Maxillofacial fractures in Southern Bulgaria - A retrospective study of 1706 cases
Maxillofacial fractures in Southern Bulgaria - A retrospective study of 1706 cases
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DOI：
10.1016/j.jcms.2007.01.005
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发表时间：
2007-04-01
影响因子：
3.1
通讯作者：
Pechalova, Petia
中科院分区：
文献类型：
--
作者：
Bakardjiev, Angel;Pechalova, Petia
本回顾性研究调查了在保加利亚普罗夫迪夫医科大学颌面外科管理的颌面骨折的各种类型、病因、并发症和治疗方法。患者和方法：共1706例患者进行了研究，2534骨折治疗1994年和2003年之间。分析包括患者的年龄和性别、骨折的原因和类型（每例患者的平均骨折数为-1.48）以及使用的治疗方法和相关并发症。结果：大多数颌面部骨折是由574名男性（年龄范围21-30岁）。男女比例为4.6：1。大多数骨折是由暴力袭击造成的-1040人（61%），其次是机动车事故-264人（15.5%），跌倒- 213人（12.5%）和动物咬伤- 72人（4%）。下颌骨骨折1261例（74%），上颌骨骨折97例（6%），颧骨骨折277例（16%），鼻骨骨折63例（4%），多发性骨折8例（0.5%）。在1330例（77%）患者中，骨折采用闭合复位治疗;在264例（16%）患者中，采用切开复位和固定治疗，其余112例（7%）患者采用闭合和切开复位联合治疗。死亡率为0.2%，致命病例是颌面部严重骨折和其他器官/系统创伤的组合结果。结论：本研究样本中颌面部创伤性损伤的最常见原因是殴打，主要影响男性。骨折治疗方法多样，但多采用闭合复位内固定。K）2007年欧洲颅颌面外科协会。
The present retrospective study investigated various types, aetiology, complications and methods of treatment of maxillofacial fractures managed in the Department of Maxillofacial Surgery, Medical University, Plovdiv, Bulgaria. Patients and methods: A total of 1706 patients were studied with 2534 fractures treated between 1994 and 2003. The analysis included data on age and gender of patients, causes and types of fractures (mean number of fractures per patient-1.48) as well as the treatments used and the associated complications. Results: Most maxillofacial fractures were sustained by 574 men (age range 21-30 years). The ratio of males to females was 4.6:1. Most fractures were caused by violent assault-1040 (61%), followed by motor vehicle accidents-264 (15.5%), fall - 213 (12.5%) and bites from animals - 72 (4%). Fractures of the mandible were sustained by 1261 patients (74%), fractures of the maxilla by 97 (6%), fractures of the zygomatic bone by 277 (16%), nasal fractures by 63 (4%) and multiple fractures by 8 (0.5%). In 1330 (77%) patients the fractures were treated by closed reduction; in 264 patients (16%) by open reduction and fixation, and for the remaining 112 patients (7%) were managed with combined closed and open reduction. The mortality rate was 0.2%, the lethal cases being a result of a combination of severe fractures in the maxillofacial region and trauma to other organs/systems. Conclusion: The most common cause of traumatic injury in the maxillofacial region in this study sample was assault, predominantly affecting men. The fractures were treated using various methods but mostly by closed reduction plus fixation. K) 2007 European Association for Cranio-Maxillofacial Surgery.