Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Oral and Maxillofacial Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Aust Dent J. 2023 Jun;68(2):113-119. doi: 10.1111/adj.12956. Epub 2023 Apr 17.
Standing electric scooters (e-scooters) are a cost-effective and environmentally-friendly transport alternative, but also elicit substantial concern regarding associated craniofacial injuries. This study aims to describe the patient factors, procedural factors and post-operative outcomes of maxillofacial fractures caused by e-scooter accidents.
Retrospective chart review of patients aged 18 years or older who were surgically treated for these injuries in 2014-2020 at two Australian tertiary hospitals.
There were 18 cases included. Most cases were male (66%). The mean age was 35 years. Common risk factors were alcohol use (86%) and lack of helmet use (62%). The most common fracture pattern was zygomatico-maxillary complex (ZMC) fractures (50%). There were no associated systemic injuries. Mean operation timing was 12 days post-injury for ZMC fractures and 3 days post-injury for condyle fractures. For ZMC fractures, the most common method of fixation was 2-point fixation (66%). For condyle fractures, the most common surgical approach was arch bars only (83%). Post-operative complications were reported in six cases, with malocclusion being the most common (n = 3). Revision surgeries were performed in two cases.
Maxillofacial fractures associated with e-scooter accidents appear to be increasing in incidence. Robust longitudinal evaluations with larger sample sizes are required to better understand associated presentations, surgical approaches and post-operative complications.
站立式电动滑板车（e-scooter）是一种具有成本效益且环保的交通替代方式，但也引起了人们对与之相关的颅面损伤的极大关注。本研究旨在描述电动滑板车事故所致颌面骨折的患者因素、手术因素和术后结果。
回顾性分析了 2014 年至 2020 年在澳大利亚两家三级医院接受手术治疗的 18 岁及以上患者的病历。
共纳入 18 例患者。大多数为男性（66%），平均年龄为 35 岁。常见的危险因素是饮酒（86%）和未戴头盔（62%）。最常见的骨折类型是颧骨-上颌复合体（ZMC）骨折（50%）。无其他系统损伤。ZMC 骨折的平均手术时机为受伤后 12 天，髁突骨折为受伤后 3 天。对于 ZMC 骨折，最常见的固定方法是 2 点固定（66%）。对于髁突骨折，最常见的手术入路是仅使用弓丝（83%）。6 例患者报告有术后并发症，其中咬合不正最常见（n=3）。2 例患者行翻修手术。
与电动滑板车事故相关的颌面骨折发病率似乎在增加。需要进行更大样本量的纵向评估，以更好地了解相关表现、手术方法和术后并发症。
