[儿童下颌骨孤立性骨折:流行病学、临床和治疗方面]。

Le Mali medical Pub Date : 2023-01-01
Ernest Martial Djemi, N'guessan Eric Kouassi Zegbeh, Pornan Issa Jules Berete, Téhoua Béatrice Ettien, Yassi Grace Dally, Opokou Alexandre De Misères Ory
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引用次数: 0

摘要

简介与成人相比,面部骨折在儿童中较为罕见。它们占颌面部创伤的1%至15%。本研究旨在描述发展中国家儿童下颌骨骨折的流行病学、临床和治疗特点:这是一项回顾性描述性横断面研究,研究时间为 2016 年 1 月 1 日至 2020 年 6 月 31 日,共涉及 17 个病例。研究在布瓦凯医院和大学中心(CHU)口腔颌面外科进行:14名男孩(82.35%)和3名女孩(17.65%),性别比为4.66。道路交通事故是主要原因,占64.72%(11人)。14名患者(82.35%)出现单发性骨折。29.41%(5 人)的骨折为副骨性。3名患者(17.65%)出现双灶骨折。2名患者(75%)的骨折部位为髁状突和骨骺。1名患者(25%)的骨折部位涉及干骺端和水平支。所有患者(100%)都接受了矫形治疗。所有患者(100%)的病情发展良好:结论:儿童下颌骨骨折是一种创伤,具有流行病学和治疗上的特殊性。
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[Isolated Fractures Of The Mandible In Children: Epidemiological, Clinical And Therapeutic Aspects].

Introduction: Facial fractures are rare in the pediatric population compared to adults. They represent 1 to 15% of maxilla-facial trauma. The objective of this study was to describe the epidemiological, clinical and therapeutic characteristics of mandible fractures in children in a developing country.

Material and methods: This was a retrospective descriptive cross-sectional study - from January 1, 2016 to June 31, 2020 involving 17 cases. It took place in the Department of Odonto-Stomatology and Maxillofacial Surgery of the Hospital and University Center (CHU) of Bouaké.

Results: There were 14 boys (82.35%) and 3 girls (17.65%) i.e. a sex ratio of 4.66. Road traffic accidents were the main cause with 64.72% (n=11). Unifocal fractures were found in 14 patients (82.35%). The seat was parasymphyseal in 29.41% (n=5). Bifocal fractures were found in 3 patients (17.65%). The site was condylar and symphyseal in 2 patients (75%). It involved the symphysis and the horizontal branch in 1 patient (25%). Orthopedic treatment was performed in all patients (100%). The evolution was favorable in all patients, i.e. 100% of cases.

Conclusion: The fracture of the mandible in children is a traumatological entity which is an epidemiological and therapeutic particularity.

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