Pombo Maria, Luaces-Rey Ramón, Pértega Sonia, Arenaz Jorge, Crespo Jose Luis, García-Rozado Alvaro, Patiño Beatriz, López-Cedrún Jose Luis
Craniomaxillofac Trauma Reconstr. 2010 Mar;3(1):49-54. doi: 10.1055/s-0030-1249373.
The purpose of this article is to analyze the incidence, demographic distribution, type, and etiology of all facial fractures treated by the Department of Oral and Maxillofacial Surgery in A Coruña University Hospital (Spain) from 2001 to 2008. A descriptive and analytic retrospective study evaluated 643 patients treated for facial fracture (excluding nasal and dento-alveolar) by the Department of Oral and Maxillofacial Surgery in A Coruña University Hospital from January 2001 to December 2008. Five parameters were studied: year of the injury, gender, age, fracture type, and etiology. Six hundred and forty-three patients with 793 fractures were included. Of these, 83.2% were males and 16.8% were females. The patients' age ranged between 18 months and 89 years, with a mean of 37.6 and a median of 33. The major cause of injury was traffic accidents (27%), followed by assaults (20.5%), accidental traumas (20.1%), sports (11%), syncopes (7.8%), rural accidents (6.1%), industrial accidents (5.1%), and suicide attempts (0.3%). In 1.1% of the patients, it was impossible to verify the etiology. The etiology of facial fractures varies from one country to another, depending on the cultural, environmental, and socioeconomic factors. In our study, the most common cause was traffic accidents, closely followed by assaults. The number of fractures due to traffic accidents has decreased in the last 3 years. Rural accidents accounted for a significantly higher percentage of fractures than that observed in other series. The number of fractures receiving a surgical treatment from 2005 to 2008 has progressively decreased.
本文旨在分析2001年至2008年西班牙拉科鲁尼亚大学医院口腔颌面外科治疗的所有面部骨折的发病率、人口分布、类型和病因。一项描述性和分析性回顾性研究评估了2001年1月至2008年12月在拉科鲁尼亚大学医院口腔颌面外科接受面部骨折治疗（不包括鼻骨和牙槽骨骨折）的643例患者。研究了五个参数：受伤年份、性别、年龄、骨折类型和病因。纳入了643例患者的793处骨折。其中，83.2%为男性，16.8%为女性。患者年龄在18个月至89岁之间，平均年龄为37.6岁，中位数为33岁。受伤的主要原因是交通事故（27%），其次是袭击（20.5%）、意外创伤（20.1%）、运动（11%）、晕厥（7.8%）、农村事故（6.1%）、工业事故（5.1%）和自杀未遂（0.3%）。1.1%的患者无法核实病因。面部骨折的病因因国家而异，取决于文化、环境和社会经济因素。在我们的研究中，最常见的原因是交通事故，其次是袭击。过去3年因交通事故导致的骨折数量有所下降。农村事故导致的骨折比例明显高于其他系列研究中的观察结果。2005年至2008年接受手术治疗的骨折数量逐渐减少。
