伊斯坦布尔一家三级转诊医院颌面部骨折的回顾性流行病学分析:对 1,757 名患者进行的为期七年的研究。

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-11-06 DOI:10.1186/s40902-024-00447-4
Orhan Asya, Yavuz Gündoğdu, Sefa İncaz, Ömer Tarık Kavak, Javahir Mammadli, Sefa Özcan, Celal Emre Çavlan, Ali Cemal Yumuşakhuylu
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引用次数: 0

摘要

背景本研究旨在评估一家大学医院七年来收治的颌面部骨折患者的病因、发病率、人口统计学特征:我们对2012年5月至2019年3月期间转诊至我科的1,757名颌面部骨折患者进行了回顾性分析。我们记录了患者的人口统计学特征和临床特征,以及骨折类型、位置和病因。此外,还对治疗方式进行了分析:结果:1757 名患者共发生 2173 例颌面部骨折。男女比例为 3.9:1,患者平均年龄为 31.89 ± 17.70 岁(范围:0-95 岁)。颌面部损伤多发于19-28岁年龄组(占病例总数的23.9%),2013年至2018年期间,所有年龄组的损伤病例普遍增加。最常见的病因是袭击(29.1%),其次是跌倒(26%)。据报告,男性患者的主要致伤原因是袭击,而女性患者的主要致伤原因是跌倒。鼻骨是最常见的骨折部位,其次是上颌骨。从入院到手术的平均时间为 2.8 天,最常用的手术方法是局部麻醉。从入院到手术的平均时间为 2.8 ± 2.5 天(范围:0-20 天),在局部麻醉下进行的手术比在全身麻醉下进行的手术更常见。在手术治疗中,最常见的全身麻醉技术是骨折切开复位和钢板螺钉内固定术。钢板外露、伤口感染和颞下颌关节强直是研究对象遇到的主要并发症:研究显示,颌面部骨折在性别、年龄和病因方面存在很大差异。袭击是造成这些骨折的主要原因,其次是跌倒和道路交通事故。男性颌面部创伤的发病率是女性的四倍,19-28 岁年龄组的发病率最高。鼻骨骨折最常见(78.7%),而髁突-髁突下骨折是最常见的下颌骨骨折类型。鉴于这些研究结果,针对高危人群采取有针对性的终身预防策略,可大大减轻颌面部创伤的负担。
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A retrospective epidemiological analysis of maxillofacial fractures at a tertiary referral hospital in istanbul: a seven-year study of 1,757 patients.

Background: The aim of the study was to evaluate the etiology, incidence, demographics, and characteristics of maxillofacial fractures treated at a university hospital over a seven-year period.

Methods: We performed a retrospective analysis of 1,757 patients with maxillofacial fractures who were referred to our department between May 2012 and March 2019. The patients' demographic and clinical characteristics were noted, as well as the fracture type, location, and etiology. The treatment modalities were also analyzed.

Results: A total of 2,173 maxillofacial fractures were seen in 1,757 patients. The male to female ratio was 3.9:1, and the mean patient age was 31.89 ± 17.70 years (range: 0-95 years). Maxillofacial injuries were most prevalent in the 19-28 years age group (23.9% of cases), with a general increase in injuries observed between 2013 and 2018 across all age groups. The most common etiological factor was assault (29.1%), followed by falls (26%). In male patients, assault was reported as the main cause, while in female patients, falls were identified as the main cause. The nasal bone was the most common site of fracture, followed by the maxilla. The average time from admission to surgery was 2.8 days, with local anesthesia being the most frequent surgical intervention. The average time from admission to surgery was 2.8 ± 2.5 days (range: 0-20 days), with surgeries performed under local anesthesia being more frequent than those carried out under general anesthesia. Among the surgical interventions, the most common general anesthesia technique for fracture reduction was open reduction and internal fixation with plates and screws. Plate exposure, wound-site infection, and temporomandibular joint ankylosis were the major complications encountered in the study population.

Conclusion: The study reveals significant variability in maxillofacial fractures based on gender, age, and etiology. Assault emerged as the leading cause of these fractures, followed by falls and road traffic accidents. Men were affected by maxillofacial trauma four times more often than women, with the highest incidence occurring in the 19-28 years age group. Nasal fractures were the most frequently observed (78.7%), while condylar-subcondylar process fractures were the most common type of mandibular fracture. Given these findings, a targeted, lifelong prevention strategy focused on high-risk groups could significantly reduce the burden of maxillofacial trauma.

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来源期刊
Maxillofacial Plastic and Reconstructive Surgery
Maxillofacial Plastic and Reconstructive Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.30
自引率
13.00%
发文量
37
审稿时长
13 weeks
期刊最新文献
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