3차 의료기관 응급실로 내원한 안면부 열상 환자에 대한 임상적 고찰 = Clinical Evaluation of Facial Laceration Patients Who Visited Tertiary Emergency Medical Center

다국어 초록 (Multilingual Abstract)

Background: Facial laceration is a common clinical problem in the emergency room that is frequently associated with other craniofacial injuries. It elicits an emotional response from the patient because of the underlying concern of permanent scar and secondary facial disfigurement, so they demand prompt and adequate treatment. The aim of this study is to analyze the incidence, etiology, depth, and site of facial lacerations to provide basic data for further understanding.
Method: This study reviewed 1,043 facial-laceration patients treated in the emergency room at Pusan Paik Hospital between March 1999 and February 2000. This retrospective study was done by reviewing and analyzing the sex and age distributions, the monthly and daily distributions, the causes of injury, the types of injury, the sites of injury, the lengths of the lacerations, and associated injuries.
Results: The sex ratio of men to wemen was 2.4:1, and the 0~10 age group was at the top of the age distribution. The number of patients was the highest on sundays and during March. About 9.2% of the patients visited the emergency room between 10:00 P.M. and 11:00 P.M. Falls(38.1%) were the most common cause of facial laceration, and deep laceration(51.8%) was the most common type of facial laceration. The most common laceration site was the forehead, followed by the chin and the nose. The most common associated craniofacial injury was facial bone fracture(39%), Facial-lacerations were sutured by plastic surgeons(80%), emergency physicians(10%), and oromaxillofacial surgeons(10%). We found statistical significance in the types and lengths of lacerations between men and women, among age groups(p<0.05).
Conclusion: Facial laceration is one of the most common craniofacial injuries in the emergency room. By now, most lacerations have been repaired by plastic surgeons, But, the causes of lacerations are diverse and many patients are admitted due to the associated injuries. Therefore, emergency physicians should participate more aggressively in the care of facial-laceration patients to improve the outcome of the patients.

목차 (Table of Contents)

• I.서론
• II.대상과 방법
• III.결과
• 1.성별 분포
• 2.연령적 분포
• 3.월별 남녀분포
• 4.요일별 남녀분포
• 5.도착시간별 남녀분포
• 6.열상의 원인별 남녀분포
• 7.열상의 종류
• 8.열상의 부위
• 9.열상의 길이
• 10.동반손상의 유무 및 입원율
• 11.열상을 치료한 의사들의 분류
• IV.고찰
• V.결론