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摩托车事故中颌骨骨折的分析:一项系统综述。

Analysis of jaw fractures in motorcycle accidents: a systematic review.

作者信息

Arif Andi Muhammad, Tajrin Andi

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia.

Department of Oral and Maxillofacial Surgery, Dental Hospital of Hasanuddin University, Makassar, Indonesia.

出版信息

Arch Craniofac Surg. 2025 Jun;26(3):85-91. doi: 10.7181/acfs.2025.0008. Epub 2025 Jun 20.

Abstract

BACKGROUND

The mandible and maxilla are the most robust facial bones, protecting the facial skull. Fractures of these bones rank among the most common facial injuries sustained in motor vehicle accidents due to the exposed location of the face. Such injuries can have serious health consequences, from functional impairment to death.

METHODS

The review adhered to the PRISMA Guidelines. Conducted across four electronic databases: Web of Science, PubMed, Embase, and Google Scholar. Keywords were selected based on a search strategy structured around the Population, Intervention, Comparison, and Outcome framework. Risk of bias was assessed using the Scottish Intercollegiate Guidelines Network criteria.

RESULTS

The literature search yielded 42 articles published in the last 5 years (2019-2024). After the predefined inclusion and exclusion criteria were applied, six articles met the eligibility criteria. Data from these studies, along with their bias assessments, were summarized in tabular format.

CONCLUSION

The reported incidence of maxillary and mandibular fractures varies across studies. The summarized analysis in this article indicates various fracture patterns. This review also emphasizes the role of trauma severity indices-essential tools for prognostic evaluation, treatment planning, and cost of injury assessment in trauma patients-along with their applications in situations involving triage and multidisciplinary scientific approaches.

摘要

背景

下颌骨和上颌骨是面部最坚固的骨骼,保护着面颅骨。由于面部位置暴露,这些骨骼的骨折是机动车事故中最常见的面部损伤之一。此类损伤可能会导致严重的健康后果,从功能障碍到死亡。

方法

本综述遵循PRISMA指南。在四个电子数据库中进行检索:科学网、PubMed、Embase和谷歌学术。关键词基于围绕人群、干预措施、对照和结果框架构建的检索策略进行选择。使用苏格兰校际指南网络标准评估偏倚风险。

结果

文献检索得到了过去5年(2019 - 2024年)发表的42篇文章。在应用预定义的纳入和排除标准后,有6篇文章符合纳入标准。这些研究的数据及其偏倚评估以表格形式进行了总结。

结论

上颌骨和下颌骨骨折的报告发病率在不同研究中有所不同。本文的汇总分析表明了各种骨折模式。本综述还强调了创伤严重程度指数的作用——这是创伤患者预后评估、治疗规划和损伤成本评估的重要工具——以及它们在分诊和多学科科学方法中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f572/12235300/7d955f484319/acfs-2025-0008f1.jpg

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