Trend and Characteristics of 2,636 Maxillofacial Fracture Cases over 32 Years in Suburban City of Japan

Trend and Characteristics of 2,636 Maxillofacial Fracture Cases over 32 Years in Suburban City of Japan
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日本近郊城市32年来2636例颌面骨折病例的趋势和特征

DOI:
10.1055/s-0034-1399797
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发表时间:
2015
期刊:
Craniomaxillofac Trauma Reconstr
影响因子:
--
通讯作者:
Kirita T.
Kirita T.
中科院分区:
--
文献类型:
--
作者:
Yamamoto K;Matsusue Y;Horita S;Murakami K;Sugiura T;Kirita T.

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回顾性分析了32年来2,636例颌面部骨折的发病趋势和特点。患者包括1,764名男性和872名女性,年龄范围为0至99岁。年龄小于30岁的患者中,颌面部骨折在早期占60%,但在晚期下降到40%。相反,60岁以上的患者逐渐增加到30%。就原因而言,交通事故占50%以上,主要是摩托车事故,但逐渐下降到40%。相比之下,福尔斯从不到10%显著增加到30%。骨折发生在面中部938例,下颌骨1,490例,两个部位都有208例。在面中部,在整个期间,骨肉瘤骨折占50%。在下颌骨中,观察到髁状突骨折占40%,其次是联合和角骨折。髁突骨折的比例略有增加。其中切开复位内固定术782例,观察组716例,颌内固定术605例,颌内夹板固定术294例,经皮复位术126例,其他113例。MMF从大于30%显著降低至小于5%,观察值从20%增加至40%。
Trend and characteristics of maxillofacial fractures in 2,636 patients over 32 years were analyzed retrospectively. Patients comprised 1,764 males and 872 females with ages ranging from 0 to 99 years. Patients younger than 30 years consisted of 60% maxillofacial fractures in the early period but decreased to 40% in the late period. In contrast, patients older than 60 years gradually increased to 30%. In terms of cause, traffic accidents consisted of more than 50%, predominantly motorcycle accidents, but gradually decreased to 40%. In contrast, falls markedly increased from less than 10 to 30%. Fractures occurred in the midface in 938 patients, in the mandible in 1,490, and in both in 208. In the midface, zygoma fractures consisted of 50% throughout the period. In the mandible, condyle fractures were observed in 40%, followed by fractures of the symphysis and angle. The ratio of condylar fractures slightly increased. Open reduction and internal fixation (ORIF) were performed in 782 patients, followed by observation in 716, maxillomandibular fixation (MMF) in 605, intramaxillary splinting (IMS) in 294, transcutaneous reduction (TCR) in 126, and others in 113. MMF markedly decreased from more than 30 to less than 5% and observation increased from 20 to 40%.
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