Pantelas Georgiosa, Dimitriou Rafaellosb, Salloumis Mariosc
aGeneral Hospital Nicosia, Clinic of Oral and Maxillofacial Surgery, Cyprus + European University Cyprus, School of Dentistry, Nicosia, Cyprus
bPrivate practice, Cyprus + European University Cyprus, School of Dentistry, Nicosia, Cyprus
cGeneral Hospital Nicosia, Clinic of Oral and Maxillofacial Surgery, Cyprus
Abstract
Facial fractures are considered infrequent and scarce between paediatric patients. From the total percentage of facial fracture incidents, children younger than 5 years account for approximately 1% and is even lower in younger ages. What is more, midfacial fractures are much rarer, with zygomatic fractures being so uncommon in young children that no case of a child younger than 3 years experiencing such a fracture exists in the literature. Case Report: In this report we present the case of a 15-month-old girl, who was examined in the Oral and Maxillofacial Department, General Hospital of Nicosia. The patient had been in a car accident which led to a zygomatic fracture on the right side. This was confirmed with a computed tomography followed by a closed reduction surgery with the aid of intraoperative ultrasonography. The reduction was controlled three days postoperatively with a planned MRI and the results correlated with the ultrasonography. The patient made an uneventful recovery. Conclusions: To the best of our knowledge, after an extensive review of the literature, no similar case report with a patient of this young age exists. The reasons for the rarity of these fractures in the paediatric population are discussed together with the step by step management.
Keywords: children midfacial fractures; facial fractures; maxillofacial trauma; paediatric zygomatic fractures
Reference
Bilgen, F., Ural, A., Bekerecioğlu, M. (2019) Our treatment approach in pediatric Maxillofacial traumas. Journal of Craniofacial Surgery, 30(8): 2368-2371
Defazio, M.V., Fan, K.L., Avashia, Y.J., Danton, G.H., Thaller, S.R. (2013) Fractures of the pediatric zygoma: A review of the clinical trends, management strategies, and outcomes associated with zygomatic fractures in children. J Craniofac Surg, 24 (6): 1891-1897
Eswari, J., Ravindran, C., Deepak, C. (2022) Intraoperative use of Ultrasonography in the reduction of Zygomatico-Maxillary Complex Fractures. Craniomaxillofacial Trauma & Reconstruction, 15(3): 229-236
Ferreira, P., Barbosa, J., Amarante, J., Insua-Pereira, I., Soares, C., Silva, Á. (2015) Changes in the characteristics of facial fractures in children and adolescents in Portugal 1993-2012. Br J Oral Maxillofac Surg, 53 (3): 251-256, Epub 2015 Jan 2
Fujisawa, K., Suzuki, A., Yamakawa, T., Onishi, F., Minabe, T. (2020) Pediatric-specific Midfacial fracture patterns and management: Pediatric versus adult patients. Journal of Craniofacial Surgery, 31(3): e312-e315
Lee, C.Y., Kim, C.H. (2022) A vertically split fracture of the marginal tubercle of the zygoma in a 3-year-old boy: A case report. Archives of Craniofacial Surgery, 23(6): 274-277
Muñante-Cárdenas, J.L., Olate, S., Asprino, L., de Albergaria, B.J.R., de Moraes, M., Moreira, R.W. (2011) Pattern and treatment of facial trauma in pediatric and adolescent patients. J Craniofac Surg, 22 (4): 1251-1255
Naran, S., Macisaac, Z., Katzel, E., Bykowski, M., Shakir, S., Goldstein, J., et al. (2016) Pediatric Craniofacial fractures: Trajectories and ramifications. J Craniofac Surg, 27 (6): 1535-1538
Ricci, J.A., Tran, B.N.N., Ruan, Q.Z., Lin, S.J., Singhal, D., Lee, B.T. (2018) Comparing head and facial computed tomographic imaging in identifying operative facial fractures. Annals of Plastic Surgery, 80(4): S219-S222
Balkan Journal of Dental Medicine, 2024, vol. 28, br. 1, str. 80-83