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KMID : 0390220000110010098
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 1 p.98 ~ p.103
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A Clinical Study of Intraoral Trauma in Children
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유명종/Myoung Jong Yoo
석상렬/김학선/조우령/박병원/김서규/김명구/Sang Ryeol Seok/Hak Son Kim/Woo Ryeong Cho/Byung Weon Park/Seu Gyu Kim/Myung Gu Kim
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Abstract
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Background and Objectives : Accidental intraoral trauma is a common problem in the pediatric populations.
Although they have few complications relatively, slight injuries with minor soft-tissue trauma would be
associated with severe complications depending on their sites. Materials and Methods : We retrospectively
reviewed the charts of 137 children who visited to the otorhinolaryngology department of Masan Samsung
Hospital, from Masan , 1994 to February, 1999 and who were diagnosed as having intraoral trauma. The
patients were analyzed into injury site, distribution of sex, age, arrival time after injury, and the causing
implements. Results: The sex ration of male to female was 2.3:1. The most common site of injury was mid-
soft palate area(37.2%). The age of patient was varied from 3 months to 15 years old, with the average of 4.3
years old (majorities were below 6 years old). The arrival time after injury was not beyond 3 hours mostly.
Causing materials were plastic playthings(41 cases), wooden or metal sticks (26 cases), and chopsticks(10 cases)
etc. Otherwise, there were tongue lacerations(19 cases) that resulted from a slip. None of the patients
experienced severe complication, suchas internal carotid artery thrombosis. Conclusion : Intraoral injuries in
the pediatric population have few complications, but they require increased concern about potenial
neurovascular impairment. Care should be taken during the examination to identify any neurological problems
that may not relate to the degree of injury. Conservative management can be entertained if no abnormal
neurologic findings are noted.
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KEYWORD
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