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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 28(5); 1985 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1985;28(5): 560-5.
Clinical Study of Facial Bone Fractures
Soung Sik Yoon, MD, Kwang Je Lee, MD, Suk Cho, MD, and Sang Won Yoon, MD
Department of Otolaryngology, College of Medicine, Won Kwang University, Korea
안면골 골절에 대한 임상적 고찰
윤성식 · 이광재 · 조 숙 · 윤상원
원광대학교 의과대학 이비인후과학교실
ABSTRACT

Recently, the incidence of the facial bone injuries has increased with development of high speed transportation system, industrial system and lack of humanity. The most common cause of facial bone injuries was traffic accident. Facial bone fractures were demonstrated many symptoms including pain and tenderness on fracture site, ecchymosis of periorbital and gingivobuccal region, facial deformity, subconjunctival hemorrhage, etc. The accurate and detailed record of injury will draw satisfactory result and reduce various complication in advance. Authors had experienced record of injury will draw satisfactory result and reduce various complication in advance. Authors had experienced 36 cases of facial bone fractures excluded nasal bone fracture and mandibular fracture and analysed its causes, symptoms, diagnosis, treatment and complications. The following results were obtained. 1) The most common age group of facial bone fractures was 20-40 years and sex distribution was 30 patients in male and 6 patients in female. 2) The most common location of facial bone fractures was zygomatic complex and the most common zygomatic complex fracture was tripod fracture. 3) The mmost common cause of facial bone fractures was traffic accident and motorcycle accident was most frequent. 4) Signs and symptoms of facial bone fractures were included following orders 1. pain and tenderness in fracture site, 2. ecchymosis in periorbital and gingivobuccal region, 3. facial deformity, 4. subconjunctival hemorrhage, 5. epistaxis, etc. 5) Frequently used reduction method of zygomatic complex fractures was combination of Gillies method and interosseous wire fixation and intermaxillary wire fixation. Maxillary fractures were treated with interosseous wire fixation and intermaxillary wire fixation. 6) Almost patients were completely healed without any specific complication. 

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