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Guidelines for Orbital Defect Assessment and Patient-Specific Implant Design: Introducing OA2 (Orbital Assessment Algorithm). 眼眶缺陷评估和患者特定种植体设计指南:引入 OA2(眼眶评估算法)。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-24 DOI: 10.1177/19433875241272436
Nils-Claudius Gellrich, Michael Grant, Damir Matic, Philippe Korn

Study design: This study presents a review of the evolutionary development in reconstructive orbital surgery over the past 3 decades. Additionally, it proposes the Orbital Assessment Algorithm (OA2) to enhance decision-making for intraorbital reconstruction of post-traumatic orbital deformities.

Objective: The objective of this paper is to provide insights into modern post-traumatic orbital reconstruction from a surgeon's perspective, with a specific focus on adult patients. It aims to highlight the advancements in computer-aided design and manufacturing techniques, particularly in the field of reconstructive orbital surgery, and to introduce the OA2 as a tool for improved decision-making in this context.

Methods: The study conducts a comprehensive review of the evolution of reconstructive orbital surgery, focusing on the integration of 3D technology into surgical practices. It also outlines the development and rationale behind the proposed OA2, emphasizing its potential to enhance the accuracy and efficacy of intraorbital reconstruction procedures for post-traumatic deformities.

Results: The review demonstrates the significant progress made in reconstructive orbital surgery, particularly in leveraging 3D technology for virtual modeling, navigation, and the design and manufacturing of patient-specific implants. The introduction of the OA2 provides a structured approach to assessing and addressing post-traumatic orbital deformities, offering potential benefits in decision-making and surgical outcomes.

Conclusions: In conclusion, this paper underscores the pivotal role of computer-aided design and manufacturing in advancing reconstructive orbital surgery. It highlights the importance of integrating innovative design concepts into implant manufacturing processes and emphasizes the potential of the OA2 to guide surgeons in the management of post-traumatic orbital deformities, ultimately contributing to improved patient outcomes.

研究设计:本研究回顾了过去三十年来眼眶重建手术的发展历程。此外,它还提出了眼眶评估算法(OA2),以提高外伤后眼眶畸形眶内重建的决策水平:本文旨在从外科医生的角度深入探讨现代创伤后眼眶重建术,特别关注成年患者。本文旨在强调计算机辅助设计和制造技术的进步,尤其是在眼眶重建手术领域的进步,并介绍 OA2 作为在此背景下改进决策的工具:本研究全面回顾了眼眶重建手术的发展历程,重点关注 3D 技术与手术实践的结合。方法:该研究全面回顾了眼眶重建手术的发展历程,重点介绍了将三维技术融入手术实践的情况,并概述了拟议中的 OA2 的开发和原理,强调了其在提高创伤后畸形眼眶内重建手术的准确性和有效性方面的潜力:结果:综述展示了眼眶重建手术取得的重大进展,尤其是在利用三维技术进行虚拟建模、导航以及设计和制造患者专用植入物方面。OA2 的引入为评估和处理创伤后眼眶畸形提供了一种结构化方法,为决策和手术效果带来了潜在的益处:总之,本文强调了计算机辅助设计和制造在推进眼眶重建手术中的关键作用。它强调了将创新设计理念融入植入物制造过程的重要性,并强调了 OA2 在指导外科医生处理创伤后眼眶畸形方面的潜力,最终有助于改善患者的治疗效果。
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引用次数: 0
Moving Forward: The Last Subscription Issue and the Dawn of Open Access. 前进:最后一期订阅期刊与开放获取的黎明》。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-23 DOI: 10.1177/19433875241296681
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引用次数: 0
Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study. 颅颌面创伤手术治疗的机会成本:纵向研究。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-16 DOI: 10.1177/19433875241292164
Khalil Issa, Nicholas A Frisco, Kayla W Kilpatrick, Maragatha Kuchibhatla, Dane M Barrett, David B Powers, Charles R Woodard

Study design: Single-institution retrospective financial analysis.

Objective: Trauma care is consistently linked to inadequate reimbursement, posing a significant financial burden for large trauma centers. Data show that declining Medicare reimbursement rates have indirectly led to declining payment for all procedures covered by insurance. The goals of this study are to investigate the opportunity cost associated with contemporary surgical management of CMF trauma at our institution and to evaluate longitudinal financial trends.

