小児口腔外科
Online ISSN : 1884-6661
Print ISSN : 0917-5261
ISSN-L : 0917-5261
当科過去11年間の小児顎顔面口腔外傷の臨床統計的観察
黒川 英人佐藤 泰則安藤 俊史高橋 雅幸君島 裕納冨 武則高畑 智文
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2001 年 11 巻 2 号 p. 71-80

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Four-hundred and twenty-six cases of oral and maxillofacial injuries in pediatric patients under the age of 16 years were statistically analyzed. All of the patients were seen by the Department of Oral and Maxillofacial Surgery, National Defense Medical College over an 11-year period between 1989 and 1999. The following conclusions were made:
1. The number of injuries in pediatric patients remained about the same from year to year, averaging 38.7 cases per year.
2. The ratio of male to female patients was 1.5: 1.
3. When analyzed according to the age distribution, 1-year-olds showed the highest incidence of injuries, with most injuries (66.4%) occurring in patients under the age of 6 years.
4. The frequency of traumas was higher in May and November than in other months and lower in January and February.
5. The time of injury distribution showed peaks at 10: 00, 14: 00, and 18: 00.
6. Most of the consultations were direct visits, not referrals.
7. The most common cause of oral and maxillofacial injuries was a fall (72.8%).
8. Of the 426 pediatric cases that were analyzed, 8.0% suffered jaw fractures, 5.2% had alveolar bone fractures, 33.2% suffered teeth injuries and 53.6% had soft tissue injuries.
9. The most common sites of soft tissue injury were the tongue, the frenulum of the upper lip, and the upper lip.
10. The most common treatment for alveolar bone fractures was fixation, and the most common treatment for teeth injuries was observation.
11. The most common treatment for fractures of the jaw was intermaxillary fixation.
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