Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A.
Department of Otorhinolaryngology Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Laryngoscope. 2021 Jul;131(7):E2176-E2180. doi: 10.1002/lary.29397. Epub 2021 Jan 12.
OBJECTIVE/HYPOTHESIS: To report characteristics and management of facial fractures in a major metropolitan center within the United States.
Retrospective chart review.
Retrospective review at a level 1 trauma academic medical center of 3,946 facial fractures in 1,914 patients who presented from 2008 to 2017. Demographics, injury mechanism, associated injuries, and treatment information were collected. Logistic regression analyses were performed to determine factors associated with management.
There were 1,280 males and 630 females with a median age of 42 years. Orbital fractures were the most common (41.4%) followed by maxilla fractures (21.9%). The most common mechanism was fall (43.6%). Surgical management was recommended for 38% of patients. The odds of surgical management were less for females (OR 0.59, 95% CI 0.48-0.73). Patients over 70 years were significantly less likely to undergo surgery compared to other age groups (OR 0.15-0.36, P < .001). The odds of surgical management were 1.69 times greater for patients with more than three fractures than for a single fracture (95% CI 1.18-2.42) and 2.23 times greater for traffic injuries compared to injuries from activities of daily living (95% CI 1.42-3.5).
This represents one of the largest comprehensive databases of facial fractures. Our patients were most frequently injured during activities of daily living, most commonly from falls. The majority of patients were managed conservatively. Gender, age, fracture number, and mechanism of injury were independently associated with the decision to treat surgically. Our data are in stark contrast to that from other populations in which assault or motor vehicle accidents predominate.
4 Laryngoscope, 131:E2176-E2180, 2021.
目的/假设：报告在美国一个主要大都市中心的面部骨折特征和治疗方法。
回顾性病历回顾。
对 2008 年至 2017 年间在一家 1 级创伤学术医疗中心就诊的 1914 名患者的 3946 例面部骨折患者进行回顾性分析。收集了人口统计学、损伤机制、合并损伤和治疗信息。进行逻辑回归分析以确定与治疗相关的因素。
有 1280 名男性和 630 名女性，中位年龄为 42 岁。眶骨骨折最常见（41.4%），其次是上颌骨骨折（21.9%）。最常见的机制是跌倒（43.6%）。推荐 38%的患者进行手术治疗。女性接受手术治疗的可能性较小（OR 0.59，95%CI 0.48-0.73）。与其他年龄组相比，70 岁以上的患者接受手术治疗的可能性显著降低（OR 0.15-0.36，P<.001）。与单一骨折相比，多发骨折患者（OR 1.18-2.42）和交通伤患者（OR 1.42-3.5）接受手术治疗的可能性分别增加 1.69 倍和 2.23 倍。
这是面部骨折最大的综合数据库之一。我们的患者最常在日常生活活动中受伤，最常见的是从跌倒中受伤。大多数患者接受保守治疗。性别、年龄、骨折数量和损伤机制与手术治疗决策独立相关。我们的数据与其他人群形成鲜明对比，其他人群中以袭击或机动车事故为主。
4 级喉镜，131：E2176-E2180，2021 年。
