单中心儿童青少年队列中面部中部骨折的前瞻性分析。
Prospective analysis of mid-facial fractures in a single-center pediatric-adolescent cohort.
作者信息
Reich Waldemar, Aust Oliver, Eckert Alexander
机构信息
Department of Oral and Plastic Maxillofacial Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube Str. 40, D-06120, Halle (Saale), Germany.
Dental Practice, Waldkerbelstraße 12, D-04329, Leipzig, Germany.
出版信息
Int J Pediatr Otorhinolaryngol. 2019 Apr;119:151-160. doi: 10.1016/j.ijporl.2019.01.028. Epub 2019 Jan 22.
BACKGROUND
The complex architecture of the midface renders diagnosing and treating fractures challenging, especially for young patients who present the additional risk of suffering growth and development deficiencies, which is to be avoided at all costs.
OBJECTIVES
This study sought to characterize pediatric mid-facial fractures considering the possible complications.
METHODS
Between September 2008 and September 2018, data was collected on inpatients aged <18 years, treated for mid-facial fractures at the Halle University Hospital. Evaluated parameters were age, gender, cause and type of fracture, associated injuries, treatment, and complications.
RESULTS
In total, 31 patients were examined; 20 were boys. The most common cause of injury was road traffic accident (41.9%). Orbital floor fracture was the most common type of injury (58.1%). In 54.8% of cases, surgery was performed.
CONCLUSION
The incidence of complications associated with mid-facial fractures was low (n = 7), requiring treatment in only three cases (orthodontic, ophthalmological).
背景
面中部复杂的结构使得骨折的诊断和治疗具有挑战性，尤其是对于有生长发育缺陷额外风险的年轻患者，这种风险必须不惜一切代价避免。
目的
本研究旨在考虑可能的并发症来描述儿童面中部骨折的特征。
方法
2008年9月至2018年9月期间，收集了哈雷大学医院收治的18岁以下面中部骨折住院患者的数据。评估参数包括年龄、性别、骨折原因和类型、相关损伤、治疗及并发症。
结果
共检查了31例患者；其中20例为男性。最常见的受伤原因是道路交通事故（41.9%）。眶底骨折是最常见的损伤类型（58.1%）。54.8%的病例进行了手术。
结论
面中部骨折相关并发症的发生率较低（n = 7），仅3例需要治疗（正畸、眼科）。
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