面部创伤致盲的流行病学:尼日利亚多中心研究。

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Craniomaxillofacial Trauma & Reconstruction Pub Date : 2023-03-01 Epub Date: 2021-12-09 DOI:10.1177/19433875211060931
Bamidele A Famurewa, Fadekemi Olufunmilayo Oginni, Bolajoko A Adewara, Benjamin Fomete, Chukwudi Aniagor, Bayo Aluko-Olokun, Regina E Morgan, McKing I Amedari
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引用次数: 0

摘要

研究设计:这是一项多中心回顾性研究:确定尼日利亚人的失明率以及与失明相关的面部外伤模式:对2010年1月至2019年12月期间尼日利亚4家公立三级医院中由颌面外科医生和眼科医生共同管理的所有面部创伤致盲患者进行多中心回顾性研究。数据采用 IBM SPSS 统计软件(21.0windows 版,IBM© Inc, Chicago, IL)进行分析:在研究期间就诊的 2070 名重大面部损伤患者中,有 56 名(2.7%)患者的 61 只眼睛失明。双侧失明和单侧失明的患者分别为 5 人(8.9%)和 51 人(92.1%)。患者发病时的平均年龄(标准差)为 36.2(16.6)岁,其中 47 名(83.9%)患者为男性。道路交通事故(27 人;48%)是最常见的面部创伤机制,脸颊(18 人;40.9%)是最常见的相关软组织损伤部位,颧骨复合体骨折(19 人;24.1%)是最常见的相关骨折。眼球破裂(34 例;55.7%)是导致失明的主要原因。29只眼睛接受了眼球摘除术(7例;13.2%)和眼球剥离术(22例;41.5%),其中12例(41.4%)患者术后接受了眼球修复术:结论:2.7%的尼日利亚面部外伤患者失明。最常见的创伤机制和导致至少一只眼睛失明的原因分别是道路交通事故和眼球破裂。约半数失明眼球需要进行眼球摘除手术。
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Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study.

Study design: This is a multi-centre retrospective study.

Objective: To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians.

Methods: A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL).

Results: Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of associated soft tissue injury and zygomatic complex fracture (n = 19; 24.1%) was the commonest related fracture. Globe rupture (n = 34; 55.7%) was the leading cause of blindness. Enucleation (n = 7; 13.2%) and evisceration (n = 22; 41.5%) were performed on 29 eyes of which 12 (41.4%) patients had ocular prosthesis post-operatively.

Conclusions: Blindness was recorded in 2.7% of Nigerians with facial trauma. The commonest mechanism of trauma and cause of blindness in at least one eye were road traffic accident and globe rupture, respectively. Eye removal surgery was necessary in about half of the blind eyes.

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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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