Olusanya Adeola Adenike, Adeleye Amos Olufemi, Aladelusi Timothy Olukunle, Fasola Abiodun Olubayo
Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Oyo State, Nigeria.
Department of Neurosurgery, University College Hospital, Ibadan, Oyo State, Nigeria.
Craniomaxillofac Trauma Reconstr. 2015 Mar;8(1):50-8. doi: 10.1055/s-0034-1384740. Epub 2014 Aug 7.
Many studies have been undertaken in Nigeria on maxillofacial trauma. However, only a few have considered both the skeletal and soft tissue injuries (in general) involving all the aspects of the maxillofacial region or considered other etiological sources of trauma apart from road traffic crashes. Fewer still have reviewed the outcome of management of facial injuries in our low-resource environment. This study sets out to examine the recent trends in both the clinical and epidemiological patterns of all facial injuries from all causes seen in a low-resource practice of a developing country. It also assessed the in-hospital treatment outcomes, and the levels of the patients' satisfaction with treatment received in this setting. Over a 12-month period, the clinical records of consecutive patients who were evaluated and treated for maxillofacial injuries in our unit were prospectively acquired, entered into predesigned forms and subsequently analyzed. There were 259 patients (79.5% males) during the study period. The mean age was 32.21( ± 16.588) years. Overall, motor bike crashes, 42.1%, were the commonest source of these traumas; and armed robbery was the commonest form (69.0%) of assault. Mandibular fractures were the commonest maxillofacial fractures (37.8%) whereas head injury had the highest frequency among the associated injuries (71.4%). Closed reduction and immobilization was deployed in 88.0% of those who had treatment and majority was satisfied with the esthetic outcome of the treatment received. Mean length of hospital stay was 12.6 ( ± 4.423) days. Maxillofacial trauma poses a significant socioeconomic burden on affected individuals in this study population. This is made worse by the presence of associated injuries in the other body systems. More local studies on the outcome of management of maxillofacial trauma will improve the available literature in this region.
尼日利亚已开展了许多关于颌面创伤的研究。然而，只有少数研究考虑了（总体上）涉及颌面区域所有方面的骨骼和软组织损伤，或者考虑了除道路交通事故之外的其他创伤病因。更少的研究回顾了在我们资源匮乏的环境中面部损伤的治疗结果。本研究旨在探讨在一个发展中国家资源匮乏的医疗机构中，所有原因导致的面部损伤在临床和流行病学模式方面的最新趋势。它还评估了住院治疗结果以及患者对在此环境下所接受治疗的满意度。在12个月的时间里，前瞻性收集了在我们科室接受评估和治疗的颌面损伤连续患者的临床记录，将其录入预先设计的表格并随后进行分析。研究期间有259名患者（79.5%为男性）。平均年龄为32.21（±16.588）岁。总体而言，摩托车事故是这些创伤最常见的来源，占42.1%；武装抢劫是袭击的最常见形式（69.0%）。下颌骨骨折是最常见的颌面骨折（37.8%），而头部损伤在相关损伤中发生率最高（71.4%）。88.0%接受治疗的患者采用了闭合复位和固定，大多数患者对所接受治疗的美学效果感到满意。平均住院时间为12.6（±4.423）天。颌面创伤给本研究人群中受影响的个体带来了重大的社会经济负担。其他身体系统中存在的相关损伤使情况更加恶化。更多关于颌面创伤治疗结果的本地研究将改善该地区现有的文献。
