DOI QR코드

DOI QR Code

Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients

  • Jin, Ki-Su (Department of Oral and Maxillofacial Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Lee, Ho (Department of Oral and Maxillofacial Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Sohn, Jun-Bae (Department of Oral and Maxillofacial Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Han, Yoon-Sic (Department of Oral and Maxillofacial Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Jung, Da-Un (Section of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Sim, Hye-Young (Section of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center) ;
  • Kim, Hee-Sun (Section of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center)
  • 투고 : 2018.08.13
  • 심사 : 2018.08.30
  • 발행 : 2018.12.31

초록

Background: For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures. Methods: This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated. Results: This study analyzed 2708 fracture lesions of 2076 patients, among whom males aged 10 to 39 years were the most numerous. The number of patients was significantly higher in the middle of a month. The most common fractures were a nasal bone fracture. The most common causes of fracture were ground accidents and personal assault, which tended to frequently cause more nasal bone fracture than other fractures. Traffic accidents and high falls tended to cause zygomatic arch and maxillary wall fractures more frequently. Postoperative complications-observed in 126 patients-had a significant relationship with the end of a month, mandible or panfacial fracture, and traffic accidents. Conclusions: The present findings on long-term craniofacial fracture trends should be considered by clinicians dealing with fractures and could be useful for policy decisions.

키워드

참고문헌

  1. Hashim H, Iqbal S (2011) Motorcycle accident is the main cause of maxillofacial injuries in the Penang mainland, Malaysia. Dent Traumatol 27:19-22 https://doi.org/10.1111/j.1600-9657.2010.00958.x
  2. Miloro M, Ghali G, Larsen P, Waite P (2004) Peterson's principles of oral and maxillofacial surgery. Shelton, PMPH-USA
  3. O'Meara C, Witherspoon R, Hapangama N, Hyam DM (2012) Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 50:36-40 https://doi.org/10.1016/j.bjoms.2010.11.003
  4. van Beek GJ, Merkx CA (1999) Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 28:424-428 https://doi.org/10.1016/S0901-5027(99)80055-1
  5. Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51-61 https://doi.org/10.1016/S1010-5182(02)00168-3
  6. Muraoka M, Nakai Y (1998) Twenty years of statistics and observation of facial bone fracture. Acta Otolaryngol Suppl 538:261-265
  7. Morris C, Bebeau NP, Brockhoff H, Tandon R, Tiwana P (2015) Mandibular fractures: an analysis of the epidemiology and patterns of injury in 4,143 fractures. J Oral Maxillofac Surg 73:951.e1-951.e12
  8. Motamedi MH, Dadgar E, Ebrahimi A, Shirani G, Haghighat A, Jamalpour MR (2014) Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. J Trauma Acute Care Surg 77:630-634 https://doi.org/10.1097/TA.0000000000000369
  9. Emodi O, Wolff A, Srouji H, Bahouth H, Noy D, Abu El Naaj I et al (2018) Trend and demographic characteristics of maxillofacial fractures in level I trauma center. J Craniofac Surg 29:471-475 https://doi.org/10.1097/SCS.0000000000004128
  10. Atisha DM, Burr T, Allori AC, Puscas L, Erdmann D, Marcus JR (2016) Facial fractures in the aging population. Plast Reconstr Surg 137:587-593 https://doi.org/10.1097/01.prs.0000475791.31361.9a
  11. Jeon EG, Jung DY, Lee JS, Seol GJ, Choi SY, Paeng JY et al (2014) Maxillofacial trauma trends at a tertiary care hospital: a retrospective study. Maxillofac Plast Reconstr Surg 36:253-258 https://doi.org/10.14402/jkamprs.2014.36.6.253
  12. Park KP, Lim SU, Kim JH, Chun WB, Shin DW, Kim JY et al (2015) Fracture patterns in the maxillofacial region: a four-year retrospective study. J Korean Assoc Oral Maxillofac Surg 41:306-316 https://doi.org/10.5125/jkaoms.2015.41.6.306
  13. Kwon HJ, Han J, Kim JH, Jung HY, Kim JY, Yoon SH et al (2007) Clinical epidemiologic study of facial bone fractures in Daegu. J Korean Soc Plast Reconstr Surg 34:365-370
  14. Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E et al (2014) Assessment of maxillofacial trauma in emergency department. World J Emerg Surg 9:13 https://doi.org/10.1186/1749-7922-9-13
  15. James RB, Fredrickson C, Kent JN (1981) Prospective study of mandibular fractures. J Oral Surg 1965(39):275-281
  16. Zhou HH, Liu Q, Yang RT, Li Z, Li ZB (2015) Traumatic head injuries in patients with maxillofacial fractures: a retrospective case-control study. Dent Traumatol 31:209-214 https://doi.org/10.1111/edt.12165
  17. Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-junior S (2016) Facial fractures: large epidemiologic survey in northern Brazil reveals some unique characteristics. J Oral Maxillofac Surg 74:2480.e1-2480.e12 https://doi.org/10.1016/j.joms.2016.08.015
  18. Lee KH, Qiu M, Sun J (2017) Temporal distribution of alcohol related facial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol 124:450-455 https://doi.org/10.1016/j.oooo.2017.08.022
  19. Ferreira PC, Barbosa J, Braga JM, Rodrigues A, Silva AC, Amarante JM (2016) Pediatric facial fractures: a review of 2071 fractures. Ann Plast Surg 77:54-60 https://doi.org/10.1097/SAP.0000000000000346
  20. Fonseca RJ, Barber HD, Powers MP, Frost DE (2013) Oral and maxillofacial trauma-E-book. Elsevier Health Sciences
  21. Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:28-34 https://doi.org/10.1016/j.tripleo.2005.07.023

피인용 문헌

  1. CBCT study on the relationship between lingula and antilingula position in a Chinese Han population vol.41, pp.6, 2018, https://doi.org/10.1007/s00276-019-02224-9
  2. Analysis of Factors Affecting Quality of Life in Patients Treated for Maxillofacial Fractures vol.17, pp.1, 2018, https://doi.org/10.3390/ijerph17010004
  3. Semi-Rigid Fixation Using a Sliding Plate for Treating Fractures of the Mandibular Condylar Process vol.10, pp.24, 2018, https://doi.org/10.3390/jcm10245782