Lee Chee Wei, Foo Qi Chao, Wong Ling Vuan, Leung Yiu Yan
Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.
Department of Oral and Maxillofacial Surgery, The University of Hong Kong, Hong Kong, Hong Kong.
Craniomaxillofac Trauma Reconstr. 2017 Mar;10(1):16-21. doi: 10.1055/s-0036-1584893. Epub 2016 Sep 29.
The aims of this study were to provide an overview of maxillofacial trauma and its relationship to patient's demographic data and alcohol consumption within the state of Sabah. It was a retrospective study of maxillofacial trauma cases treated by Oral and Maxillofacial Surgery Department, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, from January 1, 2009, until December 31, 2013. A total of 630 maxillofacial trauma cases were included. Details of the trauma were collected from patients' record, including patients' cause of injuries, injuries suffered, treatment indications, and treatment received. Patients' demographic data (age, gender), alcohol consumption in relation to causes, and type of maxillofacial injury were analyzed. There were 538 male (85.4%) and 92 female (14.6%) patients (ratio: 5.8:1), with mean age of 31.0 years. Most common causes of maxillofacial injury were motor vehicle accident (MVA; 66.3%), followed by fall (12.4%) and assault (11.6%). Motorcyclists made up more than half of the total cases (53.1%). Cases referred were primarily due to soft-tissue injury (458 cases). Other cases were dentoalveolar and maxillofacial bone fractures. Treatment provided for the fractures included open reduction and internal fixation (22.9%), closed reduction (28.7%), and conservative management (48.4%). Toilet and suturing were done for all patients with soft-tissue injury. Maxillofacial trauma is a major problem in Sabah. It affects mostly males in the age group of 21 to 30 years. Most of the MVA patients were motorcyclists. Mandibular fracture with parasymphysis involvement recorded the highest number. Most of the patients preferred conservative management, probably due to financial and logistic issue.
本研究的目的是概述沙巴州的颌面创伤及其与患者人口统计学数据和饮酒情况的关系。这是一项对2009年1月1日至2013年12月31日在沙巴州哥打基纳巴卢伊丽莎白女王医院口腔颌面外科治疗的颌面创伤病例的回顾性研究。共纳入630例颌面创伤病例。从患者记录中收集创伤细节，包括患者的受伤原因、所受损伤、治疗指征和接受的治疗。分析了患者的人口统计学数据（年龄、性别）、与病因相关的饮酒情况以及颌面损伤类型。有538名男性（85.4%）和92名女性（14.6%）患者（比例为5.8:1），平均年龄为31.0岁。颌面损伤最常见的原因是机动车事故（MVA；66.3%），其次是跌倒（12.4%）和袭击（11.6%）。骑摩托车者占总病例的一半以上（53.1%）。转诊病例主要是由于软组织损伤（458例）。其他病例为牙槽突和颌面骨骨折。骨折的治疗方法包括切开复位内固定（22.9%）、闭合复位（28.7%）和保守治疗（48.4%）。所有软组织损伤患者均进行了清创和缝合。颌面创伤是沙巴州的一个主要问题。它主要影响21至30岁的男性。大多数机动车事故患者是骑摩托车者。累及下颌骨颏部的骨折数量最多。大多数患者选择保守治疗，可能是由于经济和后勤问题。
