Plastics & Craniofacial Surgery, Australian Craniofacial Unit, Adelaide, South Australia, Australia.
Plastics & Craniofacial Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
ANZ J Surg. 2021 May;91(5):954-961. doi: 10.1111/ans.16718. Epub 2021 Mar 3.
Animal-related facial fractures can affect livelihoods impacting the hard and soft tissues of the face. Animal husbandry and recreational sports have close relationships with animals, which can lead to injuries equivalent to those of road traffic accidents and assaults. Our aim is to describe epidemiological trends of animal-related facial fractures in the paediatric and adult age group across South Australia.
A retrospective review from January 2012 to January 2017 at the Women and Children's Hospital and Royal Adelaide Hospital in Adelaide. All animal-related injuries that attended or were referred to the unit were included in this study.
There were 50 patients who presented with an animal-related facial fracture. There was an equal distribution of males to females with horses as the most common animal to cause injury from kicking. The orbit and orbitozygomatic fracture equally represented the most common type of facial fracture with 38% of all cases having an associated injury. The operative rate was 56% with four post-operative complications. There were differences between males and females for season, post-operative complications and length of stay (P < 0.05). Females, multiple fractures and associated injuries were independently associated with increased length of stay (P = 0.001).
Female adolescents and young women involved with horses were more likely to have facial fractures with associated injuries, post-operative complications and an extended length of stay compared to males. Educational awareness for trainees about interdisciplinary care and prevention strategies for patients are key to better understanding and managing facial trauma.
与动物相关的面部骨折会影响到生活，影响面部的硬组织和软组织。畜牧业和娱乐性运动与动物密切相关，可能导致与道路交通伤害和袭击相当的伤害。我们的目的是描述南澳大利亚儿科和成人年龄段与动物相关的面部骨折的流行病学趋势。
对阿德莱德妇女儿童医院和皇家阿德莱德医院 2012 年 1 月至 2017 年 1 月的病例进行回顾性研究。所有来就诊或转来该科室的与动物相关的损伤都包括在本研究中。
有 50 名患者因与动物相关的面部骨折就诊。男性和女性的比例相等，马是导致踢伤的最常见动物。眶和眶颧骨折同样是最常见的面部骨折类型，占所有病例的 38%有合并伤。手术率为 56%，有 4 例术后并发症。男性和女性在季节、术后并发症和住院时间方面存在差异（P < 0.05）。女性、多处骨折和合并伤与住院时间延长独立相关（P = 0.001）。
与男性相比，女性青少年和年轻女性与马有关的面部骨折更有可能伴有合并伤、术后并发症和延长的住院时间。教育意识的提高，使学员了解跨学科护理，并为患者制定预防策略，这对于更好地理解和管理面部创伤至关重要。
