Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

CLINICAL STUDY ON FACIAL BONE FRACTURES

안면골 골절에 관한 임상적 연구

  • Kim, Hyun-Soo (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University) ;
  • Lee, Sang-Han (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University) ;
  • Jang, Hyun-Jung (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University) ;
  • Baek, Sang-Heum (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University) ;
  • Cha, Doo-Won (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University)
  • 김현수 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 이상한 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 장현중 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 백상흠 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 차두원 (경북대학교 치과대학 구강악안면외과학교실)
  • Published : 2001.02.28
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Abstract

To investigate epidermiologic trend in maxillofacial fractures. We retrospectively studied 934 patients with maxillofacial fractures between $1981{\sim}1987$ and $1995{\sim}1999$. The results were compared in the previous group (Group A, patients treated between $1981{\sim}1987$) with those in the recent group (Group B, $1995{\sim}1999$). Also, we studied 516 patient between $1995{\sim}1999$ for occupation, associated injuries, treatment and complications. The sex ratio of men to women decreased (5.6 : 1 in Group A vs. 3.5 : 1 in Group B), and the largest age group was 20 to 29 years. There was the highest incidence in September and Fall. The most frequent cause of maxillofacial fracture in both Group A and B was traffic accidents. The distribution of fracture site did not change appreciably, but the frequency of midfacial fracture increased. In the recent group, the largest occupational group was salaried men, and the largest associated injuries of maxillofacial fracture was head and neck injury. Open reduction was used in 91% of the cases, and post-operation complications were infection, neurologic problem, malocclusion, and mouth opening limitation etc. Our results suggest that the clinical features of patients with maxillofacial fractures have changed during the past decade.

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