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J Korean Soc Emerg Med > Volume 18(3); 2007 > Article
Journal of The Korean Society of Emergency Medicine 2007;18(3): 241-249.
Clinical Analysis of Facial Bone Fractures
Seung Won Lee, Seok Yong Ryu, Suk Jin Cho, Sang Lae Lee, Sung Chan Oh, Sung Jun Kim, Ji Young Ahn, Hong Yong Kim
1Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Korea. ryuchoi64@sanggyepaik.ac.kr
2Department of Preventive Medicine, Sanggye Paik Hospital, College of Medicine, Korea.
3Department of Emergency Medicine, Seoul paik Hospital, College of Medicine, Inje University, Seoul, Korea.
4Department of Surgery, DongGuk University International Hospital, Ilsan , Korea.
ABSTRACT
PURPOSE:
As modern civilization and transportation systems have developed, the incidence of facial bone fractures has increased. The purpose of this study was to develop a criteria for proper use of computed tomography in cases of facial bone fracture, so that an accurate diagnoses can be made and proper treatment can be given.
METHODS:
This study included patients who visited the emergency center from March 2005 to December 2005. A total of 513 patients received facial bone computed tomography. The patients were divided into 2 groups: 242 patients who were diagnosed with facial fractures, and 271 patients without facial fractures. General, physical, and neurological examinations were analyzed to determine the degree of correlations with facial fractures.
RESULTS:
In facial fractures group, the sex ratio was 2.7:1 (M:F=177:65). The patients were mainly younger. There were two common causes of injuries; 117 cases (48.3%) were caused by fisticuffs, and 54 cases (22.3%) resulted from traffic accidents. Orbital fractures were the most common injury, comprising 156 cases (64.5%). The average injury severity score (ISS) of the patients was 6.5+/-4.0. As determined by multiple logistic regression analysis based on controlled physical examination and neurologic examination, significant risk factors related to facial fracture are abrasion, swelling, bruise, laceration, conjunctival hemorrhage, epistaxis, enophthalmos, extraoccular muscle limitation, temporo-mandible malocclusion and paresthesia.
CONCLUSIONS:
Facial bone fractures mostly occurred among active males between the ages of 20 to 40, and the most common causes are fisticuffs and traffic accidents. When facial injuries are associated with physical symptoms, such as swelling, laceration, conjunctival hemorrhage, epistaxis, enophthalmos, extraoccular muscle limitaion, temporo-mandible malocclusion and paresthesia, facial bone computed tomography is essential to proper diagnosis.
Key words: Facial fracture, Facial bone computed tomography
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