Samieirad S, Aboutorabzade M-R, Tohidi E, Shaban B, Khalife H, Hashemipour M-A, Salami H-R
Department of Oral Medicine, School of Dentistry Kerman University of Medical Sciences, Kerman, Iran,
Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22(5):e616-e624. doi: 10.4317/medoral.21809.
The epidemiology of facial injuries varies based on lifestyle, cultural background and socioeconomic status in different countries and geographic zones. This study evaluated the epidemiology of maxillofacial fractures and treatment plans in hospitalized patients in Northeast of Iran (2015-2016).
In this retrospective study, the medical records of 502 hospitalized patients were evaluated in the Department of Maxillofacial Surgery in Kamyab Hospital in Mashhad, Iran. The type and cause of fractures and treatment plans were recorded in a checklist. Data were analyzed with Mann-Whitney test, chi-squared test and Fisher's exact test, using SPSS 21.
The majority of patients were male (80.3%). Most subjects were in 20-30-year age range (43.2%). The fractures were mostly caused by accidents, particularly motorcycle accidents (MCAs), and the most common site of involvement was the body of the mandible. There was a significant association between the type of treatment and age. In fact, the age range of 16-59 years underwent open reduction internal fixation (ORIF) more than other age ranges (P=0.001). Also, there was a significant association between gender and fractures (P=0.002).
It was concluded that patient age and gender and trauma significantly affected the prevalence of maxillofacial traumas, fracture types and treatment plans. This information would be useful for making better health policy strategies.
面部损伤的流行病学因不同国家和地理区域的生活方式、文化背景和社会经济地位而异。本研究评估了伊朗东北部住院患者（2015 - 2016年）颌面部骨折的流行病学及治疗方案。
在这项回顾性研究中，对伊朗马什哈德卡米亚布医院颌面外科502例住院患者的病历进行了评估。骨折类型、原因及治疗方案记录在一份检查表中。使用SPSS 21软件，通过曼 - 惠特尼检验、卡方检验和费舍尔精确检验对数据进行分析。
大多数患者为男性（80.3%）。大多数受试者年龄在20 - 30岁之间（43.2%）。骨折大多由意外事故引起，尤其是摩托车事故（MCA），最常累及的部位是下颌骨体部。治疗类型与年龄之间存在显著关联。事实上，16 - 59岁年龄组接受切开复位内固定术（ORIF）的比例高于其他年龄组（P = 0.001）。此外，性别与骨折之间也存在显著关联（P = 0.002）。
得出的结论是，患者年龄、性别和创伤显著影响颌面部创伤的患病率、骨折类型及治疗方案。这些信息将有助于制定更好的卫生政策策略。
