Department of Oral and Maxillofacial Surgery, KVGDCH, Sullia, India.
Padmavathi Womens Medical College, Tirupati, India.
Dent Traumatol. 2022 Aug;38(4):314-318. doi: 10.1111/edt.12752. Epub 2022 Apr 28.
BACKGROUND/AIMS: The frequency and patterns of maxillofacial fractures vary by country, based on demographic, socioeconomic, cultural and environmental factors. Wearing a helmet is an efficient form of head protection for two-wheeler drivers and is now required in the vast majority of countries. The aim of this study was to compare the patterns of maxillofacial trauma in patients who wore helmets and those who did not.
The data were gathered from clinical records of patients presenting with maxillofacial trauma between January 2019 and February 2022. The inclusion criteria were met by subjects involved in two-wheeler accidents with comprehensive case records and radiological investigations.
A total of 177 people presented following maxillofacial trauma. The mean age was 34.2 ± 12.7 years. There were 151 (85.3%) males and 26 (14.6%) females. One hundred and two patients had not been wearing a helmet, while 75 patients were wearing a helmet at the time of the accident. Mandible fractures were the most common injury in both groups, followed by zygomatic arch fractures (which were more common in non-helmet users) and dentoalveolar fractures in helmet users.
There was a significant difference in the pattern and severity of maxillofacial trauma in helmet users and non-helmet users.
背景/目的：基于人口统计学、社会经济学、文化和环境因素，颌面骨折的发生频率和模式在不同国家有所不同。戴头盔是两轮车驾驶员头部的有效保护形式，现在绝大多数国家都要求佩戴头盔。本研究的目的是比较戴头盔和不戴头盔的患者颌面创伤的模式。
数据来自 2019 年 1 月至 2022 年 2 月间因颌面创伤就诊的患者的临床记录。本研究纳入标准为涉及两轮车事故、有完整病历和影像学检查的患者。
共有 177 人因颌面创伤就诊。平均年龄为 34.2±12.7 岁。其中 151 例（85.3%）为男性，26 例（14.6%）为女性。102 例患者未戴头盔，75 例患者在事故时戴了头盔。两组中最常见的损伤都是下颌骨骨折，其次是颧骨弓骨折（在未戴头盔的患者中更常见）和戴头盔患者的牙槽突骨折。
头盔使用者和非头盔使用者的颌面创伤模式和严重程度存在显著差异。
