对1980年至2000年间4426名美国陆军士兵中的3599例面中部骨折和1141例眼眶爆裂骨折进行的分析。

An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army Soldiers, 1980-2000.

作者信息

Shere Jeffrey L, Boole Jason R, Holtel Michael R, Amoroso Paul J

机构信息

Ophthalmology Service, Madigan Army Medical Center, Tacoma, WA 98431, USA.

出版信息

Otolaryngol Head Neck Surg. 2004 Feb;130(2):164-70. doi: 10.1016/j.otohns.2003.09.018.

DOI:10.1016/j.otohns.2003.09.018

PMID:14990911

Abstract

OBJECTIVE

We sought to present the epidemiology associated with 3599 midfacial and 1141 orbital blowout fractures.

STUDY DESIGN AND SETTING

We conducted a multicenter, 20-year retrospective analysis of hospitalization data on U.S. Army active duty soldiers.

RESULTS

Men composed 96% of the patients, with men aged 20 to 29 years the most affected. Of midfacial and blowout fractures, 54.8% and 70.2% occurred with concomitant injury, with 36.2% and 50.9% sustaining other facial fractures, respectively. Three hundred forty orbital blowout fractures (29.8%) had an associated eye injury. Common mechanisms included fighting and motor vehicle accidents.

CONCLUSIONS

Young men comprised the most susceptible population, and assault was the predominant mechanism. A high incidence of concomitant injury in midfacial and orbital blowout fractures, particularly ocular and intracranial injury, emphasizes the importance of a thorough physical examination.

SIGNIFICANCE

We report the results from one of the largest series of midfacial and orbital floor blowout fractures from a population that crosses urban, rural, and foreign boundaries.

摘要