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Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
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Article

Analyzing Epidemiology and Hospital Course Outcomes of LeFort Fractures in the Largest National Pediatric Trauma Database

by
Sofia Perez Otero
,
Michael F. Cassidy
,
Kerry A. Morrison
,
Hilliard T. Brydges
,
John Muller
,
Roberto L. Flores
and
Daniel J. Ceradini
*
Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 222 East 41st Street, 22nd Floor, New York, NY 10017, USA
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2024, 17(4), 52; https://doi.org/10.1177/19433875241262616
Submission received: 1 November 2023 / Revised: 1 December 2023 / Accepted: 1 January 2024 / Published: 21 June 2024

Abstract

Study Design: Retrospective observational study. Objective: This study analyzes the epidemiology of pediatric Le Fort fractures and assesses the incidence of concomitant injuries and acute-level hospital course using the largest, national pediatric trauma database to date. Methods: Pediatric midface and Le Fort fractures from 2016–2019 were identified in the National Trauma Data Bank. Descriptive analyses of Le Fort compared to non-Le Fort midface fractures were performed. Multivariable regression assessed whether Le Fort fractures were risk factors for ICU admission, intracranial injury, cervical spine (C-spine) fracture, tracheostomy, and mortality. Results: A total of 1489 patients with Le Fort fractures were identified. There were 520 Le Fort I, 632 Le Fort II, and 609 Le Fort III fractures. Fracture incidence increased with age. Le Fort fractures showed higher rates of concomitant intracranial injury (p < 0.001), ICU admission (p < 0.001), C-spine fracture (p < 0.001), and tracheostomy (p < 0.001). Incidence of all the above increased with higher-grade Le Fort fractures. Le Fort III fractures had higher rates of mortality than non-Le Fort midface fractures (7.6% vs 3.2%). Multivariable regression showed that all Le Fort patterns were independent risk factors for tracheostomy and ICU admission, but only Le Fort I for C-spine fractures. Conclusions: The incidence of Le Fort fractures appears to increase with age. Higher category Le Fort fractures are associated with greater morbidity.
Keywords: Le Fort fractures; pediatric trauma; midface fractures; epidemiology; pediatric le fort fractures; acute-level hospital course Le Fort fractures; pediatric trauma; midface fractures; epidemiology; pediatric le fort fractures; acute-level hospital course

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MDPI and ACS Style

Perez Otero, S.; Cassidy, M.F.; Morrison, K.A.; Brydges, H.T.; Muller, J.; Flores, R.L.; Ceradini, D.J. Analyzing Epidemiology and Hospital Course Outcomes of LeFort Fractures in the Largest National Pediatric Trauma Database. Craniomaxillofac. Trauma Reconstr. 2024, 17, 52. https://doi.org/10.1177/19433875241262616

AMA Style

Perez Otero S, Cassidy MF, Morrison KA, Brydges HT, Muller J, Flores RL, Ceradini DJ. Analyzing Epidemiology and Hospital Course Outcomes of LeFort Fractures in the Largest National Pediatric Trauma Database. Craniomaxillofacial Trauma & Reconstruction. 2024; 17(4):52. https://doi.org/10.1177/19433875241262616

Chicago/Turabian Style

Perez Otero, Sofia, Michael F. Cassidy, Kerry A. Morrison, Hilliard T. Brydges, John Muller, Roberto L. Flores, and Daniel J. Ceradini. 2024. "Analyzing Epidemiology and Hospital Course Outcomes of LeFort Fractures in the Largest National Pediatric Trauma Database" Craniomaxillofacial Trauma & Reconstruction 17, no. 4: 52. https://doi.org/10.1177/19433875241262616

APA Style

Perez Otero, S., Cassidy, M. F., Morrison, K. A., Brydges, H. T., Muller, J., Flores, R. L., & Ceradini, D. J. (2024). Analyzing Epidemiology and Hospital Course Outcomes of LeFort Fractures in the Largest National Pediatric Trauma Database. Craniomaxillofacial Trauma & Reconstruction, 17(4), 52. https://doi.org/10.1177/19433875241262616

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