Pediatric Midface Fractures: Outcomes and Complications of 218 Patients.

摘要: Objective To analyze management, outcomes, and complications of pediatric midface fractures. Methods Retrospective cohort study at an urban, single-institution, multispecialty surgical teams, two level 1 trauma centers. Query included subjects aged 0-17 diagnosed with fractures between 2012 2016. Results A total 218 patients presented 410 The most common etiologies motor vehicle collisions (MVC) (n = 56, 25.7%), sport-related 35, 16.1%), assault/battery 32, 14.7%). Fracture site distribution included: 125 maxillary (34 exclusively the nasal/frontal process), 109 nasal, 47 ethmoid, 40 sphenoid, 33 zygoma, 29 frontal sinus, 21 lacrimal, 6 palatal. Among these, there were 105 orbital, 17 naso-orbito-ethmoid, 12 Le Fort One-quarter received least one midface-related operation during initial encounter. Operative intervention rates for specific fracture subsites not significantly different (X2 6.827, P .234). One hundred thirty-five (63.4%) attended follow-up, thus known complication rate was 14.6% 31). Complication 5.629, .229). Complications facial deformity 18), nasal airway obstruction 8), diplopia 4), hardware-related pain 3), paresthesias 3). Conclusions sites involved maxilla, bones. Three quarters treated conservatively, low complications. Facial complication; as such, proper management follow-up are important to ensure normal growth development skeleton. Level Evidence 4.