Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States.
Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States; Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States.
Am J Otolaryngol. 2021 Mar-Apr;42(2):102874. doi: 10.1016/j.amjoto.2020.102874. Epub 2020 Dec 29.
To describe the association between age and location of facial fractures in the pediatric population.
A retrospective analysis of the Healthcare Cost and Utilization Project (HCUP) from the 2016 Kids' Inpatient Database (KID) in children aged ≤18 years was conducted. International Statistical Classification of Diseases, 10th Revision (ICD-10) codes were used to extract facial fracture diagnoses. Logistic regression was used to evaluate and compare the contribution of various demographic factors among patients who had different types of facial fractures.
A total of 5568 admitted patients were identified who sustained any type of facial bone fracture. Patients who had facial fractures were significantly more likely to be male (68.2% versus 31.8%; p<0.001) and were older with a mean age of 12.86 years (95% confidence interval [CI]: 12.72-12.99). Approximately one-third of patients with a facial fracture had a concomitant skull base or vault fracture. Maxillary fractures were seen in 30.9% of the cohort while mandibular fractures occurred in 36.9% of patients. The most common mandibular fracture site was the symphysis (N=574, 27.9% of all mandibular fractures). Condylar fractures were more common in younger children while angle fractures were more common in teenagers. Regression analysis found that age was the only significant contributor to the presence of a mandibular fracture (β=0.027, p<0.001) and race was the only significant contributor to maxillary fractures (β=-0.090, p<0.001).
Facial fractures increase in frequency with increasing age in children. The mandible was the most commonly fractured facial bone, with an age-related pattern in fracture location.
描述儿童人群中面部骨折的年龄和部位的相关性。
对 2016 年儿童住院数据库（KID）中年龄≤18 岁的医疗保健成本和利用项目（HCUP）进行回顾性分析。使用国际疾病分类，第 10 版（ICD-10）代码提取面部骨折诊断。使用逻辑回归评估和比较不同类型面部骨折患者中各种人口统计学因素的贡献。
共确定了 5568 名接受治疗的患者，他们患有任何类型的面部骨骨折。发生面部骨折的患者更有可能为男性（68.2%比 31.8%；p<0.001），且年龄较大，平均年龄为 12.86 岁（95%置信区间[CI]：12.72-12.99）。大约三分之一的面部骨折患者伴有颅底或穹顶骨折。在队列中，上颌骨骨折占 30.9%，下颌骨骨折占 36.9%。最常见的下颌骨骨折部位是下颌骨联合（N=574，占所有下颌骨骨折的 27.9%）。髁突骨折在儿童中更为常见，而角部骨折在青少年中更为常见。回归分析发现，年龄是下颌骨骨折存在的唯一显著影响因素（β=0.027，p<0.001），而种族是上颌骨骨折的唯一显著影响因素（β=-0.090，p<0.001）。
在儿童中，面部骨折的频率随年龄的增加而增加。下颌骨是最常见的骨折面部骨骼，其骨折部位与年龄相关。
