Gherasimescu Ștefan, Șulea Daniela, Sava Petrica Florin, Carp Alexandra, Cureniuc Lidia, Ciofu Mihai Liviu, Boișteanu Otilia, Dabija Marius Gabriel, Costan Victor Vlad
Surgical Department, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
Medicina (Kaunas). 2025 May 22;61(6):953. doi: 10.3390/medicina61060953.
: This study aimed to assess the frequency and distribution of facial bone injuries in terms of age, sex, residence, location, and etiology in the north-eastern region of Romania. : This retrospective study was conducted within the Oral and Maxillofacial Clinics of "Sf. Spiridon" Hospital, Iași. The study group included 701 subjects (mean age 41.02 ± 18.45; sex: 603 males and 98 females) who were diagnosed with an orbital wall disorder. The epidemiological data on orbital wall fractures-including sociodemographic features, etiology, and location-were statistically analyzed. : The prevalence of orbital pathology was 1.47% congenital cases, 1.75% tumors, and 96.7% orbital fractures. The distribution of sex, age group, residence, and orbital localization varied significantly among the three diagnostic categories: tumors, congenital conditions, and fractures. Regarding sex, fractures were significantly more frequent in males (87.0%) compared to congenital cases (70.0%) and tumors (41.7%), while tumors showed a female predominance (58.3%) ( < 0.001). Congenital conditions predominantly affected patients under 20 years old (90.0%), whereas fractures were more evenly distributed across age groups, with higher frequencies between 31 and 50 years. In contrast, tumors involving the orbital walls were more frequent in older patients, with 33.3% in the 61-70 age group and 25.0% over 70 years. Regarding orbital localization, fractures were more likely to be bilateral (37.3%) or on the right side (44.3%), whereas congenital orbital defects and orbital tumors were predominantly unilateral and left-sided (70.0% and 66.7%, respectively). Bilateral involvement was rare in congenital cases (10.0%) and absent in tumors. : The data support the finding that men are significantly more prone to trauma and orbital fractures, especially as a result of interpersonal violence and accidents, highlighting the need for preventive measures tailored to sex and socio-professional context.
本研究旨在评估罗马尼亚东北部面部骨损伤在年龄、性别、居住地、部位及病因方面的发生频率和分布情况。本回顾性研究在雅西“圣斯皮里东”医院口腔颌面诊所开展。研究组包括701名被诊断为眶壁疾病的受试者（平均年龄41.02±18.45岁；性别：男性603例，女性98例）。对眶壁骨折的流行病学数据，包括社会人口学特征、病因及部位进行了统计学分析。眶部病变的患病率为：先天性病例1.47%，肿瘤1.75%，眶骨折96.7%。在肿瘤、先天性疾病和骨折这三种诊断类别中，性别、年龄组、居住地和眶部定位的分布存在显著差异。在性别方面，骨折在男性中的发生率（87.0%）显著高于先天性病例（70.0%）和肿瘤（41.7%），而肿瘤以女性为主（58.3%）（P<0.001）。先天性疾病主要影响20岁以下患者（90.0%），而骨折在各年龄组分布更为均匀，31至50岁之间发生率较高。相比之下，累及眶壁的肿瘤在老年患者中更为常见，61至70岁年龄组占33.3%，70岁以上占25.0%。在眶部定位方面，骨折更可能为双侧（37.3%）或右侧（44.3%），而先天性眶缺损和眶肿瘤主要为单侧且左侧为主（分别为70.0%和66.7%）。先天性病例中双侧受累罕见（10.0%），肿瘤中无双侧受累情况。数据支持以下发现：男性明显更容易遭受创伤和眶骨折，尤其是人际暴力和事故导致的，这凸显了针对性别和社会职业背景制定预防措施的必要性。
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