AlHammad Ziyad, Nusair Yanal, Alotaibi Sami, Ababtain Razan, Alsulami Salma, Aljumah Ghada
Saudi Board of Oral and Maxillofacial Surgery, Riyadh, Saudi Arabia.
Oral and Maxillofacial Surgery, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Saudi Dent J. 2020 Sep;32(6):314-320. doi: 10.1016/j.sdentj.2019.09.009. Epub 2019 Oct 11.
To investigate the prevalence and severity of maxillofacial fractures resulting from motor vehicle accidents (MVAs) at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.
A cross-sectional study of 325 males (89%) and 47 females (9%) was conducted that retrospectively reviewed records of patients referred to oral and maxillofacial surgery department from emergency department from 1st January 2016 to 31st December 2017 at KAMC, Riyadh.
A total of 372 subjects were included in the study. MVAs (80%) were the most prevalent cause of trauma. The age range most susceptible to MVAs was between 20 and 24 years old (28%). The most common site of fracture was the midface (64%), specifically orbit (32%). For mandibular fractures, the subcondylar was the most common site of fractures (19%). The most common treatment approach was conservative (65%). In terms of severity, approximately half of patients needed admission to the intensive care unit (ICU) (50%); the mean score on the Glasgow Coma Scale (GCS) was 11.34, but most scores fell in the mild range; and (68%) of subjects presented with other associated systemic injuries, especially orthopedic injuries (36%).
MVAs were the main cause of trauma and affected mainly young males. The most common site of fracture was midface, specifically orbit. Subcondylar was the most prevalent fracture site for mandibular fractures. The severity of MVAs injuries was significantly higher compared to non-MVAs injuries. We suggest enforcing legislation and regulations on road safety such as the use of compulsory seat belts.
调查沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城（KAMC）机动车事故（MVA）导致的颌面骨折的患病率和严重程度。
进行了一项横断面研究，研究对象为325名男性（89%）和47名女性（9%），回顾性分析了2016年1月1日至2017年12月31日期间在利雅得KAMC急诊科转诊至口腔颌面外科的患者记录。
本研究共纳入372名受试者。机动车事故（80%）是最常见的创伤原因。最易发生机动车事故的年龄范围在20至24岁之间（28%）。最常见的骨折部位是面中部（64%），尤其是眼眶（32%）。下颌骨骨折中，髁突下是最常见的骨折部位（19%）。最常见的治疗方法是保守治疗（65%）。在严重程度方面，约一半患者需要入住重症监护病房（ICU）（50%）；格拉斯哥昏迷量表（GCS）的平均评分为11.34，但大多数评分处于轻度范围；68%的受试者伴有其他相关的全身损伤，尤其是骨科损伤（36%）。
机动车事故是创伤的主要原因，主要影响年轻男性。最常见的骨折部位是面中部，尤其是眼眶。髁突下是下颌骨骨折最常见的部位。与非机动车事故损伤相比，机动车事故损伤的严重程度明显更高。我们建议加强道路安全方面的法律法规，如强制使用安全带。
