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KMID : 0377219990240020110
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Medical Journal of Chosun Univercity
1999 Volume.24 No. 2 p.110 ~ p.117
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A clinical analysis of the facial bone fractures
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Kang Yang-Soo
Ryu Bong-Soo
Lee Myung-Ju
Yang Jeong-Yeol
Lim Hong-Cheol
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Abstract
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Background and Objective: The facial region is defined for our purposes as the whole face, together with the underlying viscera and skeletal structure. The epidemiology of facial injuries is of practical importance for several view points, not least in planning trauma services.
Materials and Method: This retrospective study include 815 patients of facial bone fractures who were treated at the Department of Plastic and Reconstructive Surgery at the Chosun University Hospital between January 1994 and December 1998. These patient’s medical records were then retrospectively analysed in order to gain insight into a clinical pattern.
Results and Conclusion: An analysis datas were as follow: An increase of fractures of 10.2% per year was noted. The injuries were most frequently occured in July(10.4%), Saturday(23.9%) and between 18:00 and midnight. Most injuries occured in young male with the highest incidence in the third decade of life and males were predominated more than female, 3.4 to 1. The most common cause of fractures were traffic accident(42.3%) followed by assault, fall(or slip) down and others. Among the number of fractures, the most common fractures were found in the nasal bone(25.2%) followed by zygoma, maxilla, orbit, mandible and frontal bone. Associated soft tissue injuries were combined in 58%, and the other site of fractures associated with facial bone were developed in 22.2%. The average interval between onset to arrival and onset to surgical intervention was 2.48 hours, 6.2 days, and average hospital day was 12.7 days. Treatment for fractures were consist of open reduction(52.8%), closed reduction(19.5%) and conservative treatment(15.6%). The complication rate was 15.2% and most common complication was the eye problem, followed by post-traumatic psychosis and facial asymmetry.
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KEYWORD
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Facial bone fractures, Retrospective analysis
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