Pediatric Le Fort, Zygomatic, and Naso-Orbito-Ethmoid Fractures

Aparna Bhat; Rachel Lim; Mark A Egbert; Srinivas M Susarla

doi:10.1016/j.coms.2023.04.004

Pediatric Le Fort, Zygomatic, and Naso-Orbito-Ethmoid Fractures

Oral Maxillofac Surg Clin North Am. 2023 Nov;35(4):563-575. doi: 10.1016/j.coms.2023.04.004. Epub 2023 Jun 9.

Authors

Aparna Bhat¹, Rachel Lim¹, Mark A Egbert², Srinivas M Susarla³

Affiliations

¹ Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA.
² Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Department of Surgery, Division of Plastic Surgery, University of Washington School of Medicine, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98015, USA.
³ Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Department of Surgery, Division of Plastic Surgery, University of Washington School of Medicine, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98015, USA. Electronic address: Srinivas.susarla@seattlechildrens.org.

PMID: 37302948
DOI: 10.1016/j.coms.2023.04.004

Abstract

Fractures of the pediatric midface are infrequent, particularly in children in the primary dentition, due to the prominence of the upper face relative to the midface and mandible. With downward and forward growth of the face, there is an increasing frequency of midface injuries seen in children in the mixed and adult dentitions. Midface fracture patterns seen in young children are quite variable; those in children at or near skeletal maturity mimic patterns seen in adults. Non-displaced injuries can typically be managed with observation. Displaced fractures require treatment with appropriate reduction and fixation and longitudinal follow-up to evaluate growth.

Keywords: Le Fort fracture; Naso-orbito-ethmoid fracture; Pediatric facial trauma; Zygomaticomaxillary complex fracture.

Publication types

Review

MeSH terms

Adult
Child
Child, Preschool
Humans
Mandible
Maxillary Fractures* / diagnostic imaging
Maxillary Fractures* / surgery
Skull Fractures* / diagnostic imaging
Skull Fractures* / surgery
Tomography, X-Ray Computed
Zygomatic Fractures* / diagnostic imaging
Zygomatic Fractures* / surgery