A retrospective analysis of facial fracture etiologies

被引：185

作者：

Erdmann, Detlev ^{[1
]}

Follmar, Keith E. ^{[1
]}

DeBruijn, Marlieke ^{[1
]}

Bruno, Anthony D. ^{[1
]}

Jung, Sin-Ho ^{[2
]}

Edelman, David ^{[3
]}

Mukundan, Srinivasan ^{[4
]}

Marcus, Jeffrey R. ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Div Plast Reconstruct Maxillofacial & Oral Surg, Dept Surg, Durham, NC 27710 USA

[2] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC USA

[3] Duke Univ, Med Ctr, Dept Internal Med, Durham, NC USA

[4] Duke Univ, Med Ctr, Dept Radiol, Div Neuroradiol, Durham, NC 27710 USA

来源：

ANNALS OF PLASTIC SURGERY | 2008年 / 60卷 / 04期

关键词：

facial fracture; etiology; epidemiology; trauma; mechanism;

D O I：

10.1097/SAP.0b013e318133a87b

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The medical records of 437 patients with 929 facial fractures were retrospectively analyzed. Fracture patterns were classified based on the presence or absence of fractures in each of 4 anatomic subunits (frontal, upper midface, lower midface, and mandible). The most common etiology of trauma was assault (36%), followed by motor vehicle collision (MVC, 32%), fall (18%), sports (11%), occupational (3%), and gunshot wound (GSW, 2%). The most common fracture type was nasal bone fracture (164). MVC was found to be a significant predictor of panfacial fractures, as was GSW. Sports injuries were a significant predictor of isolated upper midface fractures, and assault was a significant predictor for isolated mandible fractures. MVC and GSW each were found to lead to significantly higher severity of injury than assault, fall, and sports. The results confirm intuitive aspects of the etiology of facial fractures that have been anecdotally supported in the past.

引用

页码：398 / 403

页数：6

共 21 条

[1]

Facial fractures and concomitant injuries in trauma patients [J].