Accepted Manuscript Associated injuries in pediatric patients with facial fractures in Portugal: Analysis of 1416 patients Pedro Costa Ferreira, MD, Joselina Barbosa, MPH, José Manuel Amarante, MD, PhD, Jorge Carvalho, MD, Acácio Gonçalves Rodrigues, MD, PhD, Álvaro Catarino Silva, MD PII:

S1010-5182(15)00018-9

DOI:

10.1016/j.jcms.2015.01.008

Reference:

YJCMS 1958

To appear in:

Journal of Cranio-Maxillo-Facial Surgery

Received Date: 21 June 2014 Revised Date:

14 January 2015

Accepted Date: 15 January 2015

Please cite this article as: Ferreira PC, Barbosa J, Amarante JM, Carvalho J, Rodrigues AG, Silva ÁC, Associated injuries in pediatric patients with facial fractures in Portugal: Analysis of 1416 patients, Journal of Cranio-Maxillofacial Surgery (2015), doi: 10.1016/j.jcms.2015.01.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

ACCEPTED MANUSCRIPT Complete title of article:

Associated injuries in paediatric patients with facial fractures in Portugal:

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Analysis of 1416 patients

Authors’ names: Pedro Costa Ferreira, MD1 Joselina Barbosa, MPH2

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José Manuel Amarante, MD, PhD1

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Jorge Carvalho, MD1 Acácio Gonçalves Rodrigues, MD, PhD1,3 Álvaro Catarino Silva, MD1

attributed: 1Department

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Name and address of the department or institution to which the work should be

of Plastic Reconstructive, Aesthetic, Maxillofacial Surgery and Burn Unit, Centro

Hospitalar de São João, Porto Medical School, Porto, Portugal for Medical Education, Porto Medical School, Porto, Portugal of Microbiology, Porto Medical School, Porto, Portugal

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3Department

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2Center

Alameda Professor Hernâni Monteiro 4202-451 Porto, Portugal. Tel.: +351 225 512 100

Key Words Associated injuries, pediatric facial fractures.

ACCEPTED MANUSCRIPT Name and address of the corresponding author: Pedro Manuel Costa Ferreira Rua João Rosa nº 52, Habitação D72

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4460-189 Senhora da Hora, Portugal Tel: ++351 912003635

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Conflict of Interest: None declared

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e-mail: [email protected]

ACCEPTED MANUSCRIPT

Associated injuries in pediatric patients with facial fractures in Portugal: Analysis of 1416 patients Background: The authors performed a retrospective study to clarify the occurrence, causes,

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severity and predictors of concomitant injuries in pediatric patients with facial fractures in Portugal.

Methods: The clinical records of children and adolescents (0 to 18 years) with facial fractures treated by the Department of Plastic, Reconstructive, and Aesthetic Surgery and of

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Maxillofacial Surgery of São João Hospital, in Porto, Portugal, over a period of 20 years (1993–

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2012) were reviewed.

Results: A total of 1416 patients with facial fractures were included in this study. Concomitant injuries were observed in 1015 (71.7%) patients. No significant associations were found between sex and concomitant injury. Head and neck injuries other than facial fractures occurred in 962 patients (67.7%), lower limb injuries in 122 (8.6%), upper limb injuries in 115

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(8.1%), thoracic injuries in 89 (6.3%) and abdominal injuries in 47 (3.3%). Concomitant injuries occurred more frequently after motor vehicle accidents (car accident, motorcycle accident and

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car–pedestrian accident) compared with other etiologies (p