Maxillofacial fractures of pedestrians injured in a motor vehicle accident.
Maxillofacial fractures of pedestrians injured in a motor vehicle accident.
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机动车事故中受伤的行人颌面部骨折。
DOI：
10.1055/s-0033-1333881
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Kirita T.
中科院分区：
文献类型：
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作者：
Yamamoto K;Matsusue Y;Horita S;Murakami K;Ueyama Y;Sugiura T;Kirita T.
对一起机动车事故中受伤的行人的颌面部骨折进行回顾性分析。男38例，女26例，年龄1 ~ 91岁，平均45.9 ± 24.8岁。46例患者（71.9%）发生机动车碰撞，17例（26.6%）发生摩托车碰撞，1例（1.6%）发生火车碰撞。面中部受累32例（50.0%），下颌骨受累19例（29.7%），下颌骨和面中部均受累13例（20.3%）。骨折常见于面中部的骨肉瘤和牙槽骨，以及下颌骨的髁突、联合和体部。面部损伤严重程度量表（菲斯）评分为1 ~ 9分（平均2.30 ± 1.79）。其他部位损伤29例（45.3%）。26例患者（40.6%）最常选择观察，其次是切开复位内固定（ORIF）18例（28.1%）和上下颌固定（MMF）8例（12.5%）。接受ORIF和MMF治疗的患者的菲斯评分较高。在与汽车相撞并接受ORIF治疗的患者中，观察到身体其他部位受伤的比例较高。
Maxillofacial fractures of pedestrians injured in a motor vehicle accident were retrospectively analyzed. The patients were 38 males and 26 females, and their age was distributed almost evenly from 1 to 91 years old (average 45.9 ± 24.8 years old). Motor vehicle collisions were with an automobile in 46 patients (71.9%), a motorcycle in 17 (26.6%), and a train in 1 (1.6%). The midface was involved in 32 patients (50.0%), the mandible in 19 (29.7%), and both the mandible and the midface in 13 (20.3%). Fractures were frequently observed in the zygoma and alveolus in the midface and in the condyle, symphysis, and body in the mandible. The facial injury severity scale (FISS) rating ranged from 1 to 9 (average 2.30 ± 1.79). Injuries to other sites of the body occurred in 29 patients (45.3%). Observation was most frequently chosen in 26 patients (40.6%), followed by open reduction and internal fixation (ORIF) in 18 (28.1%), and maxillomandibular fixation (MMF) in 8 (12.5%). The FISS rating was higher in patients treated with ORIF and MMF. Injuries to other sites of the body were observed at a higher rate in patients who collided with an automobile and were also treated by ORIF.