Pediatrik Maksillofasiyal Travma: 2015-2020 Yılları Arasında Epidemiyolojik Çalışma

Yıl 2022, Cilt: 9 Sayı: 3, 225 - 230, 30.12.2022

Emine Özdemir Kaçer İlker Kaçer Ahmet Çağlar

https://doi.org/10.47572/muskutd.951240

Öz

Maksillofasial travma en sık görülen travma tipidir ve yüksek morbidite ve mortalitenin önemli bir nedenidir. Çocuklarda yaralanmaların neden olduğu sekeller nedeniyle duygusal travmalar meydana gelmekte ve hayatlarının geri kalan kısmı olumsuz etkilenmektedir. Bu çalışmanın amacı, pediatrik maksillofasial travmaların etiyolojisi, epidemiyolojisi ve yaralanma tipini araştırmak ve çocukların yaralanmasını önlemek için önerilerde bulunmaktır. Bu tanımlayıcı retrospektif çalışma, bir bölge üçüncü basamak hastanesinde yapıldı. Ocak 2015 ile Şubat 2020 arasında acil servise maksillofasial travmaya bağlı tüm başvuruların tıbbi kayıtları geriye dönük olarak incelendi. Travmanın etiyolojisi, demografik özellikleri, travma tipi, kaza tipi, yaralanma yeri, uygulanan tedaviler ve mortalite kaydedildi. Çalışmaya 288'i kadın (%28) ve 741'i erkek (%72) olmak üzere 4 ay-18 yaş (ortalama 77.67±59.21 ay) 1029 hasta dahil edildi. Hastaların çoğu (n=390, %37.9) 13-18 yaş grubundaydı. Araştırma nüfusunun büyük çoğunluğu kentsel alanda (n=753, %73.2) yaşıyordu. Yaralanmaların çoğu yaz aylarında görüldü (n=438, %42.6). Kafa+servikal yaralanmalardan sonra en sık üst ekstremite yaralanmaları (n=171, %16.6), en az göğüs yaralanmaları (n=69, %6.7) görüldü. 57 (%5.5) hastanın hastaneye yatırılması gerekti ve ölüm oranı %1.2 (n=12) idi. Pediatrik maksillofasial travmalar en çok erkek cinsiyette, yaz aylarında, kentsel alanlarda ve motosiklet kazalarına bağlı olarak meydana gelmektedir. Çocuklarda maksillofasial travmaların azaltılması için toplumsal farkındalık artırılmalı ve her yaş grubuna uygun oyun alanları oluşturulmalıdır.

Anahtar Kelimeler

Acil tıp, duygusal travmalar, mandibula kırığı, motosiklet kazası, pediatri.

Pediatric Maxillofacial Trauma: Epidemiologic Study Between 2015 and 2020

Öz

Maxillofacial trauma is the most common type of trauma and is an important cause of high morbidity and mortality. Emotional traumas occur in children due to sequelae caused by injuries and the rest of their lives are negatively affected. The aim of this study is to investigate the etiology, epidemiology, and injury type of pediatric maxillofacial traumas, and to make recommendations to prevent child injuries. This descriptive retrospective study was conducted in a regional tertiary hospital. The medical records of all maxillofacial trauma-related admissions to the emergency department between January 2015 and February 2020 were retrospectively reviewed. Etiology of trauma, demographic characteristics, type of trauma, accident type, injury site, administered treatments, and mortality were recorded. 1029 patients aged 4 months-18 years (mean 77.67±59.21 months) including 288 females (28%) and 741 males (72%) were included in the study. Most of the patients (n=390, 37.9%) were in the 13-18 age group. The vast majority of the study population lived in the urban area (n=753, %73.2). Most injuries were seen in the summer (n=438, %42.6). After head+cervical injuries, upper extremity injuries (n=171, %16.6) were the most common and thoracic injuries (n=69, %6.7) least. 57 (5.5%) patients were required hospitalization and the mortality rate was 1.2% (n=12). Pediatric maxillofacial traumas occur mostly in the male gender, in summer, in urban areas, and due to motorcycle accidents. In order to reduce child maxillofacial traumas, public awareness should be increased and playgrounds suitable for all age groups should be created.

Anahtar Kelimeler

Emergency medicine, emotional traumas, mandible fracture, motorcycle accident, pediatrics.

