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埃塞俄比亚西南部吉马市吉马医疗中心牙科诊所就诊患者的颌面骨折病因及类型

Etiology and pattern of maxillofacial fractures among patients who visited Jimma Medical Center Dental Clinic, Jimma, Southwest Ethiopia.

作者信息

Wayiso Gemechu Tola, Tola Fikadu Seyoum, Erba Midekso Sento, Desta Diliab

机构信息

Department of Clinical Anatomy, College of Medicine and Health Sciences, Ambo University, Addis Ababa, Ethiopia.

Department of Medical Biochemistry, College of Medicine and Health Sciences, Ambo University, Addis Ababa, Ethiopia.

出版信息

Medicine (Baltimore). 2025 Jun 6;104(23):e42569. doi: 10.1097/MD.0000000000042569.

Abstract

The maxillofacial region consists of soft and hard tissues that form the face and extend from the frontal bone superiorly to the mandible inferiorly. Because the face is the most exposed part of the body, it is especially vulnerable to trauma. Trauma to the maxillofacial regions is a major public health problem worldwide. Nearly 5% to 10% of trauma patients have facial fractures. Thus, the aim of this study was to assess the etiology and pattern of maxillofacial fractures among patients who visited Jimma Medical Center (JMC) dental clinic, Southwest Ethiopia. Institutional based retrospective cross-sectional study was conducted on 331 patients (279 males and 52 females with a mean age of 26.23 ± 13.51 years) with maxillofacial fractures who visited JMC dental clinic from January 2018 to December 2020. To collect data first charts of the patients were found using their medical record numbers. Then information like socio-demographic characteristics, patterns of fractures, and causes of fractures, was collected using a structured and pretested checklist from the chart. Data was entered into the Epi-data version 3.1 and exported to SPSS version 25 for analysis. Descriptive analysis was done and presented by the use of tables, bar graphs and pie chart. The leading cause of fracture was road traffic accidents (45%), followed by assault (33.2%) and accidental fall (11.8%). Head (51.6%) injuries were the most common associated injuries. Surgical site infection (52.2%) was the most common posttreatment complication. The study's findings can be used to guide public health activities, healthcare professional training, and resource allocation in Ethiopia in order to enhance maxillofacial fracture prevention, management, and outcomes.

摘要

颌面区域由构成面部的软组织和硬组织组成,上起额骨,下至下颌骨。由于面部是身体最暴露的部位,所以特别容易受到创伤。颌面区域创伤是全球范围内的一个主要公共卫生问题。近5%至10%的创伤患者有面部骨折。因此,本研究的目的是评估就诊于埃塞俄比亚西南部吉马医疗中心(JMC)牙科诊所的患者中颌面骨折的病因和模式。对2018年1月至2020年12月期间就诊于JMC牙科诊所的331例颌面骨折患者(279例男性和52例女性,平均年龄26.23±13.51岁)进行了基于机构的回顾性横断面研究。为收集数据,首先通过病历号查找患者的病历。然后使用结构化且经过预测试的检查表从病历中收集社会人口学特征、骨折模式和骨折原因等信息。数据录入Epi - data 3.1版本,并导出到SPSS 25版本进行分析。进行描述性分析,并通过表格、柱状图和饼图呈现。骨折的主要原因是道路交通事故(45%),其次是袭击(33.2%)和意外跌倒(11.8%)。头部损伤(51.6%)是最常见的相关损伤。手术部位感染(52.2%)是最常见的治疗后并发症。该研究结果可用于指导埃塞俄比亚的公共卫生活动、医疗专业人员培训和资源分配,以加强颌面骨折的预防、管理和改善治疗结果。

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