Boffano Paolo, Roccia Fabio, Zavattero Emanuele, Dediol Emil, Uglešić Vedran, Kovačič Žiga, Vesnaver Aleš, Konstantinović Vitomir S, Petrović Milan, Stephens Jonny, Kanzaria Amar, Bhatti Nabeel, Holmes Simon, Pechalova Petia F, Bakardjiev Angel G, Malanchuk Vladislav A, Kopchak Andrey V, Galteland Pål, Mjøen Even, Skjelbred Per, Koudougou Carine, Mouallem Guillaume, Corre Pierre, Løes Sigbjørn, Lekven Njål, Laverick Sean, Gordon Peter, Tamme Tiia, Akermann Stephanie, Karagozoglu K Hakki, Kommers Sofie C, Forouzanfar Tymour
Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Department of Maxillofacial Surgery, University of Turin, Turin, Italy.
J Craniomaxillofac Surg. 2015 Jan;43(1):62-70. doi: 10.1016/j.jcms.2014.10.011. Epub 2014 Oct 22.
The purpose of this study was to analyse the demographics, causes and characteristics of maxillofacial fractures managed at several European departments of oral and maxillofacial surgery over one year. The following data were recorded: gender, age, aetiology, site of facial fractures, facial injury severity score, timing of intervention, length of hospital stay. Data for a total of 3396 patients (2655 males and 741 females) with 4155 fractures were recorded. The mean age differed from country to country, ranging between 29.9 and 43.9 years. Overall, the most frequent cause of injury was assault, which accounted for the injuries of 1309 patients; assaults and falls alternated as the most important aetiological factor in the various centres. The most frequently observed fracture involved the mandible with 1743 fractures, followed by orbital-zygomatic-maxillary (OZM) fractures. Condylar fractures were the most commonly observed mandibular fracture. The results of the EURMAT collaboration confirm the changing trend in maxillofacial trauma epidemiology in Europe, with trauma cases caused by assaults and falls now outnumbering those due to road traffic accidents. The progressive ageing of the European population, in addition to strict road and work legislation may have been responsible for this change. Men are still the most frequent victims of maxillofacial injuries.
本研究的目的是分析欧洲多个口腔颌面外科科室在一年时间里收治的颌面骨折患者的人口统计学特征、病因及特点。记录了以下数据：性别、年龄、病因、面部骨折部位、面部损伤严重程度评分、干预时机、住院时间。共记录了3396例患者（2655例男性和741例女性）的4155处骨折的数据。平均年龄因国家而异，在29.9岁至43.9岁之间。总体而言，最常见的受伤原因是袭击，有1309例患者因此受伤；在各个中心，袭击和跌倒交替成为最重要的病因。最常观察到的骨折是下颌骨骨折，有1743处，其次是眶-颧-上颌（OZM）骨折。髁突骨折是最常见的下颌骨骨折类型。EURMAT合作项目的结果证实了欧洲颌面创伤流行病学的变化趋势，即由袭击和跌倒导致的创伤病例现在超过了道路交通事故导致的病例。欧洲人口的老龄化进程，再加上严格的道路和工作法规，可能是造成这种变化的原因。男性仍然是颌面损伤最常见的受害者。
