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- W2045691412 abstract "The leading cause of death among children is trauma. Each year, 100,000 children are permanently disabled, and 15,000 die at a cost of $15 billion dollars annually.19 A manifestation of this epidemic is that occasionally children sustain severe injury of their face, requiring appropriate therapy. The management principles in the treatment of facial trauma are the same for all age groups; however, the techniques required for reconstruction for children must be modified to accommodate their developing anatomy, rapid healing, immature psychology, and their potential for deformity as a consequence of altered facial growth. In the past 20 years, the use of rigid fixation via well-concealed incisions has become routinely used for adult facial trauma patients; however, the applicability of these surgical techniques for children is controversial.3, 7, 8, 12, 14, 21 There is evidence that periosteal stripping may alter the growth of bone, and questions persist about the effects of implanted plates and screws on the growing face. The paradox in the treatment for these severe injuries is that the techniques necessary to accomplish a complete reconstruction may adversely affect the growth and development of the face. It is not entirely possible to resolve this dilemma; however, a rational approach to treatment can be formulated. This article highlights the contemporary management of facial trauma in children." @default.
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- W2045691412 date "1996-12-01" @default.
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- W2045691412 title "MANAGEMENT OF FACIAL TRAUMA IN CHILDREN" @default.
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- W2045691412 doi "https://doi.org/10.1016/s0031-3955(05)70518-6" @default.
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