Alcohol abusive use increases facial trauma?

Abstract

BackgroundTrauma is among the main death causes and morbidity in the world and is often related to the use of alcohol and its abuse has reached massive proportions, no matter if the country is developed or not, being considered as public health problem. Since there are very few randomized and prospective studies in literature about the association of facial trauma and the use of alcohol, this study aims to investigate the impact of alcohol use in facial trauma.Material and MethodsThis was a prospective and cross sectional study, involving facial trauma patients attended at Oral Maxillofacial Surgery Division of a State Hospital. Variables included patient´s profile, trauma etiology, facial region involved, type of injury and treatment and days of hospitalization. AUDIT test was applied to identify risks and damages of alcohol use and chemical dependence. Absolute distribution, uni and mutilvaried percentages were made for data evaluation. Pearson´s qui-squared and Fisher´s Exact tests were also used.ResultsOne hundred patients were evaluated. The patient´s mean age was 33.50 years-old, 48% had between 17 and 29 years old, 28% had 30 to 39, and 24% 40 or more. Most of them were male (86%). The most frequent etiology was traffic accident (57%), the extraoral area was most committed (62%), the most frequent type of injury was fractures (78%) and the most affected bone was the mandible (36%). More than half of the patients (53%) had surgical treatment. 38% had their discharge from hospital right after the first attendance. The AUDIT most frequent answer was “moderate use” (46%) and use at risk (39%). There was significant difference between the use of alcohol (AUDIT) and hematoma (0.003) and number of days of hospitalization (p=0.005).ConclusionsIn this study it was not observed association between alcohol consumption using the AUDIT and trauma etiology, but patient victims of traffic accidents were classified as with risk in the scale. Most of the trauma were caused by traffic accidents using motorcycles and occurred in young aged men. Key words:Wounds and injuries, traumatology and alcohol-induced disorders.

Effects of alcohol consumption on maxillofacial fractures in simple falls

“…In maxillofacial injuries, AC has a close association with MVAs and assaults (Soares‐Carneiro et al, 2016). AC with MVAs and assaults was frequent in males, especially young males, and AC has been shown to significantly increase the severity of maxillofacial injuries (Eggensperger et al, 2007; O’Meara, Witherspoon, Hapangama, & Hyam, 2011; Soares‐Carneiro et al, 2016).…”

“…In maxillofacial injuries, AC has a close association with MVAs and assaults (Soares‐Carneiro et al, 2016). AC with MVAs and assaults was frequent in males, especially young males, and AC has been shown to significantly increase the severity of maxillofacial injuries (Eggensperger et al, 2007; O’Meara, Witherspoon, Hapangama, & Hyam, 2011; Soares‐Carneiro et al, 2016). In sports injuries, among the leading causes of maxillofacial injuries, AC has not been frequently associated with maxillofacial injuries (Cavalcanti‐Galdino, Silva, Mendes, Santos, & Simas, 2014; Laverick et al, 2008).…”

“…In the oral and maxillofacial region, the effects of AC have been well documented in injuries in assaults and motor vehicle accidents (MVAs), in which AC made the injuries more severe (Hung, Montazem, & Costello, 2004; Laverick et al, 2008; Schneider et al, 2015; Soares‐Carneiro et al, 2016). However, the association between AC and the severity of injuries has rarely been reported for falls (Schneider et al, 2015).…”

Pattern of alcohol consumption among motorcycle taxi drivers

“…Quanto ao AUDIT, estudos que utilizaram este instrumento de rastreio mostrou em inquérito que investigou o impacto do uso de álcool em trauma fácil que não foi observada associação entre consumo de álcool pelo AUDIT e a etiologia do trauma, mas os pacientes vítimas de acidentes de trânsito foram classifi-cados de risco na escala, sendo a maioria dos traumas causados por acidentes de trânsito com motocicletas e em homens jovens (16) .…”

Alcohol consumption and maxillofacial fractures in times of COVID-19: a cross-sectional study in a Cuban university hospital

“…1 As alcohol interferes with cognitive and motor responses and impairs the ability to solve problems in conflict situations, there is a direct correlation between its consumption and the risk of being involved in a dangerous situation, which could result in facial injuries of various etiologies. 3 Maxillofacial injuries or trauma related to the consumption of alcoholic beverages usually occur on weekends, associated with going to parties, visiting bars, and other similar activities that are often related to substance abuse for leisure and recreation. 4 The treatment of facial fractures related to the consumption of alcoholic beverages is a heavy burden for medical care systems.…”