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儿童面部骨骼骨折:11岁以下患者的调查

Fractures of the facial skeleton in children: a survey of patients under the age of 11 years.

作者信息

Oji C

机构信息

Department of Oral and Maxillofacial Surgery, University of Nigeria Teaching Hospital, Enugu.

出版信息

J Craniomaxillofac Surg. 1998 Oct;26(5):322-5. doi: 10.1016/s1010-5182(98)80062-0.

DOI:10.1016/s1010-5182(98)80062-0
PMID:9819684
Abstract

A clinico-statistical study was performed on 40 children aged less than 11 years of age, with maxillofacial fractures. Age, sex, type of fracture, incidence, aetiology, methods of treatment and complications were studied. The ratio of boys to girls was 2.6:1.0 and the highest incidence was at age 10 years. Mandibular fractures were the most common and the condylar region was particularly affected. Falls, road traffic accidents and sport injuries, including play accidents, were the major causes of these injuries. Conservative therapy, such as maxillo-mandibular fixation using eyelet wiring, was usually performed and was found to be successful. Ankylosis of the temporomandibular joint was seen in one patient. Infection was observed in three cases. One child had retarded facial growth due to damage to the condylar growth centre. Malunion and non-union were not seen. No deaths were recorded.

摘要

对40名11岁以下患有颌面骨折的儿童进行了临床统计研究。研究了年龄、性别、骨折类型、发病率、病因、治疗方法及并发症。男孩与女孩的比例为2.6:1.0,最高发病率出现在10岁。下颌骨骨折最为常见,髁突部位尤其易受影响。跌倒、道路交通事故以及包括玩耍意外在内的运动损伤是这些损伤的主要原因。通常采用保守治疗,如使用小孔钢丝进行颌间固定,且发现这种治疗方法是成功的。1例患者出现颞下颌关节强直。3例观察到感染情况。1名儿童因髁突生长中心受损导致面部发育迟缓。未发现骨不连和畸形愈合情况。无死亡记录。

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