■本范围审查旨在对低收入和中等收入国家(LMICs)的颅颌面创伤(CMF创伤)文献进行描述性分析,以确定知识差距,直接未来的研究,并告知政策。
■PubMed/MEDLINE,Cochrane评论,EMBASE,ClinicalTrials.gov,和谷歌学者从2012年1月1日至2023年12月10日。
■系统评论和Meta分析扩展的首选报告项目(PRISMA-ScR)指导报告,和PRISMA流程图记录数据库搜索。Specific,使用预定义的搜索词和纳入标准进行筛选,加强流行病学观察研究报告(STROBE)清单用于质量评估。搜索产生了54篇文章,13人符合纳入标准。总结了主要发现并分为7类。
■有10,420名患者(7739[74.3%]男性,2681[25.7%]女性),男女比例为2.9:1。CMF创伤的平均发病高峰年龄为30.8岁,20到40年不等。道路交通事故是主要原因(60.4%),其次是攻击(27.2%)和跌倒(12.2%)。最常见的损伤是软组织损伤(31.7%),孤立性下颌骨骨折(22.8%),和孤立的中段下颌骨骨折(18.1%)。最常见的治疗方法是闭合复位和固定(29.5%),保守管理(27.6%),切开复位内固定(19.6%)。大多数患者(77.8%)由于缺乏固定材料(54.8%)或外科医生无法使用(35.7%)而导致治疗延迟。
■CMF创伤仍然是全球发病率的重要原因,然而仍然缺乏高质量的,LMIC中CMF创伤特异性数据。需要进行针对特定国家的调查,以增强知识并为新的干预措施提供信息。实施政策变革必须针对社区,并考虑到独特的文化障碍,态度,以及最大化患者护理结果的行为。
UNASSIGNED: This scoping review aims to contribute a descriptive analysis of the craniomaxillofacial trauma (CMF trauma) literature in low- and middle-income countries (LMICs) to identify knowledge gaps, direct future research, and inform policy.
UNASSIGNED: PubMed/MEDLINE, Cochrane Review, EMBASE, ClinicalTrials.gov, and Google Scholar from January 1, 2012 to December 10, 2023.
UNASSIGNED: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guided reporting, and the PRISMA flowchart documented database searches. Specific, predefined search terms and inclusion criteria were used for screening, and the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used for quality assessment. The search yielded 54 articles, with 13 meeting the inclusion criteria. Key findings were summarized and divided into 7 categories.
UNASSIGNED: There were 10,420 patients (7739 [74.3%] male, 2681 [25.7%] female) with a male-to-female ratio of 2.9:1. The mean peak age of incidence of CMF trauma was 30.8 years, ranging from 20 to 40 years. Road traffic accidents were the leading cause (60.4%), followed by assault (27.2%) and falls (12.2%). The most common injuries were soft tissue injury (31.7%), isolated mandibular fracture (22.8%), and isolated middle-third of mandible fracture (18.1%). The most common treatments were closed reduction and immobilization (29.5%), conservative management (27.6%), and open reduction and internal fixation (19.6%). Most patients (77.8%) experienced a treatment delay due to a lack of fixation materials (54.8%) or surgeon unavailability (35.7%).
UNASSIGNED: CMF trauma remains a significant cause of global morbidity, yet there remains a lack of high-quality, CMF trauma-specific data in LMICs. Country-specific investigations are required to enhance knowledge and inform novel interventions. Implementing policy change must be community-specific and account for unique cultural barriers, attitudes, and behaviors to maximize patient care outcomes.