Methods: Patients with operative facial fractures between 2015 and 2022 at Duke University Medical Center were included and compared to patients undergoing general otolaryngology, plastic surgery and oral surgery operations in the same period. Procedural codes, payor type, charges billed, collections, relative value units (RVUs) and other financial data were obtained and analyzed among the 2 patient populations. Comparative analysis was performed to assess the financial trends in data reported previously from 2007-2015.

Results: The collection rate at Duke University Medical Center for operatively managed CMF fractures remains significantly lower than non-CMF counterparts. Interestingly, the collection rate gap between CMF and non-CMF surgeries has narrowed when comparing to the data from 2007-2013. This is largely due to a decrease in collection rates for non-CMF procedures from 29.61% (2007-2013) to 26.57% (2015-2022) [P = 0.0001] and an increase in collection rates for CMF procedures from 17.25% (2007-2013) to 18.05% (2015-2022) [P = 0.0001].

Conclusions: Despite a slight improvement of the gap in reimbursement rates for CMF and non-CMF surgeries over the last several years, trauma care continues to have a negative financial impact on health care institutions.

研究设计目的:单个机构的回顾性财务分析:创伤护理一直与报销不足有关,这给大型创伤中心带来了沉重的财务负担。数据显示,医疗保险报销率的下降间接导致了所有医保手术费用的下降。本研究的目的是调查本院对面部CMF创伤进行当代手术治疗的相关机会成本,并评估纵向财务趋势:方法:纳入2015年至2022年期间在杜克大学医学中心接受面部骨折手术的患者,并与同期接受普通耳鼻喉科、整形外科和口腔外科手术的患者进行比较。获得并分析了两类患者的手术代码、付款人类型、收费、收款、相对价值单位(RVUs)和其他财务数据。结果显示,杜克大学医疗中心的收款率高于其他医院:结果:杜克大学医疗中心手术治疗的CMF骨折的收款率仍明显低于非CMF骨折。有趣的是,与 2007-2013 年的数据相比,CMF 和非 CMF 手术的收款率差距有所缩小。这主要是由于非CMF手术的收款率从29.61%(2007-2013年)下降到26.57%(2015-2022年)[P = 0.0001],而CMF手术的收款率从17.25%(2007-2013年)上升到18.05%(2015-2022年)[P = 0.0001]:尽管在过去几年中,CMF 和非 CMF 手术的报销率差距略有缩小,但创伤护理仍对医疗机构的财务状况造成负面影响。
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引用次数: 0
Does More Invasive Surgery Result in Higher Patient Satisfaction? A Long-Term Follow-Up of 136 Zygomaticomaxillary Complex Fractures. 侵入性更强的手术是否能提高患者满意度?136 例颧骨颌面复合体骨折的长期随访。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-08 DOI: 10.1177/19433875241286544
Samin Rahbin, Ola Sunnergren, Ellen McBride, Hatef Darabi, Babak Alinasab

Study design: Retrospective with follow-up.

Objective: To evaluate the long-term satisfaction of surgically treated patients with zygomaticomaxillary complex (ZMC) fractures in relation to the use of internal fixation, number of fixation points, and orbital floor (OF) reconstruction. Secondary objectives were to describe the use of antibiotics and post-operative infections.

Methods: Patients with unilateral ZMC fractures between 2007-2018 and treatment with either open reduction and internal fixation (ORIF) or closed reduction (CR) were identified from medical records and invited to follow-ups between 2018-2020. Patients were examined, photographed, and completed a questionnaire. A review panel of 3 experienced surgeons evaluated photographs and computed tomography (CT) scans pre- and post-surgery.

Results: The study sample consisted of 136 patients (108 ORIF, 28 CR) with a median follow-up time of 76 months. Patient satisfaction of surgical outcome was high (97.8%), with no significant differences in relation to the use of internal fixation, number of fixation points, or OF reconstruction. Dissatisfaction was primarily related to hypoesthesia. On post-operative CT scans, malar asymmetry was more often predicted in patients with 1-point fixations. On questionnaires and photographs, malar asymmetry was more common in patients with 3-point fixations. Prophylactic antibiotics had no effect on the rate of post-operative infections.

Conclusions: Patient satisfaction was not influenced by internal fixation, number of fixation points, or OF reconstruction. Selected ZMC fractures can be treated with less invasive approaches. Caution should be observed when predicting long-term malar asymmetry on post-operative CT scans. The findings of this study highlight the importance of a rational and ethical use of surgery.

