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.

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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

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