Departments of Maxillofacial Surgery.
Faculty of Medicine, Institute of Clinical Medicine.
J Craniofac Surg. 2024;35(5):1325-1328. doi: 10.1097/SCS.0000000000010181. Epub 2024 May 6.
This study investigates the impact of helmet use on the incidence of facial fractures in bicycle accidents. Analyzing data from hospitalized bicyclists between 2005 and 2016, the research focused on the correlation between helmet usage and various facial fractures. The study included 1256 bicyclists with known helmet use, among whom 277 individuals (22%) were identified with a total of 521 facial fractures. The findings revealed a significant reduction in the likelihood of facial fractures among helmeted cyclists compared with those without helmets (odds ratio, 0.65; confidence interval, 0.50-0.85; P=0.002). Specifically, the odds of sustaining fractures in the zygoma, orbit, nose, and maxilla were decreased by 47%, 46%, 43%, and 33%, respectively, among helmeted cyclists. However, helmet use did not significantly alter the odds of mandible fractures. Overall, the use of helmets in bicycling significantly lowered the risk of midface fractures but showed no notable effect on mandible fractures in severe cycling incidents.
本研究旨在探讨头盔使用对自行车事故中面部骨折发生率的影响。通过分析 2005 年至 2016 年期间住院自行车骑手的数据，研究重点关注了头盔使用与各种面部骨折之间的相关性。该研究纳入了 1256 名已知使用头盔的自行车骑手，其中 277 名（22%）骑手总共发生了 521 例面部骨折。研究结果表明，与未戴头盔的自行车骑手相比，戴头盔的自行车骑手发生面部骨折的可能性显著降低（优势比，0.65；置信区间，0.50-0.85；P=0.002）。具体而言，戴头盔的自行车骑手颧骨、眼眶、鼻骨和上颌骨骨折的几率分别降低了 47%、46%、43%和 33%。然而，头盔使用并未显著改变下颌骨骨折的几率。总的来说，骑自行车时使用头盔可显著降低中面部骨折的风险，但在严重的自行车事故中，对下颌骨骨折的影响不明显。
