Mandible fracture patterns: A suburban trauma center experience
Mandible fracture patterns: A suburban trauma center experience
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DOI：
10.1016/j.amjoto.2004.03.001
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发表时间：
2004-09-01
影响因子：
2.5
通讯作者：
Petruzzelli, GJ
中科院分区：
文献类型：
--
作者：
King, RE;Scianna, JM;Petruzzelli, GJ
目的：下颌骨骨折是创伤中心最常见的损伤之一。最近的变化机制和患者的年龄分布持续这些伤害是有据可查的。本研究试图定义当前，可预测的骨折模式的基础上，患者的特点和机制injuries.Material和方法：图表的134例225下颌骨骨折治疗超过7年的时间由耳鼻咽喉头颈外科，整形外科和口腔颌面外科服务，我们的机构，进行了回顾性分析。根据年龄、骨折机制和骨折解剖位置对患者进行分类。多变量分析的数据进行，以确定groups.Results之间的显着关系：暴力犯罪，如袭击和枪伤占大多数骨折（50%），在这项研究中，与机动车事故不太可能（29%）。总的来说，副骺端骨折最常见（35%），而角和体部骨折也很常见（分别为15%和21%）。机动车事故与副交感神经骨折（45%）和枪伤与身体骨折（36%）有统计学显著相关性，而袭击受害者的角骨折（27%）和副交感神经骨折（19%）的频率高于预期。17至30岁的患者更有可能遭受枪伤，而老年人（31至50岁）更有可能成为袭击受害者。50岁以上的患者因福尔斯跌倒而发生骨折的比例高于预期。尽管儿童和年轻人似乎遭受更多副交感神经骨折和老年人身体骨折，但这些相关性未能显示出统计学意义。副交感神经骨折最常与骨折在其他网站内的下颌骨，同侧体骨折是最常见的。结论：更新数据的患者年龄和损伤机制与骨折模式的关联可以指导治疗医生在预期和诊断创伤性下颌骨骨折。(C)2004年爱思唯尔公司All rights reserved.
Purpose: Mandible fractures are among the most frequently seen injuries in the trauma center setting. Recent shifts in the mechanism and age distribution of patients sustaining these injuries are well documented. This study attempts to define current, predictable patterns of fracture based on patient characteristics and mechanism of injury.Material and Methods: The charts of 134 patients with 225 mandible fractures treated over a 7-year period by the Otolaryngology-Head and Neck Surgery, Plastic and Reconstructive Surgery and Oral-Maxillofacial Surgery services, our institution, were retrospectively reviewed. Patients were categorized based on age, mechanism of fracture, and anatomic location of fracture. Multivariate analysis of data was performed to determine significant relationships among groups.Results: Violent crimes such as assault and gunshot wounds accounted for the majority of fractures (50%) in this study, with motor vehicle accidents less likely (29%). Overall, parasymphyseal fractures were most frequent (35%), whereas angle and body fractures were also common (15% and 21%, respectively). There was a statistically significant association of motor vehicle accidents with parasymphyseal fractures (45%), and gunshot wounds with body fractures (36%), whereas assault victims had a higher than predicted frequency of angle fractures (27%) and fewer parasymphyseal fractures (19%). Patients aged 17 to 30 were more likely to suffer from gunshot wounds, whereas older adults (age 31-50) were more likely to be assault victims. Patients over age 50 suffered fractures from falls at a higher than expected rate. Although children and young adults seemed to suffer more parasymphyseal fractures and older adults body fractures, these correlations failed to show statistical significance. Parasymphyseal fractures were most frequently associated with fractures at other sites within the mandible, ipsilateral body fractures being the most common.Conclusions: Updated data on the association of patient age and mechanism of injury with fracture pattern can guide treating physicians in anticipating and diagnosing traumatic mandible fractures. (C) 2004 Elsevier Inc. All rights reserved.