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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1978;21(3): 39-55. |
A Clinical Study of the Facial Bone Fractures(Report I) |
SH Lee, MD, and JG Kim, MD |
Department of Otolaryngology, Presbyterian Hospital, Daegu, Korea |
안면골 골절에 대한 임상적 고찰(제1보) |
이상호 · 김중강 |
대구동산기독병원 이비인후과 |
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ABSTRACT |
The cases reported in this paper include all patients with fractures of the facial bones admitted to the Department of Otolaryngology of Daegu Presbyterian Hospital during last 3 years. During this period, a total of 22 patients with fractures of the facial bones were operated at this hospital. (But excluded 31 patients with fracture of the nasal bone). The following results were obtained. 1) The greatest incidence of the disease occurred in the age group of 15-40 years(64%) and sex distribution was 21 patients(95%) in male and 1 patient(5%) in female. 2) a) The highest incidence was observed in spring(8 cases) in the seasonal distribution. b) Four P.M. to 8 P.M. is the peak period for accidents. c) The average inteval from onset to treatment is 7 day. 3) The most common causes were traffic accident (68%) and the ingestion of alcoholic beverages is a factor in at least 30 per cent of all patients with facial bone fractures. 4) The location of facial bone fractures were as follows and half of them(11 cases, 50%) had open wound. a) Ten patients had fractures of the maxilla with or without frontal sinus fracture. b) Zygoma and/or zygomatic arch fracture with maxilla fracture is 6 cases. c) Zygoma and/or zygomatic arch fracture is 4 cases. d) Blowout fracture of orbit is 2 cases. (other 3 cases are combined with zygoma or maxilla fx.) 5) Ocular problems (periorbital and conjuctival edema, subconjunctival hemorrhage etc.), nasal problems (nasal bleeding, septal deformity etc.), and facial disfigurement(facial swelling or flattening, facial laceration etc.) were combinded mainly of the patients. Others are as follows. a) Loss of consciousness : 10 cases. b) Fracture of other sites. (mandible fracture ; 4 cases). c) Tooth extraction : 6 cases. d) Infraorbital nerve cut : 2 cases. 6) The treatment were done combination of open reduction and interosseous wire fixation, intermaxillary fixation using arch bars, suspension wiring, and closed reduction. 7) The almost patient were completely healed without any specific complications within 8 weeks. |
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