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Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries

Objective  Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patt...

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Autores principales: Dobitsch, Andrew A., Oleck, Nicholas C., Liu, Farrah C., Halsey, Jordan N., Hoppe, Ian C., Lee, Edward S., Granick, Mark S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785318/
https://www.ncbi.nlm.nih.gov/pubmed/31602397
http://dx.doi.org/10.1055/s-0039-1697627
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author Dobitsch, Andrew A.
Oleck, Nicholas C.
Liu, Farrah C.
Halsey, Jordan N.
Hoppe, Ian C.
Lee, Edward S.
Granick, Mark S.
author_facet Dobitsch, Andrew A.
Oleck, Nicholas C.
Liu, Farrah C.
Halsey, Jordan N.
Hoppe, Ian C.
Lee, Edward S.
Granick, Mark S.
author_sort Dobitsch, Andrew A.
collection PubMed
description Objective  Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patterns of injury and improve management strategies and outcomes. Methods  Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results  Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Mean age was 13.9 years old. A total of 29 fractures were identified. Most common fracture sites included the orbit ( n  = 12), mandible ( n  = 5), nasal bone ( n  = 5), and zygomaticomaxillary complex ( n  = 3). The most common concomitant injuries included skull fracture ( n  = 3), intracranial hemorrhage ( n  = 4), and traumatic brain injury ( n  = 4). One patient was intubated upon arrival to the emergency department. Hospital admission was required in 13 patients, 4 of which were admitted to an intensive care setting. Nine patients required operative intervention. Mean length of hospital stay was 2.4 days. No patients were expired. Conclusions  Sports-related facial fractures are potentially debilitating injuries in the pediatric population. Analysis of fracture pattern and concomitant injuries is imperative to develop effective management strategies and prevention techniques.
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spelling pubmed-67853182019-10-10 Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries Dobitsch, Andrew A. Oleck, Nicholas C. Liu, Farrah C. Halsey, Jordan N. Hoppe, Ian C. Lee, Edward S. Granick, Mark S. Surg J (N Y) Objective  Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patterns of injury and improve management strategies and outcomes. Methods  Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results  Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Mean age was 13.9 years old. A total of 29 fractures were identified. Most common fracture sites included the orbit ( n  = 12), mandible ( n  = 5), nasal bone ( n  = 5), and zygomaticomaxillary complex ( n  = 3). The most common concomitant injuries included skull fracture ( n  = 3), intracranial hemorrhage ( n  = 4), and traumatic brain injury ( n  = 4). One patient was intubated upon arrival to the emergency department. Hospital admission was required in 13 patients, 4 of which were admitted to an intensive care setting. Nine patients required operative intervention. Mean length of hospital stay was 2.4 days. No patients were expired. Conclusions  Sports-related facial fractures are potentially debilitating injuries in the pediatric population. Analysis of fracture pattern and concomitant injuries is imperative to develop effective management strategies and prevention techniques. Thieme Medical Publishers 2019-10-09 /pmc/articles/PMC6785318/ /pubmed/31602397 http://dx.doi.org/10.1055/s-0039-1697627 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Dobitsch, Andrew A.
Oleck, Nicholas C.
Liu, Farrah C.
Halsey, Jordan N.
Hoppe, Ian C.
Lee, Edward S.
Granick, Mark S.
Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title_full Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title_fullStr Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title_full_unstemmed Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title_short Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries
title_sort sports-related pediatric facial trauma: analysis of facial fracture pattern and concomitant injuries
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785318/
https://www.ncbi.nlm.nih.gov/pubmed/31602397
http://dx.doi.org/10.1055/s-0039-1697627
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