54例学龄前儿童颌面部骨折临床分析

doi:10.19438/j.cjoms.2022.06.012

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (6): 586-589.doi: 10.19438/j.cjoms.2022.06.012

54例学龄前儿童颌面部骨折临床分析

庞超远, 马东洋, 张文凯, 王兵武, 刘东

中国人民解放军联勤保障部队第九四医院口腔颌面外科,甘肃兰州 730050

收稿日期:2022-04-13 修回日期:2022-05-20 出版日期:2022-11-20 发布日期:2022-11-20
通讯作者: 马东洋,E-mail:doctormdy@hotmail.com
作者简介:庞超远（1988-）,男,博士,E-mail: pcyfmmu@163.com

Clinical analysis of maxillofacial fracture in 54 preschoolers: a retrospective study

PANG Chao-yuan, MA Dong-yang, ZHANG Wen-kai, WANG Bing-wu, LIU Dong

Department of Oral and Maxillofacial Surgery, The 940th Hospital of Joint Logistics Support Force of PLA. Lanzhou 730050, Gansu Province, China

Received:2022-04-13 Revised:2022-05-20 Online:2022-11-20 Published:2022-11-20

摘要/Abstract

摘要： 目的通过回顾性研究,探讨学龄前儿童下颌骨骨折的临床表现和治疗方法。方法收集2011年1月—2021年12月就诊于中国人民解放军联勤保障部队第九四医院的学龄前儿童颌面部骨折患者的病历资料,对患者的年龄、性别、致伤原因、临床表现、治疗方法及术后情况等进行总结分析。结果共收集颌面部骨折学龄前儿童病例54例,其中男31例,女23例,平均年龄（4.41±1.68）岁。入组患者中,发生率最高的为下颌骨骨折(50例,占92.6%),其次是上颌骨骨折（7例,占13.0%）,第三为颧骨骨折 (5例,占9.3%)。入组患者中,伴颌面部软组织损伤31例（占57.4%）,伴牙损伤7例（占13.0%）。学龄前儿童颌面部骨折以保守治疗为主,所有患者预后良好,随访中有1例髁突骨折患者,保守治疗2年后发生关节强直,再次手术治疗后痊愈。结论学龄前儿童颌面部骨折的发生率较低,需要根据患者年龄、骨折位置等综合评估。治疗时要关注儿童伤后颌面部生长发育情况,出现发育畸形时需要及时干预。

关键词: 学龄前儿童, 颌面部骨折, 手术治疗, 保守治疗

Abstract: PURPOSE: The aim of the study was to retrospectively analyze the clinical feature and treatment of maxillofacial fracture in preschool children. METHODS: This retrospectively study was conducted from January 2011 to December 2021. All preschool children with maxillofacial fracture admitted to our department were collected and data were recorded for age, gender distribution, causes of injury, clinical feature, treatment protocols and postoperative prognosis. RESULTS: A total of 54 cases of preschool children with maxillofacial fractures were collected from January 2011 to December 2021, including 31 boys and 23 girls, with an average age of (4.41±1.68) years. Among the enrolled patients, the highest incidence was mandibular fracture (50 cases, 92.6%), followed by maxillary fracture (7 cases, 13.0%) and zygomatic fracture (5 cases, 9.3%). There were 31 cases (57.4%) with maxillofacial soft tissue injury, and 7 cases (13.0%) with tooth injury. The main treatment protocols were conservative treatment, and all patients had good prognosis. During follow-up, one patient with condylar fracture with conservative treatment developed TMJ ankylosis after 2 years, which was released after surgical treatment again. CONCLUSIONS: The incidence of maxillofacial fracture in preschool children is low. Treatment protocols were dependent on the age and type of fracture. At the same time, attention should be paid to the growth and development of children's maxillofacial region after injury.

Key words: Preschool children, Maxillofacial fracture, Surgical treatment, Conservative treatment

中图分类号:

R782.4

庞超远, 马东洋, 张文凯, 王兵武, 刘东. 54例学龄前儿童颌面部骨折临床分析[J]. 中国口腔颌面外科杂志, 2022, 20(6): 586-589.

PANG Chao-yuan, MA Dong-yang, ZHANG Wen-kai, WANG Bing-wu, LIU Dong. Clinical analysis of maxillofacial fracture in 54 preschoolers: a retrospective study[J]. China J Oral Maxillofac Surg, 2022, 20(6): 586-589.