研究设计回顾性随访:评估颧骨颌面复合体(ZMC)骨折患者接受手术治疗的长期满意度与内固定的使用、固定点的数量以及眶底重建的关系。次要目标是描述抗生素的使用和术后感染情况:从病历中找出2007-2018年间单侧ZMC骨折并接受开放复位内固定术(ORIF)或闭合复位术(CR)治疗的患者,并邀请他们在2018-2020年间进行随访。患者接受了检查、拍照并填写了问卷。由3名经验丰富的外科医生组成的审查小组对手术前后的照片和计算机断层扫描(CT)进行了评估:研究样本包括 136 名患者(108 名 ORIF,28 名 CR),中位随访时间为 76 个月。患者对手术结果的满意度很高(97.8%),与内固定的使用、固定点的数量或OF重建没有显著差异。不满意主要与麻醉不足有关。术后 CT 扫描结果显示,采用 1 点固定的患者更容易出现颞侧不对称。在调查问卷和照片中,3点固定的患者更容易出现颧骨不对称。预防性抗生素对术后感染率没有影响:患者的满意度不受内固定、固定点数量或 OF 重建的影响。某些 ZMC 骨折可以采用创伤较小的方法进行治疗。在根据术后 CT 扫描预测长期畸形时应谨慎。本研究结果强调了合理、合乎道德地使用手术的重要性。
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引用次数: 0
Microvascular Reconstructions in Elderly Patients With Oral Squamous Cell Carcinoma - Too Old for Surgical Treatment? 口腔鳞状细胞癌老年患者的微血管重建--年龄太大,不适合手术治疗?
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-30 DOI: 10.1177/19433875241272437
Anne Radermacher, Dominik Horn, Michael Fehrenz, Karl Semmelmayer, Oliver Ristow, Michael Engel, Jürgen Hoffmann, Kolja Freier, Julius Moratin

Study design: Retrospective cohort study.

Objective: A major risk factor for oral squamous cell carcinoma (OSCC) is advanced age. Ablative surgery combined with microvascular reconstruction has become routine for OSCC. Nevertheless, there is an interdisciplinary debate about the appropriateness of surgery combined with prolonged general anesthesia in the elderly. In the present study, the ablative and microvascular strategies in OSCC were evaluated in terms of oncologic safety and surgical morbidity in relation to age.

Methods: A total of 345 patients with primary OSCC who underwent ablative tumor surgery and neck dissection according to the German national guideline for OSCC together with microvascular reconstruction from September 2010 to October 2017 were examined. General clinical data was analyzed descriptively with a special focus on perioperative morbidity of an elderly (≥70y) subgroup of 56 patients. Oncological outcome was estimated using Log Rank testing and Kaplan Meier plotting.

Results: Estimated 5 year overall survival (OS) and disease-free survival (DFS) was 69.6% (≥70y) vs. 76.7% (<70y) and 62.9% (≥70y) vs. 78.2% (<70y) respectively with no significant difference between the 2 age groups. In multivariate cox regression, only initial stage of disease revealed significant impact on OS. Analysis of perioperative death/complications, flap loss, operation time, dependence on tracheostomy and hospitalization revealed no significant differences between the 2 groups.

Conclusions: Tumor surgery including neck dissection in combination with primary microvascular reconstruction is a safe therapy in patients of advanced age. This results in excellent oncological outcome with no significant disadvantages in terms of perioperative morbidity, hospitalization or flap failure.

研究设计回顾性队列研究:口腔鳞状细胞癌(OSCC)的一个主要风险因素是高龄。烧蚀手术结合微血管重建已成为治疗口腔鳞状细胞癌的常规方法。然而,对于老年人是否适合在长时间全身麻醉的情况下进行手术还存在跨学科的争论。本研究从肿瘤学安全性和与年龄相关的手术发病率的角度,对OSCC的消融和微血管策略进行了评估:2010年9月至2017年10月期间,共有345名原发性OSCC患者根据德国OSCC国家指南接受了肿瘤消融手术和颈部切除术,同时进行了微血管重建。对一般临床数据进行了描述性分析,特别关注了56名老年(≥70岁)亚组患者的围手术期发病率。采用对数秩检验和卡普兰-梅耶尔绘图法估算肿瘤结果:结果:估计的5年总生存率(OS)和无病生存率(DFS)分别为69.6%(≥70岁)和76.7%(结论:对于高龄患者来说,包括颈部切除术在内的肿瘤手术联合原发性微血管重建术是一种安全的治疗方法。在围手术期的发病率、住院时间或皮瓣失败率方面没有明显的劣势。
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引用次数: 0
Reconstruction of Maxillary Bone Defects With Cellular Bone Matrix Allografts. 用细胞骨基质异体移植重建上颌骨缺损。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-24 DOI: 10.1177/19433875241288138
Jeffrey S Marschall, Stephen S Davis, Oscar Rysavy, George M Kushner

