Australian Craniofacial Unit, North Adelaide, 72 King William St, Adelaide, SA, 5006, Australia.
Royal Adelaide Hospital, Adelaide, Australia.
Oral Maxillofac Surg. 2023 Sep;27(3):459-468. doi: 10.1007/s10006-022-01085-8. Epub 2022 Jun 9.
Facial trauma in women is complex with physical, psychosocial, and cultural influences impacting clinical presentations. Although multifactorial, assaults and falls are principally reported as the main causes.
A retrospective review was conducted from January 2012 to January 2017 at the Women and Children's Hospital and Royal Adelaide Hospital, Adelaide. All maxillofacial fractures in women that attended or were referred to the unit were included in this study. The primary objective was to analyse epidemiological trends of facial fractures and clinical outcomes in the South Australian female population.
There is a bimodal distribution of facial fractures at 25-35 years and 65 + years. Indigenous females were 19.5 years younger than non-indigenous females (30.5 vs 49.9, P < 0.001). Approximately half the cohort had a fall-related facial fracture, followed by assault (26.2%), and sports (10.3%). There was a higher proportion of non-alcohol-related trauma from assaults than alcohol-related assaults (72.5% vs 27.5%, P < 0.001). Over half (58.0%) of the cohort had a midface fracture. The elderly had increased odds of 1.9 fold for facial fractures in winter, largely from falls, compared to younger women. Associated injuries were present in almost half the elderly women with 2.6 times the risk compared to younger women. Younger women had higher incidences of surgical intervention (52.6% vs 14.3%, P < 0.05).
Young women disproportionately experience larger incidences of non-alcohol-related assaults requiring operative intervention of the mandible, whereas elderly women principally suffer fall-related facial fractures with higher rates of associated injuries.
女性面部创伤较为复杂，受到身体、心理社会和文化等多种因素的影响，从而影响临床表现。尽管其病因多因素，但主要报告的原因是袭击和摔倒。
本研究回顾性分析了 2012 年 1 月至 2017 年 1 月在阿德莱德妇女儿童医院和皇家阿德莱德医院就诊或转至该单位的所有女性颌面骨折患者。本研究的主要目的是分析南澳大利亚女性人群中颌面骨折的流行病学趋势和临床结局。
女性颌面骨折呈双峰分布，分别为 25-35 岁和 65 岁以上。与非土著女性相比，土著女性年轻 19.5 岁（30.5 岁 vs 49.9 岁，P<0.001）。大约一半的患者因摔倒导致面部骨折，其次是袭击（26.2%）和运动（10.3%）。非酒精相关袭击导致的创伤比例高于酒精相关袭击（72.5% vs 27.5%，P<0.001）。超过一半（58.0%）的患者存在中面部骨折。与年轻女性相比，老年女性冬季面部骨折的几率增加 1.9 倍，主要是摔倒导致的。近一半的老年女性伴有其他损伤，其风险是年轻女性的 2.6 倍。年轻女性手术干预的发生率更高（52.6% vs 14.3%，P<0.05）。
年轻女性遭受非酒精相关袭击导致下颌骨需手术干预的比例不成比例地增加，而老年女性主要因摔倒导致面部骨折，且伴有更高的相关损伤发生率。
