소아 안면골 골절의 임상 분석; 10년 동안 201례의 경험

Clinical Analysis of Pediatric Facial Bone Fracture; 10-years Experiences in 201 Cases

  • 오민 (인제대학교 의과대학 상계백병원 성형외과학교실) ;
  • 김영수 (인제대학교 의과대학 상계백병원 성형외과학교실) ;
  • 윤효헌 (인제대학교 의과대학 상계백병원 성형외과학교실) ;
  • 최준 (인제대학교 의과대학 상계백병원 성형외과학교실)
  • Oh, Min (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University Medical Center) ;
  • Kim, Young Soo (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University Medical Center) ;
  • Youn, Hyo Hun (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University Medical Center) ;
  • Choe, Joon (Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University Medical Center)
  • 투고 : 2004.05.31
  • 발행 : 2005.01.10

초록

The proper management of the pediatric facial bone fracture is critical in the facial bone development. This study characterizes the surgically treated patient population suffering from facial bone fractures by the use of current data from a large series consisting of 201 cases. The data was gathered through a retrospective chart review of patients surgically treated for facial bone fractures at the department of plastic and reconstructive surgery, Sanggye Paik hospital, Inje university medical center, collected over 10-years period from January, 1993 to December, 2002. Data regarding patient demographics(age, sex), seasonal distribution, location of fractures, and the causes of injury with admission periods, were collected. In total, there were 201cases of pediatric facial bone fractures. Male patients outnumbered female patients by a 5.48: 1 ratio and were found to engage in a wider range of behaviors that resulted in facial bone fractures. Physical violence was the leading cause of pediatric facial bone fractures(27.9%), followed by sports-related mechanisms (22.9%) and falling down(17.9%). The most prevalent age group was 11-15 years-old(71.1%) and there was a 14.3% prevalence in March. Among the location of fractures, the nasal bone was the most prevalent, accounting for 82.3% of injuries, followed by the orbit(9.95%), and the mandible fractures(7.5%). Most patients(59.7%) were treated within 6-9 days after trauma and the mean hospitalization period was 8-11 days. We should follow up the surgically treated patients, and they will be further evaluated about postoperative sequele and effect on the facial bone development. These studies demonstrate differences in the demographics and clinical presentation that, if applied to patients, will enable a more accurate diagnosis and proper management.

키워드

참고문헌

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