Epidemiological Analysis of 2 492 Patients with Oral and Maxillofacial Trauma in Xinjiang

doi:10.3969/j.issn.1005-4979.2019.04.006

Abstract

Abstract: Objective: To analyze and discuss the epidemiological characteristics of 2 492 patients with oral and maxillofacial trauma in Xinjiang. Methods: In a total of five years from January 2012 to December 2016, patients with oral and maxillofacial trauma hospitalized in different hospitals in Xinjiang were reviewed retrospectively. The collected data included age, sex, etiology, type of trauma, fracture site, and the presence or absence of associated injuries and nerve injury. Results: A total of 2 492 patients with oral and maxillofacial trauma were enrolled, including 1981 male patients and 511 female patients with a gender ratio 3.88∶1 (M/F). The age group of 21-30 years was the largest subgroup in case number for both genders. The most common etiology was traffic accident, accounted for 41.8% of all cases. The mandible (31.97%) was the most common site of fracture, followed by the zygoma (25.3%). The most common associated injury was limb injury (27.5%), followed by brain injury (24.5%) and eye injury (21.4%). The most common nerve injury was the facial nerve injury, accounting for 62.9% of all cases. Conclusion: The incidence of oral and maxillofacial trauma is related to gender, age, and the cause of trauma. Young males are the most vulnerable group. Maxillofacial trauma is often associated with limb, craniocerebral and eye injuries. Traffic accident is the main cause of maxillofacial injury.

Key words: maxillofacial trauma, epidemiology, facial fracture

摘要： 目的：分析新疆地区2 492例口腔颌面部创伤患者的临床流行病学特点,并进行探讨。方法：收集新疆地区2012-01—2016-12期间，在新疆各地医院住院治疗的口腔颌面部创伤病人5年间的病例资料，对每位患者的年龄、性别、创伤原因、创伤类型、骨折部位、全身合并损伤及神经损伤等内容进行临床回顾性分析。结果：收集2 492病例，其中男性1 981例，女性511例，男女比为3.88∶1，21~30岁是好发年龄；职业分布上以农民最多,占44.3%；交通事故是主要的创伤原因，占41.8%；创伤类型中多处骨折最常见（37.4%）；骨折部位以下颌骨骨折最为常见（31.97%），其次颧部骨折（25.3%）；全身合并伤中最常见的是四肢伤（27.5%），其次是颅脑（24.5%）和眼（21.4%）；神经损伤病人124例，其中面神经损伤为78例，占62.9%。结论：口腔颌面部创伤发病率与性别、年龄及创伤原因有关；青壮年男性是好发人群；颌面部创伤往往合并四肢、颅脑和眼睛损伤；交通事故是致颌面部损伤的主要原因，居于首位。

关键词: 颌面部创伤, 流行病学, 颌骨骨折

CLC Number:

R782

BUHAILIQIGULI Maimaitituersun, PAZILAITI Xioakelaiti, GU Li，PATIGULI Wusiman, DENG Shuang, ADILI Moming. Epidemiological Analysis of 2 492 Patients with Oral and Maxillofacial Trauma in Xinjiang[J]. 《Journal of Oral and Maxillofacial Surgery》, doi: 10.3969/j.issn.1005-4979.2019.04.006.

卜海力齐古丽·麦麦提图尔荪，帕孜来提·肖克来提，古丽，帕提姑丽·吾斯曼，邓爽，阿地力·莫明. 新疆地区2 492例口腔颌面部创伤患者临床流行病学分析[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2019.04.006.

/ / Recommend / Download Citations

URL: https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2019.04.006

https://journal06.magtech.org.cn/Jweb_joms/EN/Y2019/V29/I4/212

References

[1] Soleimani T, Greathouse ST, Bell TM, et al. Epidemiology and cause-specific outcomes of facial fracture in hospitalized children[J]. J Craniomaxillofac Surg, 2015, 43(10):1979-1985.

[2] Sastry SM, Sastry CM, Paul BK, et al. Leading Causes of Facial Trauma in the Major Trauma Outcome Study[J].Plast Reconstr Surg, 1995, 95(1):196-197.

[3] Zamboni RA, Wagner JCB, Volkweis MR, et al. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil[J]. Rev col Bras Cir, 2017, 44(5):491-497.

[4] Sbordone C , Barca I, Petrocelli M , et al. The Influence of Socioeconomic Factors on the Epidemiology of Maxillofacial Fractures in Southern Italy[J]. J Craniofac Surg, 2018,29(8):2119-2123.

[5] Salentijn EG. [A PhD completed. Midfacial trauma patients in Amsterdam: An epidemiological survey][J]. Ned Tijdschr Tandheelkd, 2018, 125(5):287-290.

[6] Yang CS, Chen SCC, Yang YC, et al. Epidemiology and patterns of facial fractures due to road traffic accidents in Taiwan: A 15-year retrospective study[J]. Traffic Inj Prev,2017, 18(7):724-729.

[7] Bonavolontà P, Dell'aversana Orabona G, Abbate V, et al. The epidemiological analysis of maxillofacial fractures in Italy: The experience of a single tertiary center with 1720 patients[J].J Craniomaxillofac Surg, 2017, 45(8):1319-1326.

[8] Goedecke M, Thiem DGE, Schneider D, et al. Through the ages-Aetiological changes in maxillofacial trauma[J]. Dent Traumatol, 2019 ,35(2):115-120.

[9] 陈凯, 贾保军, 敖建华, 等. 青岛地区653例口腔颌面部创伤患者临床流行病学分析[J]. 中国美容医学, 2016, 25(2):20-23.

