Lee S T
Ann Acad Med Singap. 1983 Apr;12(2 Suppl):446-51.
Maxillo-facial injuries have increased in incidence in Singapore due mainly to road traffic accidents. Approximately 450 cases are seen annually in the Singapore General Hospital. A review of 50 consecutive cases of severe maxillo-facial injuries seen in the Department of Plastic Surgery showed that the majority were Lefort II type fractures (64%) followed by Lefort I fractures (14%) and Lefort III fractures (8%). There were seven cases which had a combination of multiple facial fractures. The significant associated injuries occurred in the limbs (32%), the head (30%) and in the chest (8%). The emergency management of maxillo-facial trauma is discussed in some detail and some of the problems in the treatment of severe or multiple facial fractures are also highlighted in this paper.
在新加坡，颌面损伤的发病率有所上升，主要原因是道路交通事故。新加坡总医院每年约有450例此类病例。对整形外科收治的50例连续严重颌面损伤病例进行回顾发现，大多数为勒福Ⅱ型骨折（64%），其次是勒福Ⅰ型骨折（14%）和勒福Ⅲ型骨折（8%）。有7例合并多处面部骨折。主要的相关损伤发生在四肢（32%）、头部（30%）和胸部（8%）。本文详细讨论了颌面创伤的急诊处理，同时也强调了严重或多处面部骨折治疗中的一些问题。
