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颌面创伤的变化趋势:印度哈里亚纳邦南部的一项15年回顾性研究

Changing trends in maxillofacial trauma: A 15 years retrospective study in the Southern Part of Haryana, India.

作者信息

Gupta Ashish, Babu Aby K, Bansal Pankaj, Sharma Rahul, Sharma Sneha D

机构信息

Department of Oral and Maxillofacial Surgery, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

出版信息

Indian J Dent Res. 2018 Mar-Apr;29(2):190-195. doi: 10.4103/ijdr.IJDR_202_17.

Abstract

OBJECTIVE

The aim is to analyze the pattern of maxillofacial injuries and treatment outcomes in the past 15 years (2002-2016).

MATERIALS AND METHODS

: One thousand eight hundred and fifty patients from two tertiary referral center hospitals were studied retrospectively in which the age, sex, etiology, site of fracture, and treatment modality was recorded.

RESULTS

One thousand two hundred and twenty-eight males and 622 females were operated between 2002 and 2016. Mean age was 29 ± 17.2 years. Maximum incidence was seen in the age group of 16-30 years in males, whereas in females, the predominance of trauma was seen in both 16-30 and 31-45 age groups. Road traffic accidents were responsible for the majority of fractures (42.2%), followed by assaults (26.4), sports injuries (17.6%), and fall (10.7%). Maximum fractures were of the mandible (53.5%) followed by midface (25.6%) and panfacial trauma (20.8%). Nearly 53.6% of patients underwent open reduction, and internal fixation (ORIF), 34.2% managed by the closed method and 12.1% were kept under observation.

CONCLUSION

This study verified a young male predominance, a shift toward more assault related fractures, especially in females. Mandibular fractures were the most common of all. Moreover, the changing trend toward ORIF in the past 15 years.

摘要

目的

分析过去15年(2002 - 2016年)颌面损伤的模式及治疗结果。

材料与方法

对来自两家三级转诊中心医院的1850例患者进行回顾性研究,记录其年龄、性别、病因、骨折部位及治疗方式。

结果

2002年至2016年间共对1228例男性和622例女性进行了手术。平均年龄为29±17.2岁。男性16 - 30岁年龄组发病率最高,而女性在16 - 30岁和31 - 45岁年龄组创伤发生率均较高。大多数骨折由道路交通事故导致(42.2%),其次是袭击(26.4%)、运动损伤(17.6%)和跌倒(10.7%)。骨折最多的部位是下颌骨(53.5%),其次是面中部(25.6%)和全面部创伤(20.8%)。近53.6%的患者接受了切开复位内固定术(ORIF),34.2%采用闭合方法治疗,12.1%接受观察。

结论

本研究证实了年轻男性占主导地位,尤其是女性中与袭击相关的骨折有所增加。下颌骨骨折是最常见的。此外,过去15年中切开复位内固定术的使用趋势有所变化。

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