顔面骨折の臨床統計—スポーツ外傷と一般外傷の比較検討

Report of 221 Facial Fractures Seen in the Past Five Years:A Comparison of Athletic and Other Injuries

　はじめに

　顔面骨折は一般外傷（対人，対物，交通事故）とスポーツ外傷から発生し，その一部が耳鼻咽喉科を受診する。また耳鼻咽喉科を受診する顔面外傷の大部分は顔面骨折あるいはその疑いである。以下に検討する221症例において203症例は骨折症例であった。われわれは本誌においてスポーツ顔面外傷の臨床統計を発表してその特徴を述べたが^1），従来の報告において，顔面外傷をスポーツ外傷とそれ以外の一般外傷に分類して詳細に比較検討を行った報告がないので，本稿ではこれらの2群について臨床統計上の異同を検討した。

Two hundreds and twenty one cases of facial fractures were collectively analyzed. These were due to 74 athletic injuries and 147 other injuries. The average ages for the athletic injuries and the other injuries were 21.5 and 28.2 years of age. In ages between 10-29, 86.5% were athletic and 57.9% were other injuries. Male to female ratio was 74.2% : 25.8% in general. Among the types of facial fractures, nasal bone fractures oc-cupied a major portion and in 75. 0% by athletic injuries and 59.1% by other injuries. Simple bone fractures were by far the most often seen and combined fractures were seen in 2.7% by athletic injuries and in 4.8% by other injuries.