A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi.

A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi.
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DOI:
10.4103/2229-5151.94872
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发表时间:
2012-01
影响因子:
--
通讯作者:
Kalra N
Kalra N
中科院分区:
其他
文献类型:
--
作者:
Kapoor P;Kalra N

文献摘要

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颌面外伤是医院急诊科经常遇到的,无论是作为一个孤立的损伤,还是作为头部、颈部、胸部和腹部多重损伤的一部分。本研究旨在回顾性评估在东德里一家三级护理医院报告的患者颌面损伤的概况。这项研究是在德里UCMS和GTB医院的牙科部进行的。审查了向医院紧急情况报告的1000例医学病例的牙科病例记录单,并记录了各种人口和流行病学因素,包括患者的年龄和性别、报告的时间和日期以及受伤的病因和性质。颌面部损伤在21 ~ 30岁年龄组发生率最高,各年龄组男性均多于女性。深夜报告的创伤病例最多,尤其是在周末。人际攻击为主要病因,其次为道路交通事故。软组织损伤非常常见,颌面部骨折,当存在时,最常观察到的是下颌骨,其次是中面部。东德里颌面外伤病因的变化趋势需要严格立法反对暴力和酗酒教育。必须定期检查驾驶技能并严格执行该地区的交通规则,以尽量减少与颌面外伤相关的身体,心理和情绪困扰。
Maxillofacial trauma is frequently encountered in the Accident and Emergency department of hospitals either as an isolated injury or as a part of multiple injuries to the head, neck, chest, and abdomen. This study aimed to assess retrospectively the profile of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi. The study was conducted in the Department of Dentistry, UCMS and GTB Hospital, Delhi. Dental case record sheets of 1000 medicolegal cases reporting to the hospital emergency were scrutinized and various demographic and epidemiologic factors, including the patient's age and gender, time and day of reporting, and the etiology and nature of injury were recorded. The peak incidence of maxillofacial injury was observed in the age group of 21–30 years, with males outnumbering females in all age groups. Maximum number of trauma cases reported in late evening hours, especially on weekends. Interpersonal assault was the primary etiological factor followed by road traffic accidents. Soft tissue injuries were very common and maxillofacial fractures, when present, were most frequently observed in the mandible followed by the midface. The changing trend of the etiology of maxillofacial injuries in East Delhi necessitates strict legislation against violence and education in alcohol abuse. Periodic review of driving skills and stricter implementation of traffic rules in this area is a must to minimize the physical, psychological, and emotional distress associated with maxillofacial trauma.