Paediatric mandibular fracture-a diagnostic challenge?

International Journal of Oral and Maxillofacial Surgery
L KannariJ Snäll

Abstract

The purpose of this study was to clarify the frequency of missed mandibular fractures and to identify possible predictive factors for missed diagnosis. This was a retrospective study that included patients <20 years of age with a recent mandibular fracture. The outcome variable was missed mandibular fracture, which was determined when a fracture was not suspected or diagnosed during the patient's first assessment in primary healthcare. The primary predictor variable was age group (i.e. children <13 years or teenagers/adolescents aged 13-19 years). The explanatory variables were sex, mechanism of injury, and type of facial facture. Other variables were clinical symptoms and findings. Mandibular fracture was missed at first contact in 27 of 182 patients (14.8%). Fracture was missed significantly more often in patients <13 years than in older patients (33.3% vs. 8.8%, P<0.001). The only significant symptom or clinical finding that was associated with missed fractures was skin wound of the jaw (P=0.009). There was no association between missed fracture and sex or mechanism of injury. Mandibular fractures in children are often missed at the first healthcare contact. Careful examination is necessary in paediatric mandibular injuries,...Continue Reading

References

Oct 1, 1992·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·H ThorénC Lindqvist
Feb 21, 1998·Australian Dental Journal·G Dimitroulis
Feb 3, 1999·Clinical Oral Investigations·M Zerfowski, A Bremerich
May 26, 2005·The Journal of Craniofacial Surgery·Forrest S RothChristopher S Hollenbeak
Mar 24, 2010·American Journal of Physical Anthropology·S J AlQahtaniH M Liversidge
Mar 2, 2012·Craniomaxillofacial Trauma & Reconstruction·Jonathan Wheeler, John Phillips
Nov 11, 2014·Craniomaxillofacial Trauma & Reconstruction·Paolo BoffanoTymour Forouzanfar
May 27, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Paul N AfroozJulio A Clavijo-Alvarez
Nov 26, 2015·Plastic and Reconstructive Surgery·Ali GhasemzadehAmir H Dorafshar
Apr 5, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Al Haitham Al ShetawiStephen M Blumberg
Feb 9, 2017·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Marcelo S MonnazziAlexandre E Trivellato
May 13, 2017·Seminars in Plastic Surgery·Brent B PickrellRenata S Maricevich
Jan 31, 2018·The Journal of Craniofacial Surgery·Rajarshi Ghosh, Kulandaswamy Gopalkrishnan
Apr 6, 2018·Journal of Maxillofacial and Oral Surgery·Rajarshi GhoshJawahar Anand
Jun 13, 2018·Journal of Oral Biology and Craniofacial Research· AshrafullahApurva Mishra
Sep 21, 2018·The Journal of Craniofacial Surgery·Hongwei WangLiangbi Xiang
Jan 15, 2019·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Santanu Mukhopadhyay
May 12, 2019·Radiologic Clinics of North America·Michael P George, Sarah Bixby
Jun 21, 2019·Journal of Pediatric Orthopedics·Massimiliano DragoniMarta Salom

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