Lee Kai H
Maxillofacial and Dental Department, Waikato Hospital, Hamilton, New Zealand.
J Oral Maxillofac Surg. 2009 Sep;67(9):1878-83. doi: 10.1016/j.joms.2009.04.117.
Interpersonal violence is a major health hazard that contributes to the high volume of trauma seen in the emergency department. It is also one of the principal causes of maxillofacial fractures.
The present study was a retrospective analysis of patients referred to, and treated at, the Oral and Maxillofacial Surgery Unit at Christchurch Hospital during an 11-year period (1996 to 2006). The variables examined included patient demographics, fracture types, mode of injury, and treatment delivered.
An increase was found in the number of fractures due to interpersonal violence in the second half of the study, although the proportion remained the same. The age of the patients ranged from 9 to 89 years (mean 28). The male-to-female ratio was 9:1. Of the patients, 87% had alcohol involvement. The mandible was the most common site of fracture, followed by the zygoma. Other midface fractures, including Le Fort fractures, were less frequently observed. Of the patients, 59% were hospitalized and 56% required surgery, with internal fixation necessary in 41% of patients.
An increase occurred in the number of facial fractures associated with interpersonal violence during the study period. Young male adults were the most affected demographic group, with alcohol a main contributing factor. Violence-related facial fracture is a health hazard that deserves more public awareness and implementation of preventive programs.
人际暴力是一种主要的健康危害因素，导致急诊科出现大量创伤病例。它也是颌面部骨折的主要原因之一。
本研究是对11年期间（1996年至2006年）转诊至克赖斯特彻奇医院口腔颌面外科并在该科室接受治疗的患者进行的回顾性分析。所检查的变量包括患者人口统计学特征、骨折类型、损伤方式和所提供的治疗。
在研究的后半期，发现因人际暴力导致的骨折数量有所增加，尽管其比例保持不变。患者年龄在9岁至89岁之间（平均28岁）。男女比例为9:1。在这些患者中，87%有饮酒情况。下颌骨是最常见的骨折部位，其次是颧骨。其他面中部骨折，包括勒福骨折，较少见。在这些患者中，59%住院治疗，56%需要手术，41%的患者需要内固定。
在研究期间，与人际暴力相关的面部骨折数量有所增加。年轻成年男性是受影响最大的人群，酒精是一个主要促成因素。与暴力相关的面部骨折是一种健康危害，值得提高公众意识并实施预防方案。