Study design: Retrospective Cohort Study.

Objective: Reconstruction of maxillary bone defects can be completed with vascularized and non-vascularized autografts. Cellular bone matrix allografts (CBMs), which have lineage committed bone cells, has risen as an alternative. The purpose of this study was to describe our experience and to determine the success of CBM based maxillary reconstruction in a variety of clinical scenarios.

Methods: A retrospective cohort study was designed and implemented using data from subjects who presented to the University of Louisville and were treated with a CBM for maxillary reconstruction from 2019 to 2023. Subjects were excluded if they were not treated with a CBM, data were not complete, or postoperative follow-up time was less than 3 months. Descriptive statistics were calculated for each variable. To measure the associations between the risk factors and graft success, Fisher's exact test was implemented. A P-value of <0.05 was considered significant.

Results: The sample included 48 subjects. The mean age of all subjects was 43 ± 24 years. Overall, 42 (87.5%) cases were successful. The perioperative antibiotic administered (P = 0.02), etiology (P = 0.021), and the addition of platelet rich fibrin or autograft as an adjunct influenced CBM success (P = 0.039).

Conclusions: CBMs are a viable option for reconstruction of maxillary bone defects. CBMs may be an alternative to autografts.

研究设计回顾性队列研究:上颌骨缺损的重建可通过血管化和非血管化自体移植物完成。细胞骨基质同种异体移植(CBMs)是一种可供选择的替代方法,这种移植材料中的骨细胞已被确定了血统。本研究旨在描述我们的经验,并确定在各种临床情况下基于 CBM 的上颌骨重建的成功率:我们设计并实施了一项回顾性队列研究,使用的数据来自 2019 年至 2023 年期间到路易斯维尔大学就诊并接受 CBM 上颌骨重建治疗的受试者。如果受试者未接受 CBM 治疗、数据不完整或术后随访时间少于 3 个月,则将其排除在外。对每个变量都进行了描述性统计。为了测量风险因素与移植成功率之间的关系,采用了费雪精确检验。P值为结果:样本包括 48 名受试者。所有受试者的平均年龄为 43 ± 24 岁。总体而言,42 例(87.5%)移植成功。围手术期使用的抗生素(P = 0.02)、病因(P = 0.021)以及是否添加富血小板纤维蛋白或自体移植作为辅助手段影响了 CBM 的成功率(P = 0.039):结论:CBM 是重建上颌骨缺损的可行选择。结论:CBM 是重建上颌骨缺损的可行方案,CBM 可以替代自体移植物。
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引用次数: 0
Premorbid Incidence of Mental Health and Substance Abuse Disorders in Facial Trauma Patients. 面部创伤患者精神健康和药物滥用疾病的病前发病率。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-10 DOI: 10.1177/19433875241280780
Adeeb Derakhshan, Hunter Archibald, Harley S Dresner, David A Shaye, Peter A Hilger, Sofia Lyford Pike, Shekhar K Gadkaree

Study design: A retrospective study.

Objective: Facial trauma is a prevalent cause of morbidity and mortality with increasing incidence over recent decades. Few studies have examined the prevalence of mental health and substance abuse disorders at the time of diagnosis. Herein we investigate the psychosocial demographics associated with facial trauma.

Methods: The 2016 State Inpatient Database (SID) was used to identify patients with facial trauma from all hospitals in New York, Florida, and Maryland. A non-trauma control group undergoing elective same-day surgeries at ambulatory surgical centers in Florida, Kentucky, Nevada, North Carolina, New York, and Maryland was identified using the State Ambulatory Surgery and Services Database (SASD) from the Healthcare Cost and Utilization Project (HCUP). 777 patients were identified with facial trauma and compared to 500 patients without facial fractures.

