UNASSIGNED: Severe pediatric facial @entity130 is characterized by multiple, comminuted, and unstable @entity174 , frequently necessitating operative intervention. Disruption of facial growth is a primary concern in the long-term sequelae of such conditions. @entity1 suffering from midface @entity174 were followed over time in a long-term growth and development study. Lateral cephalograms at longest-term follow-up were traced, digitized, and averaged. Seven landmarks of the midface (A point, ANS, orbitale, bridge of nose, distal U6, upper lip, stomion superius) were identified for comparative measurements with age and sex-matched superimposed Bolton norms as controls. Differences in x and y axes between test and control metrics were measured. Clinical significance was defined as a 2-mm discrepancy from the norm. Statistical significance for each @entity1 was determined using t tests of the x and y arrays of @entity1 values versus normal controls. Seven @entity1 met the inclusion criteria with mean age of 8.9 years at the time of injury. Mean cephalometric follow-up was 4.6 years (range 2-10 years). Six out of 7 @entity1 (86%) showed clinically significant impairment in growth in horizontal (29%), vertical (29%), or both planes (29%). T Tests confirmed statistical significance (P <=0.05) for all clinically significant differences. @entity942 in growth for all landmarks was 3.7mm (range -4.0 to 13.7mm) in the x axis and 2.9mm (range -1.1 to 8.8mm) in the y axis. Severe pediatric midface @entity130 often results in compromised bone growth and permanent @entity154 . New methodologies of management that better allow for growth are needed.

Severe Pediatric Midface XXXX : A Prospective Study of Growth and Development.

@entity1 :: ('9606', 'Species') :: ['patients', 'Children', 'patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['facial deformity'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity942 :: ('MESH:D003677', 'Disease') :: ['Mean deficiency']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
