尼日利亚博尔诺州迈杜古里国立牙科医院下颌骨折的病因学和表现模式。

Mathew Ekhaleafo Ogbezode, E. Oromakinde, Faith Nonyelum Ngene, I. Suleiman, K. Idris
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引用次数: 0

摘要

背景:下颌骨是面部最大、最主要的骨骼,占面部的下三分之一,由于其突出,容易发生骨折。下颌骨的骨折多发生在一些主要部位,如角、犬齿区、髁颈等,因为这些部位比较脆弱。目的:分析迈杜古里国家牙科医院下颌骨折的病因和表现模式方法:这是一项由博尔诺州卫生部伦理审查委员会批准的回顾性-前瞻性描述性研究。共记录了956例面部骨折病例,其中包括从记录簿中检索的旧病例和在本报告所述期间看到的新病例。在这一总数中,7年期间在迈杜古里国立牙科医院发现了252例下颌骨折病例。在由口腔颌面外科顾问医师完成校准后,由三名独立牙科外科医生组成的小组对所见患者进行了临床和放射检查。所有纳入研究的患者和病例在开展研究之前都得到了适当的简报和知情同意。结果:共记录面部骨折956例,其中下颌骨骨折252例,占26.4%。男性占76.2%,女性占23.8%,男女比例为3.2:1。年龄11 ~ 60岁,平均27.7岁。21 ~ 30岁人群骨折发生率最高,周末骨折发生率最高,以周五骨折发生率最高,占34.4%。122例(48.8%)骨折的主要原因是道路交通事故,下颌骨是最常见的骨折部位(44.8%)。结论:虽然在本研究中,道路交通事故似乎是下颌骨折的主要原因,但很大一部分与袭击有关的原因是由于爆炸对下颌的伤害。年龄分布、性别、地点和治疗方式仍保持不变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aetiology and presentation pattern of mandibular fractures at the State Dental Hospital in Maiduguri, Borno State, Nigeria.
Background: The mandible is the biggest and the main bone occupying the lower third of the face, and it is prone to fracture because of its prominence. Fracture of the mandible is more common in some major parts such as, the angle, the canine region, and the condylar neck due to its weakness in those regions. Objective: To analyse the aetiology and presentation pattern of mandibular fractures at the State Dental Hospital in Maiduguri Methods: This was a retrospective-prospective descriptive study approved by the Ethical Review Board of Borno State Ministry of Health. A total number of 956 facial fracture cases, which included both old cases retrieved from the record book and new cases seen during the period under review, was recorded. Out of this total, 252 mandibular fracture cases were seen during the seven-year period at the State Dental Hospital in Maiduguri. The patients seen were examined clinically and radiographically by a team of three independent dental surgeons after calibration was done by a consultant oral and maxillofacial surgeon. All patients and cases included in the study were properly briefed and informed consent taken prior to carrying out the study. Results: A total of 956 facial fractures were recorded: 252 cases were mandibular fractures, accounting for a prevalence 26.4%. Males accounted for 76.2% and females 23.8% with a male to female ratio of 3.2:1. Age range was 11-60yrs with a mean age of 27.7yrs. Those aged 21-30yrs showed the highest level of distribution in the sampled cases, and most of the fractures occurred on weekends, especially Friday which accounted for 34.4% of cases. The major aetiology of most fracture is road traffic accident in 122(48.8%) cases and the body (44.8%) of the mandible was noted as the most commonly affected site. Conclusion: Although road traffic accident appeared to be the major aetiology of mandibular fracture in this study, a substantial part of assault related causes are due to blast related injuries to the mandible. The age distribution, sex, location and treatment modalities still remain the same.
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