背景:伊朗人民庆祝今年的最后一个星期三,也称为ChaharShambehSoori(CSS),使用被归类为烟花的低爆炸性烟火。事故和事故很常见,可能会发生颌面部骨折,对生活质量产生负面影响。本研究旨在评估爆炸剂引起的颌面部骨折(fx)。
方法:这项横断面描述性研究评估了在2009年至2019年期间因CSS仪式而遭受爆炸剂引起的颌面fxs的283名患者,该患者转诊至我们的颅颌面(CMF)手术中心。评估的数据包括年龄,性别,cause,type,site,以及损伤的严重程度,断裂模式,治疗方式,和并发症。所有颌面部损伤均由颅颌面外科医师进行评估和治疗。
结果:在283名患者中,72.8%(206)和27.2%(77)是男性和女性,分别。患者的平均年龄为17.35岁。最常见的颌面部骨折在中面部;骨折的分布为:39.9%的颧骨骨折,32.1%鼻骨骨折,63.2%牙槽骨骨折,43.1%LeFort(LeFortI,LeFortII,LeFortIII),31.4%轨道,和43.1%的下颌骨骨折。最常见的治疗类型是切开复位和内固定(ORIF)(77.4%)。
结论:颌面部骨折的最常见部位和最常用的治疗方法与军事或弹道损伤相似。ORIF是常见的治疗方法。
BACKGROUND: Iranian people celebrate the last Wednesday of the year also known as Chahar Shambeh Soori (CSS) using low explosive pyrotechnics classified as fireworks. Mishaps and accidents are common and maxillofacial fractures may occur which have a negative impact on the quality of life. This study aimed to assess maxillofacial fractures (fx) caused by explosive agents.
METHODS: This cross-sectional descriptive study assessed 283 patients suffering maxillofacial fxs caused by explosive agents during CSS ceremonies between 2009 and 2019 referred to our craniomaxillofacial (CMF) surgery center. The data assessed included age, sex, cause, type, site, and severity of injury, fracture patterns, treatment modalities, and complications. All maxillofacial injuries were evaluated and treated by Craniomaxillofacial staff surgeons.
RESULTS: Among 283 patients, 72.8% (206) and 27.2% (77) were men and women, respectively. The mean age of patients was 17.35 years. The most common maxillofacial fracture was in the mid-face; with the distribution of fractures being: 39.9% zygomatic fractures, 32.1% nasal bone fractures, 63.2% dentoalveolar fracture, 43.1% Le Fort (Le Fort I, Le Fort II, Le Fort III), 31.4% orbital, and 43.1% mandible fractures. The most frequent type of treatment was Open Reduction and Internal Fixation (ORIF) (77.4%).
CONCLUSIONS: The most common site of maxillofacial fractures and most frequent treatment used were similar to military or ballistic injuries. ORIF was common treatment.