当科における過去15年間の顔面中1/3骨折の臨床統計的検討

概要

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Retrospective clinico-statistical studies were performed concerning 80 cases of mid-third facial fracture who were treated in our hospital from April 1985 through March 2000.The following results were obtained : (1) Fracture of the mid-third face was diagnosed in 40% of 208 cases with maxillofacial fracture during this period.(2) The male-female ratio was 2:1,the mean age 36.7 (range,11-85).Approximately 50% of the patients were under 30 years old.(3) Sixty percent were caused by traffic accidents.(4) Thirty-nine cases (48.7%)were referred from another department in our hospital, especially the Department of Neurosurgery.(5) The number of single fractures (39 cases)was similar to that of multiple fractures (41 cases).(6) As major general complications, head injury (38 cases) and ocular injury (22 cases)were observed in this study.(7) As major oral and maxillofacial complications,deformity of the face (40 cases)and trismus (40 cases)were observed.(8) Open reduction was performed on 63 cases (78.8%). They were treated with titanium plate in most cases, or stainless wire,or Kirschner wire,or orbital ceramic implant.Thirty-three cases (52.3%)were also given intermaxillary fixation.
信州医学会の論文