Maxillofacial trauma of pediatric patients in Malaysia

A retrospective study from 1999 to 2001 in three hospitals

Roslan Abdul Rahman, Roszalina Ramli, Normastura Abdul Rahman, Haizal Mohd Hussaini, Sharifah Munirah AI Idrus, Abdul Latif Abdul Hamid

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective: Maxillofacial trauma in children is not common worldwide. Domestic injuries are frequently seen in younger children while older children are mostly involved in motor vehicle accidents (MVA). The objective of this study was to analyze the pattern of maxillofacial injuries in pediatric patients referred to three government main hospitals in different areas of West Malaysia. Methods: Patients' records of three selected hospitals in Malaysia (National University of Malaysia Hospital, Kajang Hospital and Seremban Hospital) from January 1999 to December 2001 were reviewed. Data associated with demographics, etiology of injury in relation to age group, type of injuries whether soft tissues of hard tissue in relation to age group and treatment modalities were collected. Results: A total of 521 pediatric patients' records were reviewed. Malays made up the majority of patients with maxillofacial injuries in the three hospitals. Males outnumbered females in all the three hospitals. Injuries commonly occur in the 11-16 years old. MVA was the most common etiology followed by fall and assault. Soft tissue injuries were the most common type of injuries in all the hospitals. In relation to fractures, mandible was the most common bone to fracture with condyle being the most common site. Orbital fracture was the most common fracture in the midfacial area. Most of the fractures were managed conservatively especially in the younger age groups. Open reduction with or without internal fixation was more frequently carried out in the 11-16 years old group. Conclusion: Children exhibit different pattern of clinical features depending on the etiology and stage of their bone maturation. A dedicated team, who is competent in trauma and aware of the unique anatomy, physical and psychological characteristics of children, should manage pediatric patient with trauma.

Original languageEnglish
Pages (from-to)929-936
Number of pages8
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume71
Issue number6
DOIs
Publication statusPublished - Jun 2007

Fingerprint

Malaysia
Retrospective Studies
Pediatrics
Wounds and Injuries
Maxillofacial Injuries
Soft Tissue Injuries
Age Groups
Motor Vehicles
Accidents
Orbital Fractures
Bone and Bones
Bone Fractures
Mandible
Anatomy
Demography
Psychology

Keywords

  • Malaysia
  • Maxillofacial trauma
  • Paediatric
  • Retrospective study
  • Three hospitals

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Maxillofacial trauma of pediatric patients in Malaysia : A retrospective study from 1999 to 2001 in three hospitals. / Rahman, Roslan Abdul; Ramli, Roszalina; Rahman, Normastura Abdul; Hussaini, Haizal Mohd; Idrus, Sharifah Munirah AI; Hamid, Abdul Latif Abdul.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 71, No. 6, 06.2007, p. 929-936.

Research output: Contribution to journalArticle

Rahman, Roslan Abdul ; Ramli, Roszalina ; Rahman, Normastura Abdul ; Hussaini, Haizal Mohd ; Idrus, Sharifah Munirah AI ; Hamid, Abdul Latif Abdul. / Maxillofacial trauma of pediatric patients in Malaysia : A retrospective study from 1999 to 2001 in three hospitals. In: International Journal of Pediatric Otorhinolaryngology. 2007 ; Vol. 71, No. 6. pp. 929-936.
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abstract = "Objective: Maxillofacial trauma in children is not common worldwide. Domestic injuries are frequently seen in younger children while older children are mostly involved in motor vehicle accidents (MVA). The objective of this study was to analyze the pattern of maxillofacial injuries in pediatric patients referred to three government main hospitals in different areas of West Malaysia. Methods: Patients' records of three selected hospitals in Malaysia (National University of Malaysia Hospital, Kajang Hospital and Seremban Hospital) from January 1999 to December 2001 were reviewed. Data associated with demographics, etiology of injury in relation to age group, type of injuries whether soft tissues of hard tissue in relation to age group and treatment modalities were collected. Results: A total of 521 pediatric patients' records were reviewed. Malays made up the majority of patients with maxillofacial injuries in the three hospitals. Males outnumbered females in all the three hospitals. Injuries commonly occur in the 11-16 years old. MVA was the most common etiology followed by fall and assault. Soft tissue injuries were the most common type of injuries in all the hospitals. In relation to fractures, mandible was the most common bone to fracture with condyle being the most common site. Orbital fracture was the most common fracture in the midfacial area. Most of the fractures were managed conservatively especially in the younger age groups. Open reduction with or without internal fixation was more frequently carried out in the 11-16 years old group. Conclusion: Children exhibit different pattern of clinical features depending on the etiology and stage of their bone maturation. A dedicated team, who is competent in trauma and aware of the unique anatomy, physical and psychological characteristics of children, should manage pediatric patient with trauma.",
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