Roccia Fabio, Savoini Matteo, Ramieri Guglielmo, Zavattero Emanuele
Division of Maxillofacial Surgery, University of Torino, Italy.
PhD programme in Technologies Applied to Surgical Science, Division of Maxillofacial Surgery, University of Torino, Italy.
J Craniomaxillofac Surg. 2016 Aug;44(8):1025-8. doi: 10.1016/j.jcms.2016.05.021. Epub 2016 Jun 6.
The aim of this work is to analyze the risk factors in interpersonal violence and to describe the epidemiology, patterns and management of maxillofacial fractures in high volume trauma center of the northern Italy.
This retrospective study recorded patients hospitalized with maxillofacial fractures, at the division of maxillofacial surgery, Città della Scienza e della Salute University Hospital, Torino, Italy, since January 2001.
Only patients who presented with "violence" in the database field for "cause of injury" and with "interpersonal violence" as a subtype of etiology were considered. Statistical analysis was determined using the χ(2) or Fisher's exact test.
2567 patients were admitted. 711 patients (27.7%) had undergone interpersonal violence that has increased from 20% to 35% in the study period. The male-to-female ratio was 11:1; the mean age was 32.7. 247 patients were foreigners (34.7%). 107 patients were enrolled in that study, referred alcohol or drugs abuse. IPV episodes account for 953 maxillofacial fractures localized in 55.3% of the cases in the midface, 43.1% in the lower third. Particularly the trauma involved the orbital region and the maxillo-orbito-zygomatic region. 4.4% of patients had combined trauma.
IPV maxillofacial fractures in Europe such as in Italy are becoming one of the first cause of injuries. This study shows that young males and foreigners are involved in violence mostly during the weekend. These fractures occur due to fists frequently involving the maxillo-zygomatic-orbital complex.
本研究旨在分析人际暴力中的风险因素，并描述意大利北部大容量创伤中心颌面骨折的流行病学、模式及处理方法。
本回顾性研究记录了自2001年1月起在意大利都灵市科学与健康大学医院颌面外科住院的颌面骨折患者。
仅考虑在数据库“损伤原因”字段中显示为“暴力”且病因亚型为“人际暴力”的患者。采用χ²检验或Fisher精确检验进行统计分析。
共收治2567例患者。711例患者（27.7%）遭受人际暴力，在研究期间这一比例从20%增至35%。男女比例为11:1；平均年龄为32.7岁。247例患者为外国人（34.7%）。107例参与该研究的患者存在酗酒或药物滥用情况。人际暴力事件导致953例颌面骨折，其中55.3%位于面中部，43.1%位于面下三分之一。特别是创伤累及眼眶区域和上颌-眶-颧骨区域。4.4%的患者合并有其他创伤。
在欧洲，如意大利，人际暴力导致的颌面骨折正成为首要损伤原因之一。本研究表明，年轻男性和外国人在周末期间最常卷入暴力事件。这些骨折多因拳头击打所致，常累及上颌-颧骨-眼眶复合体。
