Parkins G, Boamah M O, Avogo D, Ndanu T, Nuamah I K
Department of Oral and Maxillofacial Surgery,University of Ghana Dental School,College of Health Sciences.
West Afr J Med. 2014 Jan-Mar;33(1):51-5.
Patients with maxillofacial injuries may sustain concomitant injuries. The presentation of other injuries may be the initial focus of attention of the primary attending surgeon who may miss the maxillofacial injuries to the detriment of the patient.
To determine the incidence of injuries associated with maxillofacial injuries at Korle Bu Teaching Hospital (KBTH) from January 2009 to December 2010.
A prospective study was carried out on patients who were referred to the Maxillofacial Unit of the University of Ghana Dental School and KBTH over the two years with maxillofacial injuries. Their age, sex, type of injury in the maxillofacial region, its aetiology and concomitant injuries were charted. The data was analysed using SPSS 16.0 software.
Two hundred and fifty eight (258) patients were seen of which 67 (26.0%) had concomitant injuries. The average age was 29.1 years. The peak incidence was in the age group 21-30 (N=73, 28.3%). 74% were male and 26.0% female. The commonest cause of injury was road traffic accident (RTA) (N=142;55.0%). 52.7% (N=136) of the patients had injuries of the maxillofacial region. 26.7% (N=69) had mandibular fractures, 19.4% (N=50) had middle third fractures and 8.1% (N=21) had fractures of both. Concomitant injuries were mainly orthopaedic (N=31;12%) and the head and spinal region (N=29;11.2%).
A significant number of patients who suffer maxillofacial injuries also sustain injuries of other parts of the body at KBTH. Prompt multidisciplinary management may contribute to improved outcomes.
颌面部损伤患者可能伴有其他损伤。其他损伤的表现可能是主诊外科医生最初关注的重点，这可能导致其漏诊颌面部损伤，对患者造成不利影响。
确定2009年1月至2010年12月在科勒布教学医院（KBTH）与颌面部损伤相关的损伤发生率。
对两年来转诊至加纳大学牙科学院颌面科和KBTH的颌面部损伤患者进行前瞻性研究。记录他们的年龄、性别、颌面部损伤类型、病因及伴随损伤。使用SPSS 16.0软件分析数据。
共诊治258例患者，其中67例（26.0%）伴有其他损伤。平均年龄为29.1岁。发病率高峰在21 - 30岁年龄组（n = 73，28.3%）。男性占74%，女性占26.0%。最常见的损伤原因是道路交通事故（RTA）（n = 142；55.0%）。52.7%（n = 136）的患者有颌面部损伤。26.7%（n = 69）有下颌骨骨折，19.4%（n = 50）有面中份骨折，8.1%（n = 21）两者均有骨折。伴随损伤主要是骨科损伤（n = 31；12%）和头部及脊柱损伤（n = 29；11.2%）。
在KBTH，相当数量的颌面部损伤患者还伴有身体其他部位的损伤。及时的多学科管理可能有助于改善治疗效果。
