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Kevin D. Pereira, MD, MS(ORL); Brian S. Wang, MD, MPH; Benjamin D. Webb, MD

Arch Otolaryngol Head Neck Surg. 2005;131:158-162.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Penetrating trauma to the pediatric craniofacial skeleton, though uncommon, often presents a diagnostic and management dilemma in emergency departments and trauma centers because of the variety and complexity of potential injuries, some of which can be life-threatening. A study of all pediatric trauma patients over a 15-year period shows that the incidence of this type of injury is approximately 1% to 2%.¹ Therefore it is very likely that otolaryngologists, maxillofacial surgeons, and emergency department physicians, especially those working in tertiary referral centers, will encounter these patients.

Children are at greater risk than adults for central nervous system, ocular, and major vascular injury from penetrating trauma to the craniofacial skeleton because of their increased craniofacial ratio, lower facial bone density and thickness, and underdeveloped paranasal sinuses.^2-3 Despite this increased risk, significant morbidity and mortality are relatively infrequent . . . [Full Text of this Article]

REPORT OF CASES

CASE 1

CASE 2

CASE 3

COMMENT

AUTHOR INFORMATION

Author Affiliations: The Department of Otolaryngology–Head and Neck Surgery, The University of Texas–Houston Medical School, Houston.

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