.

Original languageEnglish (US)
Pages (from-to)1348-1358
Number of pages11
JournalPlastic and Reconstructive Surgery
Volume131
Issue number6
DOIs
StatePublished - Jun 2013
Externally publishedYes

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Mandible
Demography
Pediatrics
Growth
Wounds and Injuries
Cephalometry
Pediatric Hospitals
Trauma Centers
Clinical Protocols
Teaching Hospitals
Neck
Therapeutics

ASJC Scopus subject areas

  • Surgery

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215 mandible fractures in 120 children : Demographics, treatment, outcomes, and early growth data. / Smith, Darren M.; Bykowski, Michael R.; Cray, James J.; Naran, Sanjay; Rottgers, Stephen; Shakir, Sameer; Vecchione, Lisa; Schuster, Lindsay; Losee, Joseph E.

In: Plastic and Reconstructive Surgery, Vol. 131, No. 6, 06.2013, p. 1348-1358.

Research output: Contribution to journalArticle

Smith, DM, Bykowski, MR, Cray, JJ, Naran, S, Rottgers, S, Shakir, S, Vecchione, L, Schuster, L & Losee, JE 2013, '215 mandible fractures in 120 children: Demographics, treatment, outcomes, and early growth data', Plastic and Reconstructive Surgery, vol. 131, no. 6, pp. 1348-1358. https://doi.org/10.1097/PRS.0b013e31828bd503
Smith, Darren M. ; Bykowski, Michael R. ; Cray, James J. ; Naran, Sanjay ; Rottgers, Stephen ; Shakir, Sameer ; Vecchione, Lisa ; Schuster, Lindsay ; Losee, Joseph E. / 215 mandible fractures in 120 children : Demographics, treatment, outcomes, and early growth data. In: Plastic and Reconstructive Surgery. 2013 ; Vol. 131, No. 6. pp. 1348-1358.
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