Evidence map›Paper›PMID 33613832›Full record

ArticleCraniomaxillofacial trauma & reconstruction2021

Pediatric Palate Fractures: An Assessment of Patterns and Management at a Level 1 Trauma Center.

Zachary Gala, Jordan N Halsey, Kavita Kapadia, Lauren Otaguro, Ian C Hoppe, Edward S Lee, Mark S Granick

Open access · bronzeAbstract read
In one paragraph

Article in Craniomaxillofacial trauma & reconstruction, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Zachary GalaDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.ORCID https://orcid.org/0000-0001-7425-4482
Jordan N HalseyDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.ORCID https://orcid.org/0000-0001-5513-5162
Kavita KapadiaDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Lauren OtaguroDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Ian C HoppeDivision of Plastic Surgery, University of Mississippi College of Medicine, Jackson, MS, USA.
Edward S LeeDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Mark S GranickDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Rutgers, The State University of New Jersey · USUniversity of Mississippi · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designLiterature discussing palate fractures in the pediatric population is limited. We performed a retrospective review of pediatric palatal fractures at our institution to better understand the impact of this fracture pattern in the pediatric patient.

objectivesThe goal of our study is to analyze our institutional experience with pediatric palate fractures, focusing on epidemiology, concomitant injuries, and fracture management.

methodsRecords were collected for all palatal fractures in pediatric patients diagnosed between 2000 and 2016 at an urban Level I trauma center. Patient imaging was reviewed. Demographic characteristics and inpatient clinical data were recorded.

resultsNine pediatric patients were diagnosed with fracture of the bony palate. Average age was twelve with male predominance (66%). Pedestrian struck injuries (33%) and motor vehicle accidents (33%) were the most common etiologies. Five patients sustained skull fractures. Three patients were found to have intracranial hemorrhage, two required emergent bolt placement. Two patients sustained cervical spine injury. One patient had severe facial hemorrhage requiring embolization. According to the Hendrickson classification, there were three type I fractures, two type II fractures, one type III fracture, one type IV fracture, and one type V fracture. Lefort I and/or alveolar fracture was present in every patient. Four patients underwent surgical treatment with open reduction and restoration of facial height with maxillomandibular fixation. Three patients underwent concomitant mandible fracture repair.

conclusionsPediatric palatal fractures are rare and are usually accompanied by devastating concomitant injuries. Surgical repair of the palate in the pediatric patient is often necessary to restore facial height.

Indexed as

managementpalate fracturespediatrictrauma

Identifiers

PMID33613832
PMCPMC7868506
OpenAlexW3041782290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.