Kaura Sameer, Kaur Paramjot, Bahl Rashi, Bansal Sumit, Sangha Prineet
Department of Oral and Maxillofacial Surgery, Baba Jaswant Singh Dental College and Research Institute, Ludhiana, Punjab, India.
Ann Maxillofac Surg. 2018 Jan-Jun;8(1):78-82. doi: 10.4103/ams.ams_73_17.
The aim of this study was to give an insight into the retrospective analysis of a number of maxillofacial trauma cases reported to our institute and research center.
The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at the Oral and Maxillofacial Surgery Department from 2010 to 2016. Etiology, age, gender, pattern of fracture, and surgical treatment modalities undertaken in these patients were recorded.
A total of 353 maxillofacial trauma patients with mean age of 40 years, treated at our institute were evaluated from 2010 to 2016. Mandible was the most commonly fractured bone with parasymphysis as the most frequent site. Majority of victims were males (male:female ratio of 4:1) and also in the third decade of life. This study showed that 73% patients were treated by open reduction and internal fixation (ORIF), 25.8% by intermaxillary fixation (IMF) and Stabilization of fracture mandible with acrylic splint and circummandibular wiring was done in 0.8% pediatric patients.
It was concluded that road traffic accidents were reported as the leading cause of maxillofacial fractures followed by assault, falls, and familial dispute. Maxillofacial surgeons as health care providers must continue their 'face it' campaign to decrease the incidence of road traffic accidents. Open reduction and internal fixation remains the gold standard treatment modality.
本研究旨在深入回顾分析我院及研究中心报告的多例颌面创伤病例。
本研究数据取自2010年至2016年口腔颌面外科治疗病例的病历及门诊处方笺。记录这些患者的病因、年龄、性别、骨折类型及所采取的手术治疗方式。
2010年至2016年期间，我院共评估了353例平均年龄为40岁的颌面创伤患者。下颌骨是最常发生骨折的部位，下颌骨正中联合是最常见的骨折位点。大多数受害者为男性（男女比例为4:1），且年龄多在第三个十年。本研究表明，73%的患者接受了切开复位内固定术（ORIF），25.8%的患者接受了颌间固定（IMF），0.8%的儿科患者采用丙烯酸夹板和下颌周围钢丝固定下颌骨骨折。
得出的结论是，据报告道路交通事故是颌面骨折的主要原因，其次是袭击、跌倒和家庭纠纷。作为医疗服务提供者，口腔颌面外科医生必须继续开展他们的“直面它”运动，以降低道路交通事故的发生率。切开复位内固定仍然是金标准治疗方式。
