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South African Dental Journal

On-line version ISSN 0375-1562
Print version ISSN 0011-8516


FOUCHE, G  and  MABONGO, M. The epidemiology and management of traumatic facial fractures in children seen in a tertiary hospital in Johannesburg, South Africa. S. Afr. dent. j. [online]. 2019, vol.74, n.7, pp.358-363. ISSN 0375-1562.

INTRODUCTION: Serious head and facial injuries contribute as one of the leading causes of higher injury severity scores, prolonged hospital stay, mortality and morbidity in young children AIM: To determine the prevalence of traumatic facial fractures in children under the age of 15 years in Johannesburg, South Africa OBJECTIVES: To determine the aetiology, age and gender mostly affected, identify anatomical distribution with associated injuries and to record the management of facial fractures METHODS: This was a retrospective study based on data retrieved from admission records RESULTS: Of the 4044 admissions, 171 children had facial fractures, a prevalence of 4,2%. Most patients were males. The mean age was 6.45 ± 3.47 years The most frequent causes of the 247 facial fractures recorded were pedestrian vehicle accidents (PVAs), motor vehicle accidents (MVAs) and falls. The frontal bone followed by the orbital bone were the most common fracture sites. Twelve patients showed ophthalmic/globe involvement, 49 had an associated tooth injury, 117 had associated bodily injuries and 435 facial soft tissue injuries (STIs) were detected. One hundred and nine (63.7%) patients were managed conservatively, while 58 (34.0%) required surgical intervention. CONCLUSION: There is a statistically significant association between age and the cause of fracture

Keywords : Maxillofacial; trauma; fractures; paediatrics; children.

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