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Journal Article

Citation

Inoue N. Pediatr. Int. 2017; 59(7): 826-830.

Affiliation

Division of Pediatric Emergency Medicine, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu-shi, Tokyo, 183-8561, Japan.

Copyright

(Copyright © 2017, Japan Pediatric Society, Publisher John Wiley and Sons)

DOI

10.1111/ped.13299

PMID

28419671

Abstract

BACKGROUND: Oral injuries are common among children, but the study comparing oral injuries between oral injuries with foreign objects in children's mouth and without objects is limited. The aim of this study is to compare injury patterns and their effects to children who presented to a Japanese pediatric emergency room (ER) with and without foreign objects in their mouth.

METHODS: Children who were brought to the emergency room in Tokyo Metropolitan Medical Center for oral injuries from January 1(st) , 2011 to December 31(st) , 2012, were included. Information regarding mechanism of injuries, objects related to injuries, required procedures, and disposition was collected. Injured subjects with and without foreign objects in their mouth were compared.

RESULTS: Three hundred nineteen subjects were included into analyses. The median age was 26 months. Labial mucosa, tongue, buccal mucosa, and teeth were major locations of injuries. A tumble was the leading mechanism of injuries (50%). Seventy-one subjects (22%) were holding foreign objects in their mouth when injuries occurred. A toothbrush was the most common object (31%). Subjects with foreign objects in their mouth likely injured posterior parts in their mouth. They also required more imaging studies (p =.04) and admissions (p < 0.001).

RESULTS were similar among tumbled subjects.

CONCLUSIONS: A tumble was the most common mechanism. Furthermore, the requirements of medical resources increased if children held foreign objects in their mouth. Preventive measures should focus on educating parents about danger of moving around while putting objects in child's mouth. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.


Language: en

Keywords

impaling injury; oral injury; pediatric emergency room

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