Sinha Vikas, Chaudhary Nitin, Jha Sushil G, Chaudhari Nirav P, Rathva Kajalben R
Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, B-303, Himalaya skyz flat, behind Himalaya mall, Bhavnagar, 364001 Gujarat India.
Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, Bhavnagar, Gujarat India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1246-1252. doi: 10.1007/s12070-020-02299-6. Epub 2021 Jan 7.
Road traffic accidents (RTA) are the major cause of maxillofacial injuries (MFIs) in developing countries (Akama et al. 2007). Road traffic accidents were reported to be the 9th most common cause of death and morbidity in the world and are expected to rise to 3rd position by 2020 (Peden et al. 2002). Maxillofacial injuries remain a serious clinical problem because of the involvement of complex anatomic region. Facial fractures occur most commonly in males in the third decade of life (Motamedi et al. 2014). The goal of treatment in facial fractures is to achieve anatomic reduction and restore function while increasing patient comfort and making postoperative care easier (Lachner et al. 1991). The aim of the study was to evaluate the cases of Maxillofacial injuries with the existing literature on its different presentation and management. An observational study was done from the patients of RTA with Maxillofacial injuries in ENT department and trauma centre of Sir T General hospital and Government Medical College, Bhavnagar for a period of 2 year. A total of 315 patients were included. Males are more commonly affected than females. The main etiological factor for RTA was motorcycle accidents. The trend of MFIs especially due to MCAs was on the rise after the age of 20 year. Anatomically the lower 1/3 section of the face was the most affected. Mandibular fractures were most common isolated fracture in MFIs. Open reduction and internal fixation (ORIF) by plating and screw was the treatment of choice for displaced, comminuted and multiple fractures of face. Facial trauma remains a major source of injury in all parts of the world. Its management involves many disciplines in the hospital setting, but knowledge of occlusion, the masticatory apparatus and anatomy is important for the best outcomes. This study was an analysis of demographic variables and outcome of the management adopted in patients presented to our department.
道路交通事故（RTA）是发展中国家颌面部损伤（MFI）的主要原因（赤间等人，2007年）。据报道，道路交通事故是全球第九大常见死亡和发病原因，预计到2020年将升至第三位（佩登等人，2002年）。由于涉及复杂的解剖区域，颌面部损伤仍然是一个严重的临床问题。面部骨折最常发生在30岁左右的男性中（莫塔梅迪等人，2014年）。面部骨折治疗的目标是实现解剖复位并恢复功能，同时提高患者舒适度并使术后护理更容易（拉赫纳等人，1991年）。本研究的目的是结合现有文献，评估颌面部损伤的不同表现和处理情况。在巴夫纳格尔市蒂鲁尔综合医院和政府医学院的耳鼻喉科和创伤中心，对颌面部损伤的道路交通事故患者进行了为期两年的观察性研究。共纳入315例患者。男性比女性更容易受到影响。道路交通事故的主要病因是摩托车事故。20岁以后，尤其是由于摩托车事故导致的颌面部损伤呈上升趋势。从解剖学角度来看，面部下1/3部分受影响最大。下颌骨骨折是颌面部损伤中最常见的单一骨折。对于面部移位、粉碎性和多发性骨折，首选的治疗方法是钢板螺钉切开复位内固定（ORIF）。面部创伤仍然是世界各地损伤的主要来源。其处理涉及医院环境中的多个学科，但了解咬合、咀嚼器官和解剖结构对于取得最佳治疗效果很重要。本研究分析了到我们科室就诊患者的人口统计学变量和所采用的治疗结果。