参考文献

[1] Zimmerman CE, Troulis MJ, Kaban LB.Pediatric facial fractures: recent advances in prevention, diagnosis and management[J]. Int J Oral Maxillofac Surg, 2006, 35(1): 2-13.
[2] Kyrgidis A, Koloutsos G, Kommata A, et al.Incidence, aetiology, treatment outcome and complications of maxillofacial fractures. A retrospective study from Northern Greece[J]. J Craniomaxillofac Surg, 2013,41(7): 637-643.
[3] Ferreira PC, Amarante JM, Silva PN, et al.Retrospective study of ¹²⁵I maxillofacial fractures in children and adolescents[J]. Plast Reconstr Surg, 2005,115(6): 1500-1508.
[4] Kaban LB.Diagnosis and treatment of fractures of facial bones in children 1943-1993[J]. J Oral Maxillofac Surg, 1993, 51(7): 722-729.
[5] Daniels JS, Albakry I, Braimah RO, et al.Maxillofacial bone fractures in children and adolescents: overview of 247 cases in a major referral hospital, Najran, Kingdom of Saudi Arabia[J]. Craniomaxillofac Trauma Reconstr, 2021, 14(2): 126-134.
[6] Ghosh R, Gopalkrishnan K.Facial fractures[J]. J Craniofac Surg, 2018, 29(4): e334-e340.
[7] Rabbani CC, Kao R, Shin TJ, et al.The association of weather, temperature, and holidays on pediatric maxillofacial trauma[J]. Laryngoscope Investig Otolaryngol, 2020, 5(5): 846-852.
[8] Bhardwaj Y, Kumar D.Pediatric maxillofacial trauma outcomes based on a survey of 65 patients: a prospective study of etiology, incidence and methods of treatment[J]. J Maxillofac Oral Surg, 2015, 14(3): 687-692.
[9] Holland AJ, Broome C, Steinberg A, et al.Facial fractures in children[J]. Pediatr Emerg Care, 2001,17(3): 157-160.
[10] Roccia F, Boffano P, Bianchi FA, et al.An 11-year review of dental injuries associated with maxillofacial fractures in Turin, Italy[J]. Oral Maxillofac Surg, 2013, 17(4): 269-274.
[11] Lim RB, Hopper RA.Pediatric facial fractures[J]. Semin Plast Surg, 2021, 35(4): 284-291.
[12] Gassner R, Tuli T, Hächl O, et al.Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21,067 injuries[J]. J Craniomaxillofac Surg, 2003, 31(1): 51-61.
[13] Panesar K, Susarla SM.Mandibular fractures: diagnosis and management[J]. Semin Plast Surg, 2021, 35(4): 238-249.
[14] Kao R, Campiti VJ, Rabbani CC, et al.Pediatric midface fractures: outcomes and complications of 218 patients[J]. Laryngoscope Investig Otolaryngol, 2019, 4(6): 597-601.
[15] Bhutia DP, Singh G, Mohammed S, et al.Prevalence and etiology of pediatric maxillofacial injuries: a unicenter-based retrospective study[J]. Int J Clin Pediatr Dent, 2019, 12(6): 528-531.

54例学龄前儿童颌面部骨折临床分析

Clinical analysis of maxillofacial fracture in 54 preschoolers: a retrospective study

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 14

编辑推荐

Metrics

本文评价

[1]	王雪, 张宁. 810 nm波长半导体激光治疗口腔黏液腺囊肿的临床疗效观察[J]. 中国口腔颌面外科杂志, 2024, 22(5): 459-462.
[2]	郭逸飞, 张永红, 任振虎. 头颈部肉瘤的诊断与治疗现状[J]. 中国口腔颌面外科杂志, 2024, 22(4): 404-408.
[3]	王延安, 秦中平, 郑家伟, 李春洁, 刘少华, 杨耀武, 陈刚, 陈伟良, 刘学键, 杜仲, 张雷, 王业飞, 王德明, 苏立新, 谢峰, 董长宪, 郭磊, 李凯, 顾松, 何悦, 张志愿. 头颈部血管瘤及脉管畸形手术治疗专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(2): 105-117.
[4]	罗丹, 李晨曦, 龚忠诚. 手术治疗颅颌面部骨纤维发育不良对视力影响的系统评价[J]. 中国口腔颌面外科杂志, 2021, 19(1): 64-69.
[5]	杜常欣, 徐兵, 朱妍菲, 王雪纯, 吴艳棋, 朱敏. 65例儿童髁突囊内骨折保守治疗临床预后的Helkimo指数评价[J]. 中国口腔颌面外科杂志, 2020, 18(5): 421-426.
[6]	马东洋, 曹健, 庞超远, 张文凯, 杨阳, 满启尚. 术中CT在颌面部骨折手术治疗中的应用[J]. 中国口腔颌面外科杂志, 2019, 17(2): 141-145.
[7]	周云凤, 刘琦, 李智, 李祖兵. 颌面部骨折1264例临床回顾分析[J]. 中国口腔颌面外科杂志, 2018, 16(4): 348-351.
[8]	任荣，蔡卜磊，支音，司家文，张剑飞，史俊. 38例下颌骨髁突囊内骨折的手术治疗及疗效评价[J]. 中国口腔颌面外科杂志, 2018, 16(3): 242-247.
[9]	任荣, 司家文, 张剑飞, 史俊. 下颌骨髁突囊内骨折治疗研究进展[J]. 中国口腔颌面外科杂志, 2017, 15(6): 559-563.
[10]	韩小东, 林小臻, 邵小钧, 王燕一, 张明. 单侧髁突骨折治疗的meta分析[J]. 中国口腔颌面外科杂志, 2016, 14(5): 455-460.
[11]	黄子贤, 李世豪, 黄志权, 王友元, 张大明, 陈伟良. CO₂激光治疗口腔黏膜浅表病变73例临床分析[J]. 中国口腔颌面外科杂志, 2016, 14(4): 366-368.
[12]	白果, 何冬梅, 杨驰, 陆川, 黄栋, 陈敏洁. 数字化导板引导髁突巨大骨软骨瘤手术切除1例报告[J]. 中国口腔颌面外科杂志, 2014, 12(4): 378-382.
[13]	李明旭, 张丽云, 袁荣涛. 颈动脉三角区鱼刺异物的临床诊治：附1例报告[J]. 中国口腔颌面外科杂志, 2014, 12(4): 383-390.
[14]	薛令法;王艳丽;冯元勇;尚伟. 巨大髁突骨瘤1例报告及文献复习 [J]. 中国口腔颌面外科杂志, 2013, 11(3): 261-264.