62 / 232
for intracranial injuries and cervical spine fractures. A lower GCS
on presentation portends a higher association with cervical spine in-
jury and intracranial hemorrhage. The failure to identify these asso-
ciated and serious injuries could have disastrous consequences, and
every practitioner involved in treating facial fractures must be aware
of this risk.
REFERENCES
1. Vyas RM, Dickinson BP, Wasson KL, et al. Pediatric facial fractures:
current national incidence, distribution, and health care resource use.
J Craniofac Surg
2008;19:339
–
349
2. Ferreira PC, Amarante JM, Silva PN, et al. Retrospective study of
1251 maxillofacial fractures in children and adolescents.
Plast Reconstr
Surg
2005;115:1500
–
1508
3. Afrooz PN, Grunwaldt LJ, Zanoun RR, et al. Pediatric facial fractures:
occurrence of concussion and relation to fracture patterns.
J Craniofac
Surg
2012;23:1270
–
1273
4. Grunwaldt L, Smith DM, Zuckerbraun NS, et al. Pediatric facial
fractures: demographics, injury patterns, and associated injuries in 772
consecutive patients.
Plast Reconstr Surg
2011;128:1263
–
1271
5. Imahara SD, Hopper RA, Wang J, et al. Patterns and outcomes of
pediatric facial fractures in the United States: a survey of the National
Trauma Data Bank.
J Am Coll Surg
2008;207:710
–
716
6. Gassner R, Tuli T, Hachl O, et al. Craniomaxillofacial trauma in
children: a review of 3,385 cases with 6,060 injuries in 10 years.
J Oral Maxillofac Surg
2004;62:399
–
407
7. Thoren H, Schaller B, Suominen AL, et al. Occurrence and severity of
concomitant injuries in other areas than the face in children with
mandibular and midfacial fractures.
J Oral Maxillofac Surg
.
2012;70:92
–
96
8. Thaller SR, Mabourakh S. Pediatric mandibular fractures.
Ann Plast Surg
1991;26:511
–
513
9. Eggensperger Wymann NM, Holzle A, Zachariou Z, et al. Pediatric
craniofacial trauma.
J Oral Maxillofac Surg
2008;66:58
–
64
10. Grisoni ER, Pillai SB, Volsko TA, et al. Pediatric airbag injuries: the
Ohio experience.
J Pediatr Surg
2000;35:160
–
162
11. Holland AJ, Broome C, Steinberg A, et al. Facial fractures in children.
Pediatr Emerg Care
2001;17:157
–
160
12. Kim SH, Lee SH, Cho PD. Analysis of 809 facial bone fractures in a
pediatric and adolescent population.
Arch Plast Surg
2012;39:606
–
611
13. MacIsaac ZM, Berhane H, Cray JJr, et al. Nonfatal sport-related
craniofacial fractures: characteristics, mechanisms, and demographic
data in the pediatric population.
Plast Reconstr Surg
2013;
131:1339
–
1347
14. Mericli AF, DeCesare GE, Zuckerbraun NS, et al. Pediatric craniofacial
fractures due to violence: comparing violent and nonviolent mechanisms
of injury.
J Craniofac Surg
2011;22:1342
–
1347
15. Lee KF, Wagner LK, Lee YE, et al. The impact-absorbing effects of
facial fractures in closed-head injuries. An analysis of 210 patients.
J Neurosurg
1987;66:542
–
547
16. Keenan HT, Brundage SI, Thompson DC, et al. Does the face protect the
brain? A case
–
control study of traumatic brain injury and facial
fractures.
Arch Surg
1999;134:14
–
17
17. Munante-Cardenas JL, Olate S, Asprino L, et al. Pattern and treatment
of facial trauma in pediatric and adolescent patients.
J Craniofac Surg
2011;22:1251
–
1255
18. Singh G, Mohammad S, Pal US, et al. Pediatric facial injuries: it
’
s
management.
Natl J Maxillofac Surg
2011;2:156
–
162
19. Qing-Bin Z, Zhao-Qiang Z, Dan C, et al. Epidemiology of maxillofacial
injury in children under 15 years of age in southern China.
Oral Surg
Oral Med Oral Pathol Oral Radiol
2013;115:436
–
441
The Journal of Craniofacial Surgery
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Volume 25, Number 5, September 2014
© 2014 Mutaz B. Habal, MD
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