Results: Patients with facial fractures were statistically significantly more likely to have a substance abuse disorder (OR 34.78, P < .001) or mental health disorder (OR 2.75, P < .001) compared to controls. Patients with facial fractures were significantly more likely to be black than white (OR 4.80, P < .001). Patients with facial fractures were significantly more likely to have Medicaid compared to Medicare (OR 2.12, P = .005).

Conclusions: Patients with facial fractures are more likely to have premorbid substance abuse and mental health disorders as compared to controls.

研究设计回顾性研究:近几十年来,面部创伤的发病率和死亡率不断上升。很少有研究对诊断时精神健康和药物滥用障碍的患病率进行调查。在此,我们调查了与面部创伤相关的社会心理人口统计学特征:我们使用 2016 年州住院患者数据库(SID)从纽约州、佛罗里达州和马里兰州的所有医院中识别面部外伤患者。利用医疗成本与利用项目(HCUP)中的州非住院手术与服务数据库(SASD),确定了在佛罗里达州、肯塔基州、内华达州、北卡罗来纳州、纽约州和马里兰州的非住院手术中心接受择期当天手术的非创伤对照组。结果发现,777 名患者面部有创伤,并与 500 名面部无骨折的患者进行了比较:与对照组相比,面部骨折患者患有药物滥用障碍(OR 34.78,P < .001)或精神疾病(OR 2.75,P < .001)的可能性明显更高。面部骨折患者中黑人的比例明显高于白人(OR 4.80,P < .001)。与医疗保险相比,面部骨折患者更有可能享受医疗补助(OR 2.12,P = .005):结论:与对照组相比,面部骨折患者更有可能在患病前患有药物滥用和精神疾病。
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引用次数: 0
In- Versus Out-Fracture: A Novel Concept in Naso-Orbito-Ethmoid Injury. 内骨折与外骨折:鼻-眼-蝶骨损伤的新概念。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-04 DOI: 10.1177/19433875241280781
Jesse Menville, Luke Soliman, Nidhi Shinde, Carole Spake, Stephanie Francalancia, Josue Marquez-Garcia, Nikhil Sobti, Vinay Rao, Albert S Woo

Study design: A retrospective study.

Objective: The Markowitz-Manson classification system categorizes nasoorbitoethmoid (NOE) fractures by severity of injury and remaining integrity of the medial canthal tendon. However, this system does not account for direction of bony displacement (in-fracture vs out-fracture), which can greatly affect symptomatology and management. We hypothesize that NOE fractures will present differently based upon their severity: Type I injuries are likely to present with medial nasal bone displacement (in-fracture), whereas Type III fractures will be more prone to lateral displacement (out-fracture).

Methods: A retrospective review was performed for all patients with NOE fractures who were evaluated by the plastic surgery department at a level 1 trauma center over a 6-year period. Computed tomography data were evaluated to assess for directionality of fracture segment displacement. Frequencies of medial, lateral, and non-displacement across NOE types were compared by Chi-Squared Goodness of Fit and Fisher's Exact Tests.

Results: 111 patients met inclusion criteria. The patient population was 73.9% male and averaged 51.2 years old. When bilateral fractures were counted independently, there were 141 cases in total: 115 Type I, 20 Type II, and 6 Type III. Type I fractures were most commonly in-fractured (48.7%), while Type III injuries were consistently out-fractured (100%) (p < .001).

Conclusions: While Type II and III NOE fractures have dominated clinical focus, this study highlights the prevalence of impaction within Type I fractures. These findings advocate for a more comprehensive approach to the evaluation of Type I NOE fractures and their potential risks, including traumatic hypotelorism and nasal airway obstruction.

