Aksoy Erdem, Unlü Erkin, Sensöz Omer
Department of Plastic and Reconstructive Surgery, Ankara Numune Training and Research Hospital, Ankara/Turkey. aksoyerdem@ hotmail.com
J Craniofac Surg. 2002 Nov;13(6):772-5. doi: 10.1097/00001665-200211000-00012.
There are many different studies about the epidemiology and characteristics of maxillofacial fractures. In the authors' clinic a study was done regarding the characteristics of patients with maxillofacial fractures. 553 patients were investigated retrospectively. The causes, localizations, fracture types, treatments modalities, and complications were evaluated. The most common cause of maxillofacial fractures was traffic accidents (90.15%) followed by interpersonal violence (2.71%). The most common fracture site was the parasymphisis (30.9%) in mandibular fractures and the orbital rim in midface fractures. Young (26-41 years of age) male (82.64%) patients were more prone to maxillofacial injury. The most common treatment modality is rigid fixation with miniplates. This study concerns the fracture types, localizations, and ideal treatment methods according to these characteristics and complications. From such data, the ideal treatment method depends not only on the fracture type and localization but also the surgeon's experience and preference.
关于颌面骨折的流行病学和特征有许多不同的研究。在作者所在的诊所,针对颌面骨折患者的特征进行了一项研究。对553例患者进行了回顾性调查。评估了病因、骨折部位、骨折类型、治疗方式及并发症。颌面骨折最常见的原因是交通事故(90.15%),其次是人际暴力(2.71%)。下颌骨骨折最常见的骨折部位是颏部(30.9%),面中部骨折最常见的是眶缘。年轻(26 - 41岁)男性(82.64%)患者更容易发生颌面损伤。最常见的治疗方式是使用微型钢板进行坚固内固定。本研究关注根据这些特征及并发症的骨折类型、部位和理想治疗方法。从这些数据来看,理想的治疗方法不仅取决于骨折类型和部位,还取决于外科医生的经验和偏好。