Ulus Travma Acil Cerrahi Derg. 2011; 17(2): 149-151 | DOI: 10.5505/tjtes.2011.26043

Ýran’da kafatasý kýrýðý paterni: Ýran Ulusal Travma Projesi raporu

Soheil Saadat¹, Neda Rashidi-ranjbar¹, Mohammad R. Rasouli², Vafa Rahimi-movaghar¹, Vafa Rahimi-movaghar^3
1Tahran Týp Bilimleri Üniversitesi, Sina Travma Ve Cerrahi Araþtýrma Merkezi, Tahran, Ýran
²Thomas Jefferson Üniversitesi Ve Rothman Enstitüsü, Ortopedi Ve Nöroþirürji Bölümleri, Pa, Abd
³Tahran Üniversitesi, Nöral Onarým Araþtýrma Merkezi, Tahran, Ýran

AMAÇ: Bu yazýda, Ýran’ýn kentsel nüfusundaki kafatasý kýrýk tipi oluþ mekanizmasý tanýmlandý.
GEREÇ VE YÖNTEM: Genel özellikler, travma mekanizmasý, kýsaltýlmýþ travma skalasý, Glasgow koma skalasý, hastanede kalýþ süresi ve 1999 yýlýndan 2004 yýlýna kadar kaydedilen travma hastalarýnýn sonucunu içeren verilere, Ýran Ulusal Travma Kayýtlarý
veritabanýndan ulaþýldý.
BULGULAR: Kayýtlý 16,321 travma hastasý arasýnda, kafatasý kýrýðý olan 1704 olgu saptandý. En yaygýn travma özelliði motorlu araç kazasý (MAK) (%62,5) ile düþme (%23,8) idi. Trafik kazasý maðdurlarý çoðunlukta yayalardý (%41,6). Kafatasý kýrýðýnýn
ortalama 27,2±17,7 düzeyinde bir yaþla birlikte erkeklerde (%78,6) görülmesi daha sýktý. MAK’lerde, kafa tabaný kýrýðý hastalarýn %51,2’sinde ve kafa tavaný kýrýðý da hastalarýn %48,8’inde gözlendi. Kafa tabaný kýrýðý ve kafa tavaný kýrýðý arasýnda, cinsiyet daðýlýmý bakýmýndan anlamlý bir farklýlýk vardý (p=0,002). Kafa tabaný kýrýðý olgularýnýn
%67,4’üne karþý kafa tavaný olgularýnýn %58,1’inde, MAK, travma mekanizmasý idi (p<0,001).
SONUÇ: Ýran’da, güvenlik yasalarý ve risk-spesifik müdahale programlarý önemli ölçüde geliþtirilmelidir.

Anahtar Kelimeler: Kazalar, kafa travmasý; kafatasý kýrýðý; kafa tabaný; kafa tavaný

---

Pattern of skull fracture in Iran: report of the Iran National Trauma Project

Soheil Saadat¹, Neda Rashidi-ranjbar¹, Mohammad R. Rasouli², Vafa Rahimi-movaghar¹, Vafa Rahimi-movaghar^3
1Sina Trauma And Surgery Research Center, Tehran University Medical Sciences, Tehran, Iran
²Department Of Orhtopaedics And Neurosurgery, Thomas Jefferson University And The Rothman Institute, Pa, Usa
³Research Centre For Neural Repair, University Of Tehran, Tehran, Iran

BACKGROUND: We characterize in this report the mechanism and type of skull fracture in urban populations of Iran.
METHODS: Data including the general characteristics, mechanism of trauma, abbreviated injury scale, Glasgow coma scale, duration of hospitalization, and outcome of trauma patients registered from 1999 to 2004 were extracted from the Iranian National Trauma Registry database.
RESULTS: Of 16,321 registered trauma patients, 1704 cases with skull fracture were found. The most common mechanism of trauma was motor-vehicle crash (MVC) (62.5%) followed by fall (23.8%). The majority of traffic victims were pedestrians (41.6%). Skull fracture was more likely to be seen in men (78.6%), with a mean age of 27.2 ± 17.7 years. In MVCs, skull base fracture was observed in 51.2% and vault fracture in 48.8% of patients. A significant difference was found in sex distribution between skull base and vault fracture (p=0.002). MVC was the mechanism of injury in 67.4% of skull base fracture cases compared to 58.1% of vault fracture cases (p<0.001).
CONCLUSION: Safety legislations and risk-specific intervention programs should be improved considerably in Iran.

Keywords: Crashes, head injury; skull fracture; skull base; vault

---

ATIF KOPYALA