Kaynakça

• 1. Collao-González C, Carrasco-Labra A, Sung-Hsieh HH, Cortés-Araya J. Epidemiology of pediatric facial trauma in Chile: a retrospective study of 7,617 cases in 3 years. Med Oral Patol Oral Cir Bucal. 2014;19(2):e99.
• 2. Wymann NME, Hölzle A, Zachariou Z, Iizuka T. Pediatric craniofacial trauma. J Oral Maxillofac Surg. 2008;66(1):58-64.
• 3. Samieirad S, Aboutorabzade M-R, Tohidi E, et al. Maxillofacial fracture epidemiology and treatment plans in the Northeast of Iran: A retrospective study. Med Oral Patol Oral Cir Bucal. 2017;22(5):e616.
• 4. Chrcanovic BR, Abreu MHNG, Freire‐Maia B, Souza LN. Facial fractures in children and adolescents: a retrospective study of 3 years in a hospital in Belo Horizonte, Brazil. Dent Traumatol. 2010;26(3):262-70.
• 5. Schneider D, Kämmerer PW, Schön G, Dinu C, Radloff S, Bschorer R. Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg-Western Pomerania, Germany: A retrospective study of 409 patients. J Craniomaxillofac Surg. 2015;43(10):1948-51.
• 6. Singhal R, Singh V, Bhagol A, Agrawal A, Kumar P. Pediatric maxillofacial injuries–if a new look is required? Int J Pediatr Otorhinolaryngol. 2013;77(8):1333-6.
• 7. Pandey RK, Mishra A. The incidence of facial injuries in children in Indian population: A retrospective study. J Oral Biol Craniofac Res. 2018;8(2):82-5.
• 8. Hoppe IC, Kordahi AM, Paik AM, Lee ES, Granick MS. Pediatric facial fractures as a result of gunshot injuries: an examination of associated injuries and trends in management. J Craniofac Surg. 2014;25(2):400-5.
• 9. Ferreira P, Barbosa J, Amarante J, Insua-Pereira I, Soares C, Silva A. Changes in the characteristics of facial fractures in children and adolescents in Portugal 1993–2012. Br J Oral Maxillofac Surg. 2015;53(3):251-6.
• 10. Barbosa KGN, de Macedo Bernardino Í, d’Avila S, e Ferreira EF, Ferreira RC. Systematic review and meta-analysis to determine the proportion of maxillofacial trauma resulting from different etiologies among children and adolescents. Oral Maxillofac Surg. 2017;21(2):131-45.
• 11. Rabbani CC, Kao R, Shin TJ, et al. The association of weather, temperature, and holidays on pediatric maxillofacial trauma. Laryngoscope Investig Otolaryngol. 2020;5(5):846-52.
• 12. Zhou H-H, Lv K, Li Z, Li Z-B. Maxillofacial injuries in pediatric patients. J Craniofac Surg. 2021;32(4):1476-9.
• 13. Imahara SD, Hopper RA, Wang J, Rivara FP, Klein MB. Patterns and outcomes of pediatric facial fractures in the United States: a survey of the National Trauma Data Bank. J Am Coll Surg. 2008;207(5):710-6.
• 14. Shaikh ZS, Worrall SF. Epidemiology of facial trauma in a sample of patients aged 1–18 years. Injury. 2002;33(8):669-71.
• 15. Zimmermann C, Troulis M, Kaban L. Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg. 2005;34(8):823-33.
• 16. Zhou W, An J, He Y, Zhang Y. Analysis of pediatric maxillofacial trauma in North China: Epidemiology, pattern, and management. Injury. 2020;51(7):1561-7.
• 17. Braun TL, Xue AS, Maricevich RS, editors. Facial Trauma: Differences in the Management of Pediatric Facial Trauma. Seminars in plastic surgery; 2017: Thieme Medical Publishers. 18. Chang L-T, Tsai M-C. Craniofacial injuries from slip, trip, and fall accidents of children. J Trauma. 2007;63(1):70-4.
• 19. Yunus SSM, Ngeow WC, Ramli R. Pediatric craniomaxillofacial injuries after road traffic crashes: characteristics of injuries and protective equipment use. Am J Emerg Med. 2015;33(9):1253-7.
• 20. Joachim M, Tuizer M, Araidy S, Abu El‐Naaj I. Pediatric maxillofacial trauma: Epidemiologic study between the years 2012 and 2015 in an Israeli medical center. Dent Traumatol. 2018;34(4):221-8.
• 21. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21 067 injuries. J Craniomaxillofac Surg. 2003;31(1):51-61.
• 22. Montovani JC, de Campos LMP, Gomes MA, de Moraes VRS, Ferreira FD, Nogueira EA. Etiology and incidence facial fractures in children and adults. Braz J Otorhinolaryngol. 2006;72(2):235-41.
• 23. Ferreira PC, Barbosa J, Amarante JM, Carvalho J, Rodrigues AG, Silva AC. Associated injuries in pediatric patients with facial fractures in Portugal: Analysis of 1416 patients. J Craniomaxillofac Surg. 2015;43(4):437-43.
• 24. AlAli AM, Ibrahim HH, Algharib A, Alsaad F, Rajab B. Characteristics of pediatric maxillofacial fractures in Kuwait: A single‐center retrospective study. Dental Traumat. 2021;37(4):557-61.