[10] 陈晨, 杨尧, 巩玺, 等. 口腔颌面部新鲜骨折1009例回顾分析[J]. 中华口腔医学杂志, 2015, 50(11): 650-655.

[11] Sharabi SE, Koshy JC, Thornton JF, et al. Facial Fractures[J]. Plast Reconstr surg, 2011, 127(2):25e-34e.

[12] Gassner R, Tuli T, H?chl O, et al. Cranio-maxillofacial trauma : a 10 year review of 9,543 cases with 21,067 injuries[J]. J Craniomaxillofac Surg, 2003, 31(1):51-61.

[13] Mijiti A , Ling W , Tuerdi M , et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: A 5-year retrospective study[J]. J Craniomaxillofac Surg, 2013, 42(3):227-233.

[14] De Lucena AL, da Silva Filho GF, de Almeida Pinto Sarmento TC, et al. Epidemiological Profile of Facial Fractures and Their Relationship With Clinical-Epidemiological Variables[J]. J Craniofac Surg, 2016, 27(2):345-349.

[15] Hitosugi M, Mizuno K, Nagai T, et al. Analysis of Maxillofacial Injuries of Vehicle Passengers Involved in Frontal Collisions[J]. J Oral Maxillofac Surg, 2011, 69(4):1146-1151.

[16] Allred LJ, Crantford JC, Reynolds MF, et al. Analysis of Pediatric Maxillofacial Fractures Requiring Operative Treatment: Characteristics, Management, and Outcomes[J].J craniofac surg, 2015, 26(8):2368-2374.

[17] Manodh P, Prabhu Shankar D, Pradeep D, et al. Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update[J].J Oral Maxillofac Surg, 2016, 20(4):377-383.

[18] McMullin BT, Rhee JS, Pintar FA , et al. Facial fractures in motor vehicle collisions: epidemiological trends and risk factors[J]. Arch Facial Plast Surg, 2009, 11(3):165-170.

[19] Linnau KF, Stanley Jr RB, Hallam DK, et al. Imaging of High-Energy Midfacial Trauma: What the Surgeon Needs to Know [J]. Eur J Radiol, 2003,48 (1), 17-32.

[20] Van den Bergh B, Karagozoglu KH, Heymans MW , et al. Aetiology and incidence of maxillofacial trauma in Amsterdam: A retrospective analysis of 579 patients[J]. J Cranio-maxillofac Surg,2012,40(6):165-169.

[21] Mabrouk A , Helal H , Mohamed AR , et al. Incidence, Etiology, and Patterns of Maxillofacial Fractures in Ain-Shams University, Cairo, Egypt: A 4-Year Retrospective Study[J]. Craniomaxillofac Trauma Reconstr, 2014,7(3):224-232.

[22] McGoldrick DM, Fragoso-I?iguez M, Lawrence T, et al. Maxillofacial injuries in patients with major trauma[J]. Br J Oral Maxillofac Surg, 2018,56(6):496-500.

[23] Ghosh R, Gopalkrishnan K, Anand J. Pediatric Facial Fractures: A 10-year Study[J]. J Maxillofac Oral Surg, 2018, 17(2):158-163.

[24] Amarista Rojas FJ, Bordoy Soto MA, Cachazo M, et al. The epidemiology of mandibular fractures in Caracas, Venezuela: incidence and its combination patterns[J]. Dent Traumatol, 2017, 33(6):427-432.

[25] 王淑敏. 颌面部创伤患者872例回顾性研究[D]. 呼和浩特：内蒙古医科大学，2016.

[26] de Lucena AL, da Silva Filho GF, de Almeida Pinto Sarmento TC, et al. Epidemiological profile of facial fractures and their relationship with clinical-epidemiological variables[J]. J Craniofac Surg, 2016, 27(2):345-349.

[27] Choi SH, Gu JH, Kang DH. Analysis of Traffic Accident-Related Facial Trauma[J]. J Craniofac Surg, 2016, 27(7):1682-1685.

[28] Leinhart J, Toldi J, Tennison M . Facial Trauma in Sports[J]. Curr Sports Med Rep, 2017,16(1):23-29.

[29] Goldenberg DC , Dini GM , Pereira MD, et al. Soccer-related Facial Trauma: Multicenter Experience in 2 Brazilian University Hospitals[J]. Plast Reconstr Surg Glob Open, 2014,2(6):e168.

[30] Plawecki A , Bobian M , Kandinov A , et al. Recreational Activity and Facial Trauma Among Older Adults[J]. JAMA Facial Plast Surg, 2017, 19(6):453-458.

[31] Chorney SR , Sobin L , Goyal P , et al. Maxillofacial injuries among National Collegiate Athletic Association (NCAA) athletes: 2004 to 2014[J]. Laryngoscope, 2016, 127(6):1296-1301.

[32] Svider PF , Bobian M , Hojjat H , et al. A chilling reminder: Pediatric facial trauma from recreational winter activities[J]. Int J Pediatr Otorhinolaryngol, 2016, 87:78-82.

[33] Joshi UM , Ramdurg S , Saikar S , et al. Brain Injuries and Facial Fractures: A Prospective Study of Incidence of Head Injury Associated with Maxillofacial Trauma[J]. J Maxillofac Oral Surg, 2018, 17(4):531-537.

[34] McGoldrick DM , Fragoso-I?iguez M, Lawrence T, et al. Maxillofacial injuries in patients with major trauma[J].Br J Oral Maxillofac Surg ,2018 ,56(6):496-500.

[35] Vlavonou S, Nguyen TM, Touré G. Epidemiology of facial fractures in the elderly[J]. JPRAS Open, 2018, 16:84-92.

Please choose a citation manager

Content to export