Sbordone Carolina, Barca Ida, Petrocelli Marzia, Dell'Aversana Orabona Giovanni, Vaira Luigi Angelo, Colangeli Walter, Cristofaro Maria Giulia, Giudice Mario, Giudice Amerigo, Cassandro Francesco Maria, Attanasi Federica, Iaconetta Giorgio, Califano Luigi
Department of Maxillofacial Surgery, School of Medicine, University of Naples "Federico II", Napoli.
Maxillofacial Surgery Unit, Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro.
J Craniofac Surg. 2018 Nov;29(8):2119-2123. doi: 10.1097/SCS.0000000000004603.
Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable and its analysis is crucial to establish effective treatment and prevention of these injuries. The aim of this multicentric retrospective study was to analyze causes, demographics, incidence, characteristics of 987 patients diagnosed with maxillofacial trauma between 2011 and 2015 at Complex Operative Unit of Maxillofacial Surgery of Federico II University of Naples and Magna Graecia University of Catanzaro, Italy; 657 male and 310 female patients were admitted in the study. The most frequently observed fracture involved the mandible (399 patients, 35.4%), followed by zygomatic complex (337 patients, 29.9%), orbital walls (160 patients, 14.2%), and nasal bones (129 patients, 11.4%). The most frequent cause of fracture was assaults (30.4%), followed by road traffic injuries (27.2%), falls (23.2%), sport accidents (15.4%), and others causes (2.6%). Significant variations of etiology have been detected between the 2 hospitals in relationship with different migration flow trends and cultural and socioeconomic features. Epidemiological analysis of maxillofacial fractures is crucial to identify the trauma burden and to help in developing a more efficient system to plan resource allocation and to deliver care and preventive measures establishing clinical and research priorities for effective treatment and prevention of these injuries.
颌面骨折是一个严重的公共卫生问题。其流行病学情况极为多样，对其进行分析对于制定有效的治疗方法和预防这些损伤至关重要。这项多中心回顾性研究的目的是分析2011年至2015年期间在意大利那不勒斯费德里科二世大学颌面外科综合手术单元以及卡坦扎罗马格纳希腊大学被诊断为颌面创伤的987例患者的病因、人口统计学特征、发病率及特点；该研究共纳入657例男性患者和310例女性患者。最常观察到的骨折部位是下颌骨（399例患者，占35.4%），其次是颧骨复合体（337例患者，占29.9%）、眶壁（160例患者，占14.2%）和鼻骨（129例患者，占11.4%）。骨折最常见的原因是袭击（30.4%），其次是道路交通伤（27.2%）、跌倒（23.2%）、体育事故（15.4%）以及其他原因（2.6%）。在这两家医院之间，由于不同的移民流动趋势以及文化和社会经济特征，已检测到病因存在显著差异。颌面骨折的流行病学分析对于确定创伤负担以及帮助建立一个更有效的系统以规划资源分配、提供护理和预防措施、确定有效治疗和预防这些损伤的临床及研究重点至关重要。
