대구지역 안면골 골절의 임상역학적 연구

Clinical Epidemiologic Study of Facial Bone Fractures in Daegu

  • 권혁준 (계명대학교 의과대학 성형외과학교실) ;
  • 한준 (대구파티마병원 성형외과) ;
  • 김준형 (계명대학교 의과대학 성형외과학교실) ;
  • 정호윤 (경북대학교 의과대학 성형외과학교실) ;
  • 김종엽 (경북대학교 의과대학 성형외과학교실) ;
  • 윤신혁 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 송철홍 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 류민희 (영남대학교 의과대학 성형외과학교실) ;
  • 김용하 (영남대학교 의과대학 성형외과학교실) ;
  • 서만수 (대구파티마병원 성형외과)
  • Kwon, Hyuk Joon (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Han, Joon (Department of Plastic and Reconstructive Surgery, Fatima Hospital) ;
  • Kim, Jun Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Jung, Ho Yoon (Department of Plastic and Reconstructive Surgery, Kyungbuk University School of Medicine) ;
  • Kim, Jong Yeop (Department of Plastic and Reconstructive Surgery, Kyungbuk University School of Medicine) ;
  • Yoon, Sin Hyuk (Department of Plastic and Reconstructive Surgery, Catholic University School of Medicine) ;
  • Song, Cheol Hong (Department of Plastic and Reconstructive Surgery, Catholic University School of Medicine) ;
  • Ryu, Min Hee (Department of Plastic and Reconstructive Surgery, Yeungnam University School of Medicine) ;
  • Kim, Yong Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University School of Medicine) ;
  • Seo, Man Soo (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
  • 투고 : 2006.11.24
  • 발행 : 2007.05.10

초록

Purpose: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study. Methods: The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test. Results: Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in-hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common. Conclusion: Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.

키워드

참고문헌

  1. Lee JH, Mun GH, Bang SI: A clinical & statistical analysis of the facial bone fractures: 7 years survey. J Korean Soc Plast Reconstr Surg 25: 1046, 1998
  2. Park BI, Shim HS, Yang SJ, Park JS: A clinical and statistical analysis of the maxillofacial trauma. J Korean Soc Plast Reconstr Surg 15: 513, 1988
  3. Kim JB, Choi JK, Ahn DK: A clinical analysis of the facial bone fractures in Choong-buk area. J Korean Soc Plast Reconstr Surg 20: 734, 1993
  4. Gwyn PP, Carraway JH, Horton CE, Adamson JE, Mladick RA: Facial fracture-associated injuries and complications. Plast Reconstr Surg 47: 225, 1971
  5. Yoo JW, Kim SW, Min KW, Lee YH, Park CG, Kim CW: A clinical analysis of the facial bone fractures: 9 years survey. J Korean Soc Plast Reconstr Surg 17: 403, 1990
  6. Kim JC, Kim KH, Shin KS, Lee YH: Clinical observations of facial bone fractures. J Korean Soc Plast Reconstr Surg 4: 123, 1977
  7. Lee JI, Jeong CH, Lee DL, Oh SJ: A clinical study of the facial bone fractures. J Korean Soc Plast Reconstr Surg 18:858, 1991
  8. Kim BK, Yang SJ, Koh YS, Bang YH, Park CS: A clinical survey of the facial bone fractures. J Korean Soc Plast Reconstr Surg 8: 305, 1981
  9. Oikarinen VJ, Lindqvist C: The frequency of facial bone fractures in patients with multiple injuries sustained in traffic accidents. Proc Finn Dent Soc 71: 53, 1975
  10. Frable MA, Hong K, Jang JH, Park YW: Facial fractures at an urban hospital: a review continued. Va Med 105:700, 1978
  11. Yoon KY, Lee TH: A clinical study of facial bone fractures. J Korean Soc Plast Reconstr Surg 5: 155, 1978
  12. Kim JC, Kim KH, Shin KS, Lee YH: Clinical observations of facial bone fractures. J Korean Soc Plast Reconstr Surg 4:123, 1977
  13. Beck RA, Blakeslee DB: The changing picture of facial fractures. 5-year review. Arch Otolaryngol Head Neck Surg 115: 826, 1989
  14. Koh MK, Koh IC, Lew JM: Clinical study of facial bone fracture. J Korean Soc Plast Reconstr Surg 9: 57, 1982