Al-Bokhamseen Mohammed, Salma Ra'ed, Al-Bodbaij Mohammed
Resident Oral and Maxillofacial Surgery, King Fahad Hospital, Hofuf, Saudi Arabia.
Maxillofacial Surgery, Riyadh Elm University, Riyadh, Saudi Arabia.
Saudi Dent J. 2019 Jan;31(1):129-136. doi: 10.1016/j.sdentj.2018.10.001. Epub 2018 Oct 13.
This retrospective study was performed to analyze the incidence, etiology, and types of maxillofacial fractures in a major city in Eastern Province, Saudi Arabia.
The medical records of all patients treated in the operating rooms for maxillofacial fractures by the Oral and Maxillofacial Surgery Department at King Fahad Hospital, Hofuf, Al-Ahsa, Saudi Arabia, between January 1, 2007, and December 31, 2016, were reviewed. A total of 270 patients with complete records were included. The data extracted included the age, gender, nationality, causes of injury, and patterns of maxillofacial fractures involved.
Among the 270 patients, 241 (89.3%) were males, and 29 (10.7%) were females. The young adult (19-44 years) age group was the most affected (65.6%). Road traffic accidents (63.3%) were found to be the most frequent causes of maxillofacial fractures; falls were the second most common (15.9%). The rate of mandibular (54.6%) fractures was higher than that of mid-facial (45.4%) fractures. Among the mandibular fractures, the most common type was the parasymphyseal fracture (24.6%). Zygomatic fractures were the most common (48.6%) of midface fractures.
Similar to reports of other studies in different regions of Saudi Arabia, Al-Ahsa showed that road traffic accidents were the most predominant etiology of maxillofacial fractures affecting most frequently males of young adult age group. These findings emphasize the need for better education of road safety and enforcement of traffic laws, especially for the most affected age group.
本回顾性研究旨在分析沙特阿拉伯东部省某主要城市颌面部骨折的发病率、病因及类型。
回顾了沙特阿拉伯胡富夫市法赫德国王医院口腔颌面外科在2007年1月1日至2016年12月31日期间在手术室治疗的所有颌面部骨折患者的病历。共纳入270例记录完整的患者。提取的数据包括年龄、性别、国籍、受伤原因及涉及的颌面部骨折类型。
270例患者中，男性241例（89.3%），女性29例（10.7%）。青壮年（19 - 44岁）年龄组受影响最大（65.6%）。道路交通事故（63.3%）是颌面部骨折最常见的原因；跌倒为第二常见原因（15.9%）。下颌骨骨折发生率（54.6%）高于面中部骨折（45.4%）。下颌骨骨折中，最常见类型是下颌骨正中旁骨折（24.6%）。颧骨骨折是面中部骨折中最常见的（48.6%）。
与沙特阿拉伯不同地区的其他研究报告相似，艾哈萨地区显示道路交通事故是颌面部骨折最主要的病因，最常影响青壮年男性。这些发现强调了加强道路安全教育和交通法规执法的必要性，特别是针对受影响最大的年龄组。