研究设计回顾性研究:马科维茨-曼森(Markowitz-Manson)分类系统根据损伤的严重程度和内侧眼肌腱的剩余完整性对鼻骨乙状韧带(NOE)骨折进行分类。然而,该系统并不考虑骨移位的方向(骨折内与骨折外),而骨移位的方向会对症状和治疗产生很大影响。我们假设,NOE 骨折会根据其严重程度表现出不同的症状:Ⅰ型损伤可能表现为鼻骨内侧移位(骨折内),而Ⅲ型骨折则更容易表现为鼻骨外侧移位(骨折外):方法:我们对一级创伤中心整形外科在 6 年内评估过的所有 NOE 骨折患者进行了回顾性研究。对计算机断层扫描数据进行评估,以确定骨折段移位的方向性。通过Chi-Squared拟合优度检验和费雪精确检验比较了不同NOE类型的内侧、外侧和无移位的频率:111 名患者符合纳入标准。患者中73.9%为男性,平均年龄为51.2岁。如果将双侧骨折单独计算,则共有 141 例:115 例 I 型骨折、20 例 II 型骨折和 6 例 III 型骨折。I型骨折最常见的是内骨折(48.7%),而III型损伤则一直是外骨折(100%)(p < .001):结论:虽然 II 型和 III 型 NOE 骨折一直是临床关注的焦点,但本研究强调了 I 型骨折中撞击的普遍性。这些发现主张采用更全面的方法来评估 I 型 NOE 骨折及其潜在风险,包括创伤性张力过低和鼻气道阻塞。
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引用次数: 0
The Impact of Socioeconomic Status on Pediatric Facial Trauma. 社会经济地位对小儿面部创伤的影响。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-03 DOI: 10.1177/19433875241280214
Avery Wright, Madison Hinson, Amelia Davidson, Caitrin Curtis, Christopher Runyan

Study design: Retrospective chart review.

Objective: Socioeconomic status (SES) greatly impacts one's health status and the type of trauma that a patient experiences due to increased risk of exposure and varying availability of resources to treat emergent conditions. There is a need for large-scale databases of pediatric facial trauma to identify discrepancies in occurrence and identify risk factors.

Methods: This retrospective examination uses a multi-center database to evaluate pediatric facial trauma patients (n = 644) visiting Atrium Heath Wake Forest Baptist (AHWFB) hospital from 2020 to 2022. Data collected included demographic information, past medical and surgical history, trauma history, interventions, and long-term outcomes such as scarring, deformities, and sensory or motor deficits. The number of incidents for each zip code surrounding AHWFB was compared with SES data including unemployment rate, mean household income, and poverty level.

Results: Thirty-five percent of patients sustained a high-energy injury, and 65% sustained a low-energy injury. Within the surrounding counties of AHWFB, there were more incidents of pediatric facial trauma in areas with greater rates of poverty (P = 0.006). Additionally, there were more incidents due to high-energy injuries in areas with lower income (P = 0.044) and more poverty (P = 0.002). Specifically, motor vehicle accidents were more common in areas with lower income (P = 0.017) and more poverty (P = 0.001).

Conclusions: These findings in the central Piedmont region of North Carolina are consistent with previous research of SES's effect on health inequalities and serve as evidence of the need to take steps to prevent pediatric facial trauma in areas of low SES.

研究设计回顾性病历审查:社会经济地位(SES)极大地影响着个人的健康状况和患者所经历的创伤类型,这是因为暴露风险增加以及治疗紧急状况的资源可用性不同。有必要建立大规模的儿科面部创伤数据库,以确定发生率的差异并识别风险因素:本回顾性研究使用多中心数据库对2020年至2022年期间在Atrium Heath Wake Forest Baptist(AHWFB)医院就诊的小儿面部创伤患者(n = 644)进行评估。收集的数据包括人口统计学信息、既往病史和手术史、创伤史、干预措施以及瘢痕、畸形、感觉或运动障碍等长期结果。我们将阿赫沃夫堡周边每个邮政编码的事故数量与包括失业率、平均家庭收入和贫困水平在内的社会经济地位数据进行了比较:结果:35%的患者受到高能量伤害,65%受到低能量伤害。在亚利桑那州妇幼保健院的周边县,贫困率较高的地区发生的小儿面部创伤事件较多(P = 0.006)。此外,在收入较低(P = 0.044)和贫困人口较多(P = 0.002)的地区,高能量损伤事件也较多。具体而言,在收入较低(P = 0.017)和贫困人口较多(P = 0.001)的地区,机动车事故更为常见:这些在北卡罗来纳州中部皮德蒙特地区的研究结果与以往关于社会经济地位对健康不平等的影响的研究结果一致,并证明有必要采取措施预防社会经济地位较低地区的儿童面部创伤。
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引用次数: 0
Precision and Progress: Key Developments in Craniomaxillofacial Surgery. 精确与进步:颅颌面外科的重要发展。
IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-09-01 Epub Date: 2024-09-17 DOI: 10.1177/19433875241286628
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引用次数: 0
期刊
Craniomaxillofacial Trauma & Reconstruction
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