Trauma is a significant cause of morbidity and death in children. Trauma to the head is the most common anatomic site, and while facial fractures are infrequent, they can be severe and have life-long consequences.
Younger patients have more elastic cartilaginous and bony structures in the face and a larger cranium: face ratio; thus, fractures in very young children are rare. The growth patterns of the face dictate age-specific fracture patterns that differ from adults.
Though isolated facial fractures can occur, concurrent traumatic injuries to other nearby sites must always be considered, including injuries affecting the head, eyes, brain, neck, and airway.
This discussion highlights the pediatric-specific issues in the initial evaluation of facial fractures as these related topics are covered in detail in other StatPearls sections:
Pediatric Facial Trauma
Pediatric Abusive Head Trauma
Pediatric Head Trauma
Pediatric Skull Fractures
Nasal (Nasoorbitoethmoid) Fracture
Nasal Septal Fracture
Nasal Fracture Reduction
Le Fort Fractures
Frontal Sinus Fractures
Maxillary Sinus Fracture
Zygomatic Arch Fracture
Mandible Fracture
Basilar Skull Fractures
Traumatic Brain Injury
Tooth Fracture
Avulsed Tooth
Penetrating Head Trauma
Facial Nerve Trauma
Blunt Eye Trauma
Globe Rupture
Orbital Floor (Blowout) Fracture
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