원저

소아의 구강 내 외상에 대한 임상적 고찰

유명종1, 석상렬1,*, 김학선1, 조우령1, 박병원1, 김서규1, 김명구1
Myoung-Jong Yoo1, Sang-Ryeol Seok1,*, Hak-Son Kim1, Woo-Ryeong Cho1, Byung-Weon Park1, Seu-Gyu Kim1, Myung-Gu Kim1
Author Information & Copyright
1성균관대학교 의과대학 마산삼성병원 이비인후과학교실
1Department of Otolaryngology, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University, Masan, Korea
*교신저자: 유명종, 630-522 경남 마산시 회원구 합성 2동 50번지 성균관대학교 의과대학 마산삼성병원 이비인후과학교실 전화: (055) 290-6068· 전송: (055) 299-8652 E-mail: mjyoo@mailo.net

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 25, 1999; Accepted: Feb 09, 2000

Published Online: May 31, 2020

ABSTRACT

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 March, 1994 to February, 1999 and who were diagnosed as having intraoral trauma. The patients were analyzed into the injury site, distribution of sex, age, arrival time after injury, and the causing implements. Results: The sex ratio of male to female was 2.3 : 1. The most common site of injury was midsoft 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, such as internal carotid artery thrombosis. Conclusion: Intraoral injuries in the pediatric population have few complications, but they require increased concern about potential 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. (J Clinical Otolaryngol 2000;11:98–103)

Keywords: 구강; 외상; 소아
Keywords: Oral cavity; Trauma; Children