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Maxillofacial Trauma And Pathology Among Paediatric Patients - A Retrospective Institutional Experience
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| Author:
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SHIVANGI GAUR, MADHULAXMI M, HEMAVATHY O R
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| Abstract:
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Maxillofacial trauma and pathology are infrequent in the paediatric population. Maxillofacial trauma in the paediatric age group is mostly due to unintentional injuries like falls, sports injuries and child abuse. Odontogenic lesions are tumors and cysts that have a wide range of distribution across all age groups. Due to a relatively rare occurrence in children, there has been a conspicuous paucity in literature on specific demographics of the two. This study aims to analyse the frequency of different odontogenic lesions and maxillofacial trauma in relation to the site of distribution, age of presentation, gender and treatment done from a retrospective point of view in the paediatric age group reporting to our institution during the period June 2019 - March 2020. 126 paediatric patients were treated in the department of oral and maxillofacial surgery under general anesthesia. After data analysis and taking into consideration the inclusion and exclusion criteria, a total of 17 case sheets were identified to meet the needs of the study. 52.94% (n = 9) were pathological lesions, out of which 44.44% were odontogenic cysts and 55. 56% were odontogenic tumors. The remaining 47.05% (n = 8) cases were of maxillofacial trauma, where isolated fractures of mandible were seen more frequently than maxillary fractures. Frequency distribution of pediatric maxillofacial pathology and trauma in this study were similar to those in existing literature. However, the treatment modality employed for cases of paediatric trauma was varied. Pediatric mandibular trauma management was open reduction internal fixation with plates and screws versus the circummandibular wiring or conservative methods more suggested. The reasons for the altered treatment approach was more prevalence of severe trauma and displaced fracture segments in trauma cases. Cystic lesions were most common pathology and usually treated by enucleation or marsupialization in accordance with many earlier existing studies.
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| Keyword:
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Paediatrics; Trauma; Odontogenic tumors; Odontogenic cysts; Maxillofacial
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.264
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| Download:
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