Siegel M B, Wetmore R F, Potsic W P, Handler S D, Tom L W
Department of Otolaryngology, Children's Hospital of Philadelphia, PA 19104.
Arch Otolaryngol Head Neck Surg. 1991 May;117(5):533-6. doi: 10.1001/archotol.1991.01870170079017.
Seventy-three patients were admitted to the Children's Hospital of Philadelphia (Pa) between January 1979 and June 1989 with a diagnosis of mandibular fracture. Data were obtained through a retrospective review of these cases. The cases were divided into three age groups that reflected the developing structure of the mandible and the maturation of the dentition. A trend toward a greater number of fractures and a predominance of males is shown with increasing age. Child abuse is a relatively frequent cause of fractures throughout all groups. Associated injuries are more common in young children, except in cases where abuse has been documented. The high osteogenic potential of the pediatric mandible allowed conservative management to be successful in 25% of younger patients and was responsible for a low complication rate overall.
1979年1月至1989年6月期间，费城儿童医院收治了73例诊断为下颌骨骨折的患者。通过对这些病例进行回顾性研究获取了相关数据。这些病例被分为三个年龄组，以反映下颌骨的发育结构和牙列的成熟情况。随着年龄增长，骨折数量有增加趋势且男性占主导。在所有年龄组中，虐待儿童都是骨折相对常见的原因。除有记录表明存在虐待的情况外，合并伤在幼儿中更为常见。小儿下颌骨的高成骨潜能使得25%的较年轻患者保守治疗成功，且总体并发症发生率较低。
