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Laryngorhinootologie 2020; 99(03): 155-165
DOI: 10.1055/a-1071-2061
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Traumatologie des Gesichtsschädels im Kindesalter

Christian Freudlsperger
,
Jürgen Hoffmann
,
Oliver Ristow
Further Information

Publication History

Publication Date:
02 March 2020 (online)

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Zusammenfassung

Frakturen des Gesichtsschädels sind im Kindesalter aufgrund anatomischer Besonderheiten und unterschiedlicher Kausalitäten deutlich seltener als im Erwachsenenalter. Die Versorgung von sich im Wachstum befindlichen Gesichtsschädelknochen stellt den behandelnden Arzt oft vor eine große Herausforderung und setzt eine genaue Kenntnis der kindlichen Anatomie voraus. Oft bleiben mögliche spätere Wachstumsstörungen aufgrund des initialen Traumas, aber auch durch den chirurgischen Eingriff selbst schwer abzuschätzen. Kleine Patientenkollektive und die Notwendigkeit langfristiger Nachuntersuchungen erschweren zusätzlich evidenzbasierte Aussagen.

Abstract

Associated injuries are a common feature in pediatric facial fractures, which reinforce the importance of a complete initial assessment of a child with facial trauma.

Particular kinds of fracture tend to occur at specific anatomic sites in children, with the severity and extent of the fracture varying according to the patient’s age and the stage of skeletal development. The frequency of severe fractures increases with age, as does the frequency of surgically treated fractures. Maxillofacial surgical intervention is indicated only for the repair of severely displaced fractures that are likely to cause functional impairment, esthetic deformity, or both. The effect of treatment on long-term growth and development must be the cornerstone when choosing the optimal therapeutic option. While internal fixation is routinely used for adult facial trauma patients, the application of these surgical techniques in children is controversial as subperiosteal dissection might disturb the growth of the bone.

Schlüsselwörter

pädiatrische Frakturen - Unterkieferfrakturen - Gesichtsschädel - Mittelgesichtsfrakturen - Orbitabodenfrakturen - Schädelentwicklung

Key words

pediatric facial trauma - internal Fixation - maxillofacial trauma - orbital fractures - mandible fractures - facial growth
 

