Menon Suresh, Sham M E, Kumar Veerendra, Archana S, Nath Priyangana, Shivakotee Satyapriya, Hoda Mahbubul
Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bengaluru, Karnataka, India.
Ann Maxillofac Surg. 2019 Jul-Dec;9(2):345-348. doi: 10.4103/ams.ams_136_19.
The objective of this study is to analyze the maxillofacial fracture pattern from road traffic accidents (RTAs) in cases treated surgically in a tertiary hospital during July 2008-June 2018.
Data available in the department of oral and maxillofacial surgery of the institution of patients with maxillofacial fractures sustained due to RTAs that were treated in the department between the period July 2008 and June 2018 were collected and analyzed. The variables analyzed for the study were etiology, gender, age, and type of fracture. All cases were treated by open reduction and rigid internal fixation.
A total of 348 patients with maxillofacial fractures were diagnosed, of which 335 were male and 13 were female. The ages ranged from 7 to 70 years. The maximum cases were in the age group of 16-30 years with 181 fractures followed by 31-45 group with 133 fractures, 45-60 years with 21 fractures, 0-15 years with 8 fractures, and >60 years with five fractures. The maximum incidence of fractures was in the mandible with 168 cases followed by 92 in zygomatic complex, combination of fractures in 53 cases, 13 LeFort I fractures, nine frontal bone fractures, three fractures in other areas, five nasal fractures, and five LeFort II fractures. Males predominated the cases of mandibular fractures involving multiple sites and cases involving multiple bones.
A maximum number of maxillofacial fractures cases were in the second and third decades of life, and the high-speed vehicles and lack of protective safety accessories such as helmets and seatbelts were responsible for the wide variety of pattern fractures of facial bones.
本研究的目的是分析2008年7月至2018年6月期间在一家三级医院接受手术治疗的道路交通伤（RTA）所致颌面骨折模式。
收集并分析该机构口腔颌面外科2008年7月至2018年6月期间收治的因道路交通伤导致颌面骨折患者的数据。本研究分析的变量包括病因、性别、年龄和骨折类型。所有病例均采用切开复位坚固内固定治疗。
共诊断出348例颌面骨折患者，其中男性335例，女性13例。年龄范围为7至70岁。最多的病例在16 - 30岁年龄组，有181例骨折，其次是31 - 45岁组，有133例骨折，45 - 60岁组有21例骨折，0 - 15岁组有8例骨折，>60岁组有5例骨折。骨折发生率最高的是下颌骨，有168例，其次是颧骨复合体92例，复合骨折53例，LeFort I型骨折13例，额骨骨折9例，其他部位骨折3例，鼻骨骨折5例，LeFort II型骨折5例。男性在下颌骨多部位骨折和多骨骨折病例中占主导。
颌面骨折病例最多的是在人生的第二个和第三个十年，高速行驶的车辆以及缺乏头盔和安全带等防护安全配件是导致面部骨骼多种骨折模式的原因。
