Complications in Facial Trauma

Morris, Lisa; Kellman, Robert M.

doi:10.1016/j.fsc.2013.07.005

Cited by 23 publications

(16 citation statements)

References 35 publications

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“…Maxillofacial injuries usually affect the middle third of the facial skeleton and mandible, especially soft tissues. The maxillofacial region is the most exposed part of the body and is prone to lesions, which may occur alone or associated with multiple injuries in the head, chest, abdomen, spine and extremities, along with psychological trauma …”

Section: Discussionmentioning

confidence: 99%

“…Facial injuries occur in a significant proportion of patients and have become a significant public health problem due to their potential to cause severe morbidity, disfigurement, psychological disorders and even death . They may occur as an isolated lesion or may be associated with multiple injuries in head, chest, abdomen, spine and extremities …”

Section: Introductionmentioning

confidence: 99%

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Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Nóbrega

Bernardino

Leal

et al. 2018

J Evidence Based Medicine

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Aim:This study aimed to evaluate the scientific evidence regarding the risk factors for maxillofacial injuries among victims of traffic accidents. Method:A systematic review of articles published until February 2017 was carried out in the following databases: PubMed, Web of Science, Scopus, and Cochrane Library. Studies were selected by two independent reviewers ( = 0.841). The risk of bias in the selected studies was assessed using an adapted version of the Newcastle-Ottawa Scale for observational studies. Results: A total of 2703 records were found, of which only three articles fulfilled the inclusion criteria and were analyzed, including 422 244 patients. The male/female ratio ranged from 3.4: 1 to 6: 1. All eligible studies performed the multivariate statistical analysis. Eleven risk factors for maxillofacial traumas were identified: victim's gender (P < 0.05), age group (P < 0.05), residence region (P < 0.05), impact characteristics (P < 0.05), increased net change in velocity due to collision (P < 0.05), increase in occupant's height (P < 0.05), nonuse of protective equipment (P < 0.05), type of accident (P < 0.05), time of occurrence (P < 0.05), lesion severity (P < 0.05), and occurrence of concomitant lesions (P < 0.05). Conclusion:The results suggest that sociodemographic characteristics, as well as those related to the collision patterns and circumstances of traffic accidents, may influence the occurrence of maxillofacial injuries. However, the results should be interpreted with caution due to the high heterogeneity among studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Nóbrega

Bernardino

Leal

et al. 2018

J Evidence Based Medicine

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“…Early diagnosis of MFF is thus essential not only to detect concomitant injuries and emergent complications, but also to plan the reconstruction of functional areas (e.g., vision, mastication, and olfaction) and to guide physical, psychological, and social rehabilitation [5–7]. MFF can also cause considerable economic expenses due to direct procedural costs as well as indirect costs that arise from loss of productivity with associated loss of income and an inability to continue with the activities of daily life [8, 9]. Knowledge about the epidemiology of MFF can help practitioners make appropriate clinical decisions and guide the relevant professionals and policy makers develop suitable injury prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Maxillofacial Fractures at a Teaching Hospital in Malaysia: A Retrospective Study

Abosadegh

Saddki

Al-Tayar

et al. 2019

BioMed Research International

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Background/Aim. Epidemiology of maxillofacial fractures (MFF) varies between populations. This study investigated