  • Literatur

  • 1 Morris C, Kushner GM, Tiwana PS. Facial skeletal trauma in the growing patient. Oral Maxillofac Surg Clin North Am 2012; 24: 351-364
    CrossrefPubMedGoogle Scholar
  • 2 Moss ML. The functional matrix hypothesis revisited. 1. The role of mechanotransduction. Am J Orthod Dentofacial Orthop 1997; 112: 8-11
    CrossrefPubMedGoogle Scholar
  • 3 Cole P, Kaufman Y, Hollier LH. Managing the pediatric facial fracture. Craniomaxillofac Trauma Reconstr 2009; 2: 77-83
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Gussack GS, Luterman A, Powell RW. et al. Pediatric maxillofacial trauma: unique features in diagnosis and treatment. Laryngoscope 1987; 97: 925-930
    PubMedGoogle Scholar
  • 5 Sgouros S, Goldin JH, Hockley AD. et al. Intracranial volume change in childhood. J Neurosurg 1999; 91: 610-616
    CrossrefPubMedGoogle Scholar
  • 6 Farkas LG, Posnick JC, Hreczko TM. Anthropometric growth study of the head. Cleft Palate Craniofac J 1992; 29: 303-308
    CrossrefPubMedGoogle Scholar
  • 7 Farkas LG, Posnick JC, Hreczko TM. et al. Growth patterns in the orbital region: a morphometric study. Cleft Palate Craniofac J 1992; 29: 315-318
    CrossrefPubMedGoogle Scholar
  • 8 Farkas LG, Posnick JC, Hreczko TM. Growth patterns of the face: a morphometric study. Cleft Palate Craniofac J 1992; 29: 308-315
    CrossrefPubMedGoogle Scholar
  • 9 Kao J, Sikora AT, Fu S. Dual EGFR and COX‑2 inhibition as a novel approach to targeting head and neck squamous cell carcinoma. Curr Cancer Drug Targets 2009; 9: 931-937
    PubMedGoogle Scholar
  • 10 Wolf G, Anderhuber W, Kuhn F. Development of the paranasal sinuses in children: implications for paranasal sinus surgery. Ann Otol Rhinol Laryngol 1993; 102: 705-711
    CrossrefPubMedGoogle Scholar
  • 11 Yavuzer R, Sari A, Kelly CP. et al. Management of frontal sinus fractures. Plast Reconstr Surg 2005; 115: 79e-93e
    CrossrefPubMedGoogle Scholar
  • 12 Brown WA, Molleson TI, Chinn S. Enlargement of the frontal sinus. Ann Hum Biol 1984; 11: 221-226
    CrossrefPubMedGoogle Scholar
  • 13 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
    CrossrefPubMedGoogle Scholar
  • 14 Gassner R, Tuli T, Hächl O. et al. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003; 31: 51-61
    CrossrefPubMedGoogle Scholar
  • 15 Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope 2003; 113: 102-106
    CrossrefPubMedGoogle Scholar
  • 16 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
    CrossrefPubMedGoogle Scholar
  • 17 Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 2006; 35: 2-13
    CrossrefPubMedGoogle Scholar
  • 18 Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 126-134
    CrossrefPubMedGoogle Scholar
  • 19 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
    CrossrefPubMedGoogle Scholar
  • 20 Holland AJ, Broome C, Steinberg A. et al. Facial fractures in children. Pediatr Emerg Care 2001; 17: 157-160
    CrossrefPubMedGoogle Scholar
  • 21 Gassner R, Tuli T, Hächl 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
    CrossrefPubMedGoogle Scholar
  • 22 Posnick JC. Management of facial fractures in children and adolescents. Ann Plast Surg 1994; 33: 442-457
    CrossrefPubMedGoogle Scholar
  • 23 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
    CrossrefPubMedGoogle Scholar
  • 24 Horswell BB, Istfan S. Child maltreatment. Oral Maxillofac Surg Clin North Am 2012; 24: 511-517
    CrossrefPubMedGoogle Scholar
  • 25 Mithani SK, St-Hilaire H, Brooke BS. et al. Predictable patterns of intracranial and cervical spine injury in craniomaxillofacial trauma: analysis of 4786 patients. Plast Reconstr Surg 2009; 123: 1293-1301
    CrossrefPubMedGoogle Scholar
  • 26 Thorén 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
    CrossrefPubMedGoogle Scholar
  • 27 Hatton MP, Watkins LM, Rubin PA. Orbital fractures in children. Ophthal Plast Reconstr Surg 2001; 17: 174-179
    CrossrefPubMedGoogle Scholar
  • 28 Alcalá-Galiano A, Arribas-García IJ, Martín-Pérez MA. et al. Pediatric facial fractures: children are not just small adults. Radiographics 2008; 28: 441-461
    CrossrefPubMedGoogle Scholar
  • 29 Kaban LB. Diagnosis and treatment of fractures of the facial bones in children 1943–1993. J Oral Maxillofac Surg 1993; 51: 722-729
    CrossrefPubMedGoogle Scholar
  • 30 Iizuka T, Thóren H, Annino jr DJ. et al. Midfacial fractures in pediatric patients. Frequency, characteristics, and causes. Arch Otolaryngol Head Neck Surg 1995; 121: 1366-1371
    CrossrefPubMedGoogle Scholar
  • 31 Wright RJ, Murakami CS, Ambro BT. Pediatric nasal injuries and management. Facial Plast Surg 2011; 27: 483-490
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Yilmaz MS, Guven M, Kabayasoglu G. et al. Efficacy of closed reduction for nasal fractures in children. Br J Oral Maxillofac Surg 2013; 51: e256-e258
    CrossrefPubMedGoogle Scholar
  • 33 Rohrich RJ, Adams WP. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000; 106: 266-273
    CrossrefPubMedGoogle Scholar
  • 34 Liau JY, Woodlief J, van Aalst JA. Pediatric nasoorbitoethmoid fractures. J Craniofac Surg 2011; 22: 1834-1838
    CrossrefPubMedGoogle Scholar
  • 35 Eppley BL. Use of resorbable plates and screws in pediatric facial fractures. J Oral Maxillofac Surg 2005; 63: 385-391
    CrossrefPubMedGoogle Scholar
  • 36 Hopper RA, Salemy S, Sze RW. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics 2006; 26: 783-793
    CrossrefPubMedGoogle Scholar
  • 37 Sires BS, Stanley RB, Levine LM. Oculocardiac reflex caused by orbital floor trapdoor fracture: an indication for urgent repair. Arch Ophthalmol 1998; 116: 955-956
    PubMedGoogle Scholar
  • 38 Ridgway EB, Chen C, Colakoglu S. et al. The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. Plast Reconstr Surg 2009; 124: 1578-1586
    CrossrefPubMedGoogle Scholar
  • 39 Proffit WR, Vig KW, Turvey TA. Early fracture of the mandibular condyles: frequently an unsuspected cause of growth disturbances. Am J Orthod 1980; 78: 1-24
    CrossrefPubMedGoogle Scholar
  • 40 Goth S, Sawatari Y, Peleg M. Management of pediatric mandible fractures. J Craniofac Surg 2012; 23: 47-56
    CrossrefPubMedGoogle Scholar
  • 41 Demianczuk AN, Verchere C, Phillips JH. The effect on facial growth of pediatric mandibular fractures. J Craniofac Surg 1999; 10: 323-328
    CrossrefPubMedGoogle Scholar
  • 42 Smartt JM, Low DW, Bartlett SP. The pediatric mandible: I. A primer on growth and development. Plast Reconstr Surg 2005; 116: 14e-23e
    CrossrefPubMedGoogle Scholar
  • 43 Freudlsperger C, Castrillon-Oberndorfer G, Baechli H. et al. The value of ultrasound-assisted pinned resorbable osteosynthesis for cranial vault remodelling in craniosynostosis. J Craniomaxillofac Surg 2014; 42: 503-507
    CrossrefPubMedGoogle Scholar