小児顎骨骨折の臨床的検討

概要

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We performed a clinicostatistical study of 95 pediatric maxillofacial fracture cases under the age of 15 years and a long-term follow-up study of 42 of these cases at The First Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University during the 16-year period between 1977 and 1992. The ratio of boys to girls was 2: 1 and the horhest incidence involved boys over 13 years of age. Falling to the ground was the most frequent cause. Fracture of the mandibula and the upper alveolar bone were common.<BR>Conservative therapy was usually performed and was found to be successful. Intramaxillary fixation was performed in alveolar fracture cases and younger patients and intermaxillary fixation was done in mandibular fracture cases and elderly patients. The long-term follow-up study demonstrated that some patients with alveolar fractures complained of abnormal arrangement of teeth and malocclusion, suggesting the importance of long-term follow-up.
社団法人日本口腔外科学会の論文