Satpathy Mrinal, Gupta M K, Pillai Ajay Kumar, Prabhu Sunderraman, Tiwari Saba, Jain Neha
Department of Oral and Maxillofacial Surgery, People's Dental Academy, 10/1 Malviya Nagar, Bhopal, 462003 Madhya Pradesh India.
Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Centre, 9, Oriental Complex, Scheme 54, Vijay Nagar, Indore, 452010 India.
J Maxillofac Oral Surg. 2016 Mar;15(1):25-31. doi: 10.1007/s12663-015-0802-5. Epub 2015 May 26.
To ascertain the pattern, incidence, causes, age and sex distribution, types, condition and treatment of maxillofacial fractures and their interwoven relationship being practiced in Bhopal.
Retrospectively 3 year records of patients with maxillofacial fractures from 12 selected centres in Bhopal were reviewed. The following data were extracted from the medical records: age; gender; site of the fracture(s); other associated injury(ies); cause of the trauma and method of treatment(s).
In 1268 patients, a total of 2613 fractures were found of which 44.58 % patients had mandibular fractures. Parasymphysis was the most common site of fracture overall. Most patients were in the 21-30 year old age group, and the male: female ratio was 3.3:1. Road traffic accident accounted for 858 cases (67.67 %). Head injury was the highest occurring associated injury. Open surgical modalities was the most employed treatment modality in 52.60 % of cases.
Preference for open surgical treatment along with increasing trend of supplemental intermaxillary fixation was found, which prompts us to check for the underlying reason behind this, which could be the increasing number of displaced and comminuted fracture cases or the decreasing efficiency of open reduction treatment rendered. Latter reason prompts to re-evaluate the existing surgical techniques and expertise of the practicing surgeons.
确定博帕尔地区颌面部骨折的模式、发病率、病因、年龄和性别分布、类型、病情及治疗情况，以及它们之间的相互关系。
回顾性分析博帕尔地区12个选定中心3年的颌面部骨折患者记录。从病历中提取以下数据：年龄、性别、骨折部位、其他相关损伤、创伤原因及治疗方法。
在1268例患者中，共发现2613处骨折，其中44.58%的患者有下颌骨骨折。颏部是总体上最常见的骨折部位。大多数患者年龄在21 - 30岁之间，男女比例为3.3:1。道路交通事故占858例（67.67%）。头部损伤是最常发生的相关损伤。52.60%的病例中最常用的治疗方式是开放手术。
发现了对开放手术治疗的偏好以及补充颌间固定的增加趋势，这促使我们检查其背后的潜在原因，可能是移位和粉碎性骨折病例数量增加，或者是开放复位治疗效果下降。后一个原因促使我们重新评估现有的手术技术和执业外科医生的专业水平。
