A CASE REPORT: SEVERE CRANIOFACIAL TRAUMA IN A PEDIATRIC PATIENT
Keywords:
Severe facial trauma, Facial injury, Facial reconstructionAbstract
Facial trauma is one of the main causes of patients visiting to the reconstructive plastic surgery specialist in third-level hospitals in Ecuador. Furthermore, it requires multidisciplinary management (craniofacial, maxillofacial surgery, and neurosurgery); the primary objective is to generate a functional and esthetic facial reconstruction of the patient. In this case, the clinical surgical management of a 2-year-old male patient suffering from severe facial trauma secondary to a traffic accident was a challenging facial reconstruction due to the age of the boy and the loss of several facial structures such as the right eyeball, occipital bone, and pan facial fractures. This case showed the management of pan facial fractures with fixation in inferior maxilla and the surgical procedures performed. The surgical procedure in infants is different to the adult because it has factors such as growth and development. Furthermore, due to the risk of facial deformities, facial injuries in children need to be managed taking in consideration the grown and development as well as anatomical, physiological, and psychological factors.
References
Gonzalez E, Pedemonte C, Vargas I, Lazo D, Pérez H, Canales M, et al. Facial fractures in a reference center for level I traumas: Descriptive study. Rev Esp Cir Oral Maxilofac 2015;37:65-70.
Singh RB, Prakash JV, Chaitan SN, Tandur PS, Kokate S. Maxillofacial injuries in the pediatric patient: An overview. World J Dent 2011;2:77-81.
Yadav V, Bansal P, Mittal A, Singh SK. Global regulatory aspects of wound care and burn dressings. Asian J Pharm Clin Res 2018;11:516-35.
Paul M. Facial injuries. In: McCarthy J, editor. Plastic Surgery. Vol. 2. 1990. p. 867.
Alvarez C, Sanchez R. Fracturas y procesos infecciosos en la cara. Radiología 2011;53:23-9.
Andres C, Allan M, Camila F, Hernan R, Alex V, Ignacio G, et al. Manejo del trauma maxilofacial en la atencion de urgencia por no especiaistas. Rev Med Chile 2017;145:1038-46.
Neira A, Eslava C. Manejo del trauma frontal. Revision de literatura y reporte de casos. Rev Med 2010;18:248-65.
Joseph JM, Glavas IP. Orbital fractures: A review. Clin Ophthalmol 2011;5:95-100.
Adam AA, Zhi L, Bing LZ, Xing WU. Evaluation of treatment of zygomatic bone and zygomatic arch fractures: A retrospective study of 10 years. J Maxillofac Oral Surg 2012;11:171-6.
DoÄžan MS, Maharani DA, Kusdhany LS, AdÄ°atman M, Yavuz I. Post-trauma root fracture in teeth with incomplete root development: A case report. Asian J Pharm Clin Res 2017;10:1-3.