Muñante-Cárdenas J L, Asprino L, De Moraes M, Albergaria-Barbosa J R, Moreira R W F
Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil.
Int J Pediatr Otorhinolaryngol. 2010 Nov;74(11):1276-80. doi: 10.1016/j.ijporl.2010.08.004. Epub 2010 Sep 24.
This study showed a retrospective analysis of the etiology, incidence and treatment of maxillofacial injuries in a pediatric and adolescent population of the State of Sao Paulo.
We analyzed 2986 medical records of victims of facial trauma under 18 years, treated between 1999 and 2008 by the Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas, Sao Paulo - Brazil. During this period, 757 patients under 18 were victims of maxillofacial trauma, of which, 112 patients had 139 lines of fracture in the mandible. The most affected age group were male adolescents.
The bicycle accidents constituted the main etiology (34.82%). The conservative treatment was used in 51% of cases, and 49% received surgical treatment. Only 5 cases of postoperative complications were identified.
The incidence of trauma and mandible fractures in pediatric and adolescent patients was high in the area of study. Bicycle accidents and falls being the main etiological factors. The group of adolescents was most affected. The conservative and surgical treatment was used almost in the same proportion.
本研究对巴西圣保罗州儿童和青少年人群颌面部损伤的病因、发病率及治疗情况进行回顾性分析。
我们分析了1999年至2008年期间由圣保罗坎皮纳斯大学皮拉西卡巴牙科学院口腔颌面外科治疗的2986例18岁以下面部创伤受害者的病历。在此期间，757例18岁以下患者为颌面部创伤受害者，其中112例患者下颌骨有139处骨折线。受影响最严重的年龄组是男性青少年。
自行车事故是主要病因（34.82%）。51%的病例采用保守治疗，49%接受手术治疗。仅发现5例术后并发症。
在研究区域，儿童和青少年患者的创伤及下颌骨骨折发病率较高。自行车事故和跌倒为主要病因。青少年群体受影响最大。保守治疗和手术治疗的使用比例几乎相同。
