Thorén Hanna, Iso-Kungas Petri, Iizuka Tateyuki, Lindqvist Christian, Törnwall Jyrki
Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):318-24. doi: 10.1016/j.tripleo.2008.09.024. Epub 2008 Oct 28.
To review the epidemiology of facial fractures in children and to analyze whether it has changed over time.
Retrospective review of records of children aged < or = 15 years diagnosed for fracture during 2 10-year periods.
A total of 378 children were diagnosed with fractures, 187 in 1980-1989 and 191 in 1993-2002. The proportion of children with mandibular fractures decreased by 13.6 percentage-points from the first period to the second, whereas the proportion of patients with midfacial fractures increased by 18.7 percentage-points. Assault as a causative factor increased by 5.5 percentage-points, almost exclusively among children aged 13-15 years, with a high percentage (23.5%).
Recognition of a change in fracture patterns over time is probably due to the increased use of computerized tomographic scanning.
回顾儿童面部骨折的流行病学情况，并分析其随时间推移是否发生了变化。
对两个10年期内诊断为骨折的15岁及以下儿童的记录进行回顾性研究。
共有378名儿童被诊断为骨折，1980 - 1989年有187例，1993 - 2002年有191例。从第一个时期到第二个时期，下颌骨骨折儿童的比例下降了13.6个百分点，而面中部骨折患者的比例增加了18.7个百分点。作为致病因素的袭击增加了5.5个百分点，几乎全部集中在13 - 15岁的儿童中，比例较高（23.5%）。
认识到骨折模式随时间的变化可能归因于计算机断层扫描使用的增加。
