摩托车相关事故后面部软组织损伤模式与面部骨骨折是否相关？

Are Facial Soft Tissue Injury Patterns Associated With Facial Bone Fractures Following Motorcycle-Related Accident?

机构信息

Associate Professor, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Malaysia.

Senior Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Malaysia.

出版信息

J Oral Maxillofac Surg. 2022 Nov;80(11):1784-1794. doi: 10.1016/j.joms.2022.07.144. Epub 2022 Aug 6.

DOI:10.1016/j.joms.2022.07.144

PMID:36049531

Abstract

PURPOSE

The unprotected nature of motorcycle riding exposes motorcyclists to an elevated risk of sustaining facial soft tissue injuries (STIs); however, its link with underlying facial bone fractures remains unexplored. The purpose of this study is to determine whether the type and site of STI sustained by motorcyclists were associated with the presence of underlying facial bone fractures.

MATERIALS AND METHODS

This was a retrospective cohort study of patients identified from the Oral and Maxillofacial Surgery Department of Universiti Kebangsaan Malaysia Medical Center trauma census who had motorcycle-related injury and met the inclusion criteria. The primary predictor variable was the type (laceration, contusion, abrasion, and no injuries) and site of STIs sustained. The site of the facial STI was categorized as per 17 different zones based upon the modified MCFONTZL classification. The primary outcome variable was the presence or absence of facial bone fractures as determined from the computed tomography scan. Descriptive and bivariate statistics were computed to measure the association between sustaining facial bone fractures and type/site of STI.

RESULTS

Seventy three patients (65 men and 8 women) were included in this study. The average age was 31.9 years (standard deviation ± 13.6) with a range of 18 to 70 years. There were 1,241 facial zones being assessed with 285 (23%) and 214 (17%) zones having STI and fractures, respectively. Laceration (124/285, 43%) and the orbital zone (53/285, 19%) were the most common type and site of STI, respectively, among motorcyclists. Facial bone fractures are more commonly seen following STI in the midface (71% of STI had fractures) compared to upper face (53%) and lower face (31%). Sustaining laceration type of STI was not associated with a higher rate of facial bone fracture when compared with other type of STI (54.8% vs 55.9%, P = .858) with the exception of laceration in the frontal zone (42.9% vs 10.5%, P = .022).

CONCLUSIONS

The different types of STI in the facial area cannot be used as a predictor for sustaining underlying facial bone fractures.

摘要

目的

骑摩托车时没有防护措施，这使摩托车手面临更高的面部软组织损伤（STI）风险；然而，其与潜在面部骨骨折的联系仍未得到探索。本研究的目的是确定摩托车手所受 STI 的类型和部位是否与潜在的面部骨骨折有关。

材料和方法

这是一项在马来西亚国民大学医学中心口腔颌面外科部门进行的回顾性队列研究，研究对象是从创伤登记处确定的、有摩托车相关损伤且符合纳入标准的患者。主要预测变量是 STI 的类型（撕裂伤、挫伤、擦伤和无损伤）和部位。根据改良的 MCFONTZL 分类，将面部 STI 的部位分为 17 个不同区域。主要结局变量是根据计算机断层扫描确定的面部骨骨折的存在或不存在。计算描述性和双变量统计数据来衡量面部骨骨折与 STI 的类型/部位之间的关联。

结果

本研究共纳入 73 名患者（65 名男性和 8 名女性）。平均年龄为 31.9 岁（标准差±13.6），年龄范围为 18 至 70 岁。共评估了 1241 个面部区域，其中 285 个（23%）和 214 个（17%）区域分别有 STI 和骨折。撕裂伤（124/285，43%）和眶区（53/285，19%）是摩托车手最常见的 STI 类型和部位。与上脸（53%）和下脸（31%）相比，中脸（71%的 STI 有骨折）更常见 STI 后发生面部骨骨折。与其他类型的 STI 相比，撕裂伤类型的 STI 与更高的面部骨骨折率无关（54.8%与 55.9%，P=.858），但眶区的撕裂伤除外（42.9%与 10.5%，P=.022）。