Bocchialini Gabriele, Castellani Andrea
Maxillo-Facial Surgery Unit, Asst Spedali Civili Brescia, Brescia, Italy.
Ann Maxillofac Surg. 2019 Jan-Jun;9(1):135-139. doi: 10.4103/ams.ams_51_19.
Traumatic injuries are the leading cause of death among <40 year olds, a good part of the working age population. Traumatic injuries are also the leading cause of lost productivity, causing more lost working days than cancer or vascular cardiomyopathy.
We retrospectively and statistically analyzed the characteristics of facial fractures treated between June 2010 and December 2016 at the Maxillofacial Adult Surgery Unit, Spedali Civili Brescia, Italy.
Facial fractures are common in polytrauma patients, due to exposure of the cephalic end. The incidence of concomitant facial injuries with major trauma is 15%-24% in England (between Liverpool and London) and up to 34% in Washington, based on a large database of 87,174 patients. High-energy trauma frequently involving multiple traumatic injuries often leads to complex facial fractures, affecting different portions of the splanchnocranium.
Treatment of facial fractures often focuses on functional or esthetic outcomes, and the outcomes are often substantially worse than those of other trauma treatments. Given the esthetic value of the face, facial trauma often leads to heightened emotional distress.
创伤性损伤是40岁以下人群（很大一部分处于工作年龄）的主要死因。创伤性损伤也是导致生产力损失的主要原因，造成的工作日损失比癌症或血管性心肌病更多。
我们回顾性地并通过统计学方法分析了2010年6月至2016年12月期间在意大利布雷西亚市公民医院颌面成人外科治疗的面部骨折的特征。
由于头部前端暴露，面部骨折在多发伤患者中很常见。根据一个包含87174名患者的大型数据库，在英国（利物浦和伦敦之间），伴有严重创伤的面部损伤发生率为15% - 24%，在华盛顿高达34%。经常涉及多处创伤性损伤的高能创伤往往会导致复杂的面部骨折，影响脏颅的不同部位。
面部骨折的治疗通常侧重于功能或美学效果，而这些效果往往比其他创伤治疗的效果差得多。鉴于面部的美学价值，面部创伤常常会导致更强烈的情绪困扰。
