title: Changing pattern of pediatric maxillofacial injuries at the Accident and Emergency Department of the University Teaching Hospital, Ibadan--a four-year experience.
abstract: BACKGROUND
  Maxillofacial injuries are common among polytraumatized patients, and in Nigeria, the incidence seems to be on the increase. This probably is related to the drive of industrialization and the increase in the number of road traffic accidents. Delays in attending to severe maxillofacial injuries can be grave because of concomitant injuries that can be life threatening.
  
  
  METHODS
  This is a prospective review of maxillofacial injuries in patients less than or equal to 16 years of age who were seen at the Accident and Emergency Department between October 2002 and December 2006. In all the patients, the accident and emergency physicians carried out initial resuscitation, and thereafter, they were referred to the maxillofacial unit on call.
  
  
  RESULTS
  A total of 611 patients with maxillofacial injuries were seen during the study period and of this, 134 (22%) were less than or equal to 16 years old. The male:female ratio was 1.1:1.0. Road traffic accident (RTA) was the most common etiological factor in 73 (54.5%) cases, while gunshot injuries accounted for 6 (4.4%) cases. Soft tissue lacerations were the most common maxillofacial injuries occurring in 90 (55.9%) cases; mandibular fractures were the most common bony injury in 17 (13.4%).
  
  
  CONCLUSIONS
  The upsurge in maxillofacial gunshot injuries in the pediatric age group is alarming and this may be a reflection of the global changes (westernization and drug-related offenses like armed robberies) and the harsh economic conditions in this community.
authors.affiliation: College of Medicine, University of Ibadan. vnokoje@yahoo.com
authors.forename: Victoria N
authors.initials: VN
authors.lastname: Okoje
authors.forename: Temitope O
authors.initials: TO
authors.lastname: Alonge
authors.forename: Olufemi A
authors.initials: OA
authors.lastname: Oluteye
authors.forename: Obafunke O
authors.initials: OO
authors.lastname: Denloye
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000059:Accidents / Q000706:statistics & numerical data*; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008446:Maxillofacial Injuries / Q000453:epidemiology*; D009549:Nigeria / Q000453:epidemiology; D010372:Pediatrics / Q000706:statistics & numerical data* / Q000639:trends; D011446:Prospective Studies; D017695:Soft Tissue Injuries / Q000453:epidemiology; D013997:Time Factors; D014948:Wounds, Gunshot / Q000453:epidemiology