Thorén Hanna, Snäll Johanna, Salo Jari, Suominen-Taipale Liisa, Kormi Eeva, Lindqvist Christian, Törnwall Jyrki
Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Helsinki, Finland.
J Oral Maxillofac Surg. 2010 Apr;68(4):805-10. doi: 10.1016/j.joms.2009.09.057. Epub 2010 Jan 15.
To identify the occurrence, types, and severity of associated injuries outside the facial region among patients diagnosed with facial fractures, and to analyze whether there are any factors related to associated injuries.
This was a cross-sectional study of 401 patients diagnosed with facial fractures during the 2-year period from 2003 to 2004.
Associated injuries were observed in 101 patients (25.2%). The most common type of injury was a limb injury (13.5%), followed by brain (11.0%), chest (5.5%), spine (2.7%), and abdominal (0.8%) injuries. Multiple associated injuries were observed in 10% and polytrauma in 7.5%. The mortality rate was 0.2%. The occurrence of associated injury correlated significantly with trauma mechanism and fracture type; high-speed accidents and severe facial fractures were significant predictors of associated injury.
Associated injuries are frequent among patients who have sustained facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment, but also the importance of arranging appropriate clinical rotations for maxillofacial residents in training.
确定诊断为面部骨折的患者面部区域以外相关损伤的发生率、类型和严重程度，并分析是否存在与相关损伤有关的因素。
这是一项对2003年至2004年两年期间诊断为面部骨折的401例患者进行的横断面研究。
101例患者（25.2%）观察到相关损伤。最常见的损伤类型是肢体损伤（13.5%），其次是脑部（11.0%）、胸部（5.5%）、脊柱（2.7%）和腹部（0.8%）损伤。10%的患者观察到多处相关损伤，7.5%的患者为多发伤。死亡率为0.2%。相关损伤的发生与创伤机制和骨折类型显著相关；高速事故和严重面部骨折是相关损伤的重要预测因素。
面部骨折患者中相关损伤很常见。结果强调了多专业协作在诊断和治疗顺序安排中的重要性，同时也强调了为颌面住院医师安排适当临床轮转培训的重要性。
