Thaller S R, Mabourakh S
Department of Surgery, University of California, Davis Medical Center, Sacramento 95817.
Ann Plast Surg. 1991 Jun;26(6):511-3. doi: 10.1097/00000637-199106000-00003.
In spite of curiosity, facial fractures, particularly mandibular fractures, in the pediatric age group embrace only a modest proportion of facial fractures that occur within the general population. Several large series report an overall incidence of approximately 1% of all facial bone fractures. A considerable volume of literature has been generated describing the pattern of injury and treatment modalities for pediatric facial bone fractures. At our institution, which is an extremely busy university-based regional trauma center, we have witnessed a persistent escalation in the number of patients requiring repair of their facial bone fractures. During the period of January 1989 through January 1990, we treated a total of 204 patients for repair of mandible fractures. An analysis of the records of this group revealed only 3 patients who were younger than 4 years of age and 2 additional patients younger than 8 years. There were another 10 patients 17 years and younger, for a total incidence of 0.08%. Additionally, we found that within this seemingly small group, there was a surprisingly high incidence of severe, associated injuries.
尽管存在好奇心，但在小儿年龄组中，面部骨折，尤其是下颌骨骨折，仅占普通人群面部骨折的一小部分。几个大型系列研究报告称，所有面部骨折的总体发生率约为1%。已经产生了大量文献描述小儿面部骨折的损伤模式和治疗方式。在我们这个极其繁忙的以大学为基础的区域创伤中心，我们目睹了需要修复面部骨折的患者数量持续上升。在1989年1月至1990年1月期间，我们共治疗了204例下颌骨骨折修复患者。对该组记录的分析显示，只有3例年龄小于4岁的患者，另外还有2例年龄小于8岁的患者。另有10例年龄在17岁及以下，总发生率为0.08%。此外，我们发现，在这个看似较小的群体中，严重的相关损伤发生率惊人地高。
