Jun Daiwon, Lee Jun Hyeok, Kim Shin Hyun, Choi Jong Yun, Choi Jangyoun, Lee Jung Ho
Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Craniofac Surg. 2025;36(1):101-105. doi: 10.1097/SCS.0000000000010673. Epub 2024 Sep 17.
The epidemiology of facial fractures is continuously evolving due to various influencing factors, including social, economic, and technological advancements. Thus, an updated analysis of facial bone fractures is necessary. This study aimed to provide an updated epidemiological analysis of facial bone fractures and assess severity using multiple factors. We retrospectively reviewed patients who underwent facial bone fracture surgery at 3 teaching hospitals in South Korea between January 2015 and December 2020. Data collected included patient demographics (sex and age), trauma mechanism, alcohol intoxication status, and fracture types. Trauma mechanisms were categorized into 7 groups: assault, fall, sports, occupational injury, motor vehicle crash, bicycle, and personal mobility. Severity was assessed using the modified facial injury severity scale. A total of 5953 patients (4437 males and 1516 females) were included, with ages ranging from 1 to 92 years (mean age: 36.37±18.61 y). A steady decline in the number of patients was observed from 2015 to 2020. Falls were the most common cause of facial fractures (2300 cases, 39%), and nasal bone fractures were the most frequent type (3683 cases, 46%). The number of elderly patients (> 60 y) and injuries caused by personal mobility devices increased steadily. Male sex and alcohol intoxication were associated with higher severity scores. Motor vehicle crashes had the highest severity scores (2.246). While the incidence of facial bone fractures has decreased in recent years, the proportion of elderly patients and injuries caused by personal mobility devices is increasing, posing a significant burden on the health care system.
由于包括社会、经济和技术进步在内的各种影响因素，面部骨折的流行病学在不断演变。因此，有必要对面部骨折进行最新分析。本研究旨在提供面部骨折的最新流行病学分析，并使用多种因素评估严重程度。我们回顾性分析了2015年1月至2020年12月期间在韩国3家教学医院接受面部骨折手术的患者。收集的数据包括患者人口统计学信息（性别和年龄）、创伤机制、酒精中毒状态和骨折类型。创伤机制分为7组：袭击、跌倒、运动、职业伤害、机动车碰撞、自行车和个人移动设备。使用改良的面部损伤严重程度量表评估严重程度。共纳入5953例患者（男性4437例，女性1516例），年龄范围为1至92岁（平均年龄：36.37±18.61岁）。2015年至2020年期间观察到患者数量稳步下降。跌倒是面部骨折最常见的原因（共2300例，占39%），鼻骨骨折是最常见的骨折类型（共3683例，占46%）。老年患者（>60岁）的数量以及由个人移动设备导致的损伤数量稳步增加。男性和酒精中毒与更高的严重程度评分相关。机动车碰撞的严重程度评分最高（2.246）。近年来，虽然面部骨折的发病率有所下降，但老年患者的比例以及由个人移动设备导致的损伤数量正在增加，给医疗保健系统带来了重大负担。
