Sonnenburg M, Sonnenburg I, Herbst B, Wendorf B
Stomatol DDR. 1977 Mar;27(3):186-92.
With regard to aetiology, location and therapy, fractures of the facial skeleton in childhood occupy a special position due to the anatomico-morphologic pecularities of the infantile skull. To verify this statement, the author analysed the medical records of 58 patients with fractures of the facial skeleton, having an age range from 1 to 14 years. The fracture incidence was 9.3% as related to the total number of fractures of the facial skeleton. Traffic accidents (41%) were the main cause of these injuries. Clinical and radiographic follow-up examinations of 37 patients (after an average period of 5 years) revealed: jaw or tooth anomalies in 56.7%, anomalous radiographic findings concerning the condyloid process in 14.7%, and anomalous radiographic findings concerning the teeth in the former fracture line in 27%. Conclusions are drawn from these results as to therapeutical management.
关于病因、骨折部位及治疗方法,由于婴幼儿颅骨的解剖形态特点,儿童面部骨骼骨折占据特殊地位。为验证这一说法,作者分析了58例年龄在1至14岁之间的面部骨骼骨折患者的病历。骨折发生率占面部骨骼骨折总数的9.3%。交通事故(41%)是这些损伤的主要原因。对37例患者进行临床和影像学随访检查(平均随访5年)发现:56.7%存在颌骨或牙齿异常,14.7%髁突有异常影像学表现,27%在原骨折线处牙齿有异常影像学表现。根据这些结果得出了治疗管理方面的结论。