Ghosh Rajarshi, Gopalkrishnan K, Anand Jawahar
Oral and Maxillofacial Surgery, SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka 580009 India.
J Maxillofac Oral Surg. 2018 Jun;17(2):158-163. doi: 10.1007/s12663-016-0965-8. Epub 2016 Sep 23.
The aim of the study is to retrospectively analyse the incidence of facial fractures along with age, gender predilection, etiology, commonest site, associated dental injuries and any complications of paediatric patients operated in Craniofacial unit of SDM college of dental sciences and hospital.
This retrospective study was conducted at the department of OMFS, SDM College of Dental Sciences, Dharwad from January 2003-December 2013. All the patients below 15 years of age were included in the study. Data were recorded for the cause of injury, age and gender distribution, frequency and type of injury, localization and frequency of soft tissue injuries, dentoalveolar trauma, facial bone fractures, complications, concomitant injuries and different treatment protocols.
A total of 68 cases of paediatric fracture were treated during these 10 years. Boys were commonly injured than girls with a ratio of 2.9:1, the commonest cause of trauma was fall (59 %), mandible was the commonest bone to be fractured (83 %), treatment protocols were dependant on the age, region and type of fracture but in most of the cases closed reduction was the choice of treatment, dental injuries were seen in 26 % patients and the commonest injury was avulsion.
This study was done not only to analyse the different types of facial fractures and the pattern of fracture of paediatric cases admitted at this centre, but also to act as a contributional data which will help us to take preventive measures to avoid such injuries and make the appropriate treatment plan and execute it to achieve the pre-injury status of form and function.
本研究旨在回顾性分析SDM牙科学院及医院颅面科接受手术的儿科患者面部骨折的发生率，以及年龄、性别偏好、病因、最常见部位、相关牙损伤和任何并发症。
本回顾性研究于2003年1月至2013年12月在达沃德SDM牙科学院口腔颌面外科进行。所有15岁以下的患者均纳入研究。记录损伤原因、年龄和性别分布、损伤频率和类型、软组织损伤的部位和频率、牙槽创伤、面部骨折、并发症、伴随损伤以及不同的治疗方案。
在这10年中，共治疗了68例儿科骨折病例。男孩受伤的情况比女孩更常见，比例为2.9:1，最常见的创伤原因是跌倒（59%），下颌骨是最常发生骨折的骨头（83%），治疗方案取决于骨折的年龄、部位和类型，但在大多数情况下，闭合复位是治疗的选择，26%的患者出现牙损伤，最常见的损伤是牙脱位。
本研究不仅是为了分析该中心收治的儿科病例不同类型的面部骨折及其骨折模式，也是为了提供有助于我们采取预防措施以避免此类损伤、制定适当治疗计划并实施以恢复伤前形态和功能状态的贡献性数据。
