Malik Sunita, Singh Gurdarshan, Kaur Gagandeep, Yadav Sunil, Mittal Hitesh C
BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.
BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.
Chin J Traumatol. 2017 Aug;20(4):216-221. doi: 10.1016/j.cjtee.2016.10.006. Epub 2017 Feb 24.
Orofacial trauma is becoming a leading medical problem worldwide. Most of the studies pertaining to orofacial trauma have been done in urban areas but very little scientific literature is available for rural areas.
A prospective medical institute-based study of orofacial injury patients was carried out from May 2013 to April 2016 (36 Months). Data regarding incidence, age and sex distribution, causes, types and site of injury, treatment modalities and trauma associated complications were collected and analysed.
A total of 784 patients were studied. Males outnumbered females by a ratio of 2.9:1. Age range was 9 months-75 years with the peak incidence in the age-group of 18-34 years. Most injuries were caused by road-side accidents (72.7%), followed by assault and falls in 11.6% and 8% respectively. Soft tissue injuries and mandibular fractures were the most common type of injuries. Head/neck (50.29%) and limb injuries (27.2%) were the most prevalent associated injuries. Surgical debridement and soft tissue suturing was the most common emergency procedure. Closed reduction was performed in 61% of patients and open reduction and internal fixation in 30% of cases and 9% were managed conservatively. Complications occurred in 6.88% of patients, mainly due to infection and malocclusion. The mean duration of hospital stay was (10.12 ± 6.24) days.
This study highlights the importance of department of dental surgery along with other disciplinaries in the management of orofacial injuries. Road-side accident remains the major etiological factor of orofacial injuries in our setting.
口腔颌面部创伤正成为全球主要的医学问题。大多数关于口腔颌面部创伤的研究都在城市地区进行，但农村地区的科学文献却非常少。
2013年5月至2016年4月（36个月），对一所医学机构的口腔颌面部损伤患者进行了前瞻性研究。收集并分析了有关发病率、年龄和性别分布、病因、损伤类型和部位、治疗方式以及创伤相关并发症的数据。
共研究了784例患者。男性与女性的比例为2.9:1，男性人数多于女性。年龄范围为9个月至75岁，18 - 34岁年龄组发病率最高。大多数损伤由路边事故引起（72.7%），其次是袭击（11.6%）和跌倒（8%）。软组织损伤和下颌骨骨折是最常见的损伤类型。头部/颈部损伤（50.29%）和肢体损伤（27.2%）是最常见的相关损伤。手术清创和软组织缝合是最常见的急诊手术。61%的患者进行了闭合复位，30%的患者进行了切开复位内固定，9%的患者采用保守治疗。6.88%的患者出现并发症，主要原因是感染和咬合不正。平均住院时间为（10.12 ± 6.24）天。
本研究强调了口腔外科与其他学科在口腔颌面部损伤管理中的重要性。在我们的研究环境中，路边事故仍然是口腔颌面部损伤的主要病因。
