Pediatric Facial Trauma: Clinical Considerations for Radiologists and Dentists

Amr Ahmed Mostafa (1), Yahya Ali Zarei (2), Bader Abdullah Helal Alharbi (3), Ali Mohammad Mousa Ayash (4), Laila Hassan Abdullah Alsalman (5), Alean Mnawer A. Almuteri (6), Majed Salamah Alhawiti (7), Mohammed Dhaifallah Aloqayli (8), Saad Mushabbab Saad Alqadham (9), Atheer Abdullah Alnaim (10), Alanazi, Omar Abdullah M (1), Abdullah Gharamah Ayed Alasmari (11), Abdullah Hassan Asaad Alfaifi (12), Abdullah Fehaid Alruqi (13), Abdullah Waleed Jafar (14)
(1) King Salman Specialist Hospital, Hail,Ministry of Health, Saudi Arabia,
(2) Baish General Hospital – Jazan,Ministry of Health, Saudi Arabia,
(3) Wadi Al-Dawasir General Hospital,Ministry of Health, Saudi Arabia,
(4) Al Aridah Primary Health Care Center,Ministry of Health, Saudi Arabia,
(5) Muzahmiyah General Hospital, Ministry of Health, Saudi Arabia,
(6) Prince Salman bin Mohammed Hospital – Dalam,Ministry of Health, Saudi Arabia,
(7) Special Security Forces,Ministry of Health, Saudi Arabia,
(8) Eradah and Mental Health Hospital – Jazan,Ministry of Health, Saudi Arabia,
(9) General Administration of Health Programs and Chronic Diseases,Ministry of Health, Saudi Arabia,
(10) Al-Khalidiyah Primary Health Care Center, Al-Qassim, Al-Mithnab,Ministry of Health, Saudi Arabia,
(11) Diriyah Hospital – Riyadh,Ministry of Health, Saudi Arabia,
(12) Faifa General Hospital,Ministry of Health, Saudi Arabia,
(13) King Fahd Hospital In Madinah, Ministry of Health, Saudi Arabia,
(14) King Fahd Hospital, Madinah, Ministry of Health,, Saudi Arabia

Abstract

Background: Pediatric facial trauma is a major component of childhood injuries, with soft tissue lacerations, contusions, and dental trauma representing the most common presentations. Unique anatomical and developmental characteristics in children influence injury patterns, diagnostic approaches, and management priorities.


Aim: To summarize key clinical considerations in the evaluation, diagnosis, and management of pediatric facial soft tissue injuries, emphasizing age-specific factors and multidisciplinary care.


Methods: This narrative review examines current evidence regarding the etiology, epidemiology, clinical assessment, imaging indications, and treatment strategies for pediatric facial trauma. It integrates data from clinical studies, expert guidelines, and multidisciplinary practice recommendations.


Results: Findings demonstrate that most pediatric facial injuries are minor soft tissue wounds; fractures occur less frequently due to skeletal elasticity. Effective management requires careful history-taking, thorough physical examination, judicious imaging, and child-centered pain control. Optimal outcomes depend on meticulous wound care, appropriate use of anesthesia or sedation, and timely specialist involvement for complex injuries. Preventive strategies—including safety equipment and caregiver education—significantly reduce injury risk.


Conclusion: Pediatric facial trauma generally carries a favorable prognosis with proper evaluation and timely management. A structured, age-sensitive approach supports functional recovery, minimizes complications, and enhances long-term cosmetic outcomes.

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Authors

Amr Ahmed Mostafa
amamostafa@moh.gov.sa (Primary Contact)
Yahya Ali Zarei
Bader Abdullah Helal Alharbi
Ali Mohammad Mousa Ayash
Laila Hassan Abdullah Alsalman
Alean Mnawer A. Almuteri
Majed Salamah Alhawiti
Mohammed Dhaifallah Aloqayli
Saad Mushabbab Saad Alqadham
Atheer Abdullah Alnaim
Alanazi, Omar Abdullah M
Abdullah Gharamah Ayed Alasmari
Abdullah Hassan Asaad Alfaifi
Abdullah Fehaid Alruqi
Abdullah Waleed Jafar
Mostafa, A. A., Yahya Ali Zarei, Bader Abdullah Helal Alharbi, Ali Mohammad Mousa Ayash, Laila Hassan Abdullah Alsalman, Alean Mnawer A. Almuteri, … Abdullah Waleed Jafar. (2024). Pediatric Facial Trauma: Clinical Considerations for Radiologists and Dentists. Saudi Journal of Medicine and Public Health, 1(2), 2061–2071. https://doi.org/10.64483/202412582

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