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与袭击相关的颌面损伤:欧洲颌面创伤(EURMAT)多中心前瞻性合作的结果

Assault-related maxillofacial injuries: the results from the European Maxillofacial Trauma (EURMAT) multicenter and prospective collaboration.

作者信息

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, Bertin Helios, Marion F, Guiol Julien, Corre Pierre, Løes Sigbjørn, Lekven Njål, Laverick Sean, Gordon Peter, Tamme Tiia, Akermann Stephanie, Karagozoglu K Hakki, Kommers Sofie C, Forouzanfar Tymour

机构信息

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.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Apr;119(4):385-91. doi: 10.1016/j.oooo.2014.12.004. Epub 2014 Dec 11.

DOI:10.1016/j.oooo.2014.12.004
PMID:25640305
Abstract

OBJECTIVE

The aim of this study is to present and discuss the demographic characteristics and patterns of assault-related maxillofacial fractures as reported by a European multicenter prospective study.

STUDY DESIGN

Demographic and injury data were recorded for each patient who was a victim of an assault.

RESULTS

Assaults represented the most frequent etiology of maxillofacial trauma with an overall rate of 39% and the values ranging between 60.8% (Kiev, Ukraine) and 15.4% (Bergen, Norway). The most frequent mechanisms of assault-related maxillofacial fractures were fists in 730 cases, followed by kicks and fists. The most frequently observed fracture involved the mandible (814 fractures), followed by orbito-zygomatic-maxillary complex fractures and orbital fractures.

CONCLUSIONS

Our data confirmed the strong possibility that patients with maxillofacial fractures may be victims of physical aggression. The crucial role of alcohol in assault-related fractures was also confirmed by our study.

摘要

目的

本研究旨在展示并讨论一项欧洲多中心前瞻性研究报告的与袭击相关的颌面骨折的人口统计学特征及模式。

研究设计

记录每位袭击受害者患者的人口统计学和损伤数据。

结果

袭击是颌面创伤最常见的病因,总体发生率为39%,各地区发生率在60.8%(乌克兰基辅)至15.4%(挪威卑尔根)之间。与袭击相关的颌面骨折最常见的机制是拳击,共730例,其次是踢打和拳击。最常观察到的骨折累及下颌骨(814处骨折),其次是眶颧上颌复合体骨折和眼眶骨折。

结论

我们的数据证实了颌面骨折患者很可能是身体攻击受害者这一可能性。我们的研究还证实了酒精在与袭击相关骨折中的关键作用。

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