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儿童和青少年颌面部骨折:沙特阿拉伯王国纳季兰一家大型转诊医院247例病例综述

Maxillofacial Bone Fractures in Children and Adolescents: Overview of 247 Cases in a Major Referral Hospital, Najran, Kingdom of Saudi Arabia.

作者信息

Daniels John Spencer, Albakry Ibrahim, Braimah Ramat Oyebunmi, Samara Mohammed Ismail

机构信息

Department of Oral and Maxillofacial Surgery, King Khalid Hospital, Najran, Kingdom of Saudi Arabia.

Department of Oral and Maxillofacial Surgery, Specialty Regional Dental Center, Najran, Kingdom of Saudi Arabia.

出版信息

Craniomaxillofac Trauma Reconstr. 2021 Jun;14(2):126-134. doi: 10.1177/1943387520952680. Epub 2020 Aug 27.

DOI:10.1177/1943387520952680
PMID:33995833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8108098/
Abstract

STUDY DESIGN

A retrospective study investigating maxillofacial bone fractures in the pediatric and adolescent population.

OBJECTIVE

The aim of this study was to present our experience in the management of pediatric facial bone fractures.

METHODS

This was a retrospective study of maxillofacial bone fractures in children and adolescents between the ages <1 year and 19 years in a Saudi Arabian subpopulation. Data collected include demographics, etiology, pattern, and treatment of maxillofacial bone fractures. Data were analyzed using IBM SPSS Statistics for Windows Version 25 (IBM Corp.). Results were presented as simple frequencies and descriptive statistics.

RESULTS

Of the 1297 patients with maxillofacial bone fractures, 247 were cases involving children and adolescents giving a prevalence of 19.0% (247 patients, N = 1297). There were 233 males and 14 females with an M:F ratio of 16.6:1. The ages ranged from 9 months to 19 years with a mean ± SD of 14.4 ± 4.6. The age-group between 16 and 20 years had the highest frequency of patients (144 (58.4%)). In the 1- to 5-year group, falls accounted for most of the etiology (15 (6.1%)), while in the 16- to 20-year group, motor vehicular accident (MVA) was the main reason (120 (48.6%)). The majority of the fractures occurred in the mandible with 151(61.1%) cases. Open reduction and internal fixation (ORIF) were the main treatment modality in 171 (69.2%) patients.

CONCLUSIONS

MVA was the main etiology of maxillofacial fractures in children and adolescents with male predominance, while the mandible had been the most frequently fractured bone. ORIF was the main treatment modality.

摘要

研究设计

一项针对儿童和青少年人群颌面部骨折的回顾性研究。

目的

本研究旨在介绍我们在儿童面部骨折治疗方面的经验。

方法

这是一项对沙特阿拉伯亚人群中年龄在1岁以下至19岁的儿童和青少年颌面部骨折的回顾性研究。收集的数据包括人口统计学、病因、骨折类型和颌面部骨折的治疗情况。使用IBM SPSS Statistics for Windows版本25(IBM公司)对数据进行分析。结果以简单频率和描述性统计呈现。

结果

在1297例颌面部骨折患者中,247例涉及儿童和青少年,患病率为19.0%(247例患者,N = 1297)。男性233例,女性14例,男女比例为16.6:1。年龄范围为9个月至19岁,平均±标准差为14.4 ± 4.6。16至20岁年龄组患者频率最高(144例(58.4%))。在1至5岁组中,跌倒占大多数病因(15例(6.1%)),而在16至20岁组中,机动车事故(MVA)是主要原因(120例(48.6%))。大多数骨折发生在下颌骨,有151例(61.1%)。切开复位内固定(ORIF)是171例(69.2%)患者的主要治疗方式。

结论

机动车事故是儿童和青少年颌面部骨折的主要病因,男性居多,而下颌骨是最常发生骨折的部位。切开复位内固定是主要治疗方式。

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