Ndukwe Kizito C, Folayan Morenike O, Ugboko Vincent I, Elusiyan Jerome B E, Laja Olajumoke O
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Obafemi Awolowo University, Nigeria.
Dent Traumatol. 2007 Apr;23(2):72-5. doi: 10.1111/j.1600-9657.2005.00411.x.
The aim of this prospective study was to determine in a population of pediatric patients with febrile convulsions the prevalence and pattern of orofacial and dental injuries caused by traditional remedies used in a suburban Nigerian community. Over the study period of 28 months, 75 cases of febrile convulsion presented to the Children's Emergency unit of our hospital. Of these, 27 children (36%) sustained orofacial injuries caused by forceful insertion of a spoon into the mouth (96.3%) or a bite (3.7%) during convulsive episodes. The ages of the patients ranged from 12 to 84 months with a mean 39.8 +/- 18.3 months. There were 15 males and 11 females with a male to female ratio of 1.4:1. The orofacial and dental injuries sustained from prehospital treatment at home were lacerations and bruising of soft tissues including lips, tongue, mucosa and commissures and tooth subluxation, displacement or avulsion. Other injuries sustained outside the mouth include second-degree burns to the feet, a chin laceration and facial bruises resulting from a fall. Many oral injuries were overlooked by pediatricians. Prompt recognition and appropriate management of febrile convulsion would be of great benefit to the pediatric patients.
这项前瞻性研究的目的是确定在尼日利亚一个郊区社区使用的传统疗法导致的小儿热性惊厥患者中口腔颌面部及牙齿损伤的患病率和模式。在为期28个月的研究期间，75例热性惊厥患儿到我院儿童急诊科就诊。其中，27名儿童（36%）在惊厥发作期间因强行将勺子插入口腔（96.3%）或咬伤（3.7%）而遭受口腔颌面部损伤。患者年龄在12至84个月之间，平均为39.8 +/- 18.3个月。有15名男性和11名女性，男女比例为1.4:1。在家中进行院前治疗时遭受的口腔颌面部及牙齿损伤包括软组织撕裂伤和瘀伤，如嘴唇、舌头、黏膜和口角，以及牙齿半脱位、移位或脱落。口腔外的其他损伤包括足部二度烧伤、下巴撕裂伤和跌倒导致的面部瘀伤。许多口腔损伤被儿科医生忽视了。及时识别和适当处理热性惊厥对儿科患者将大有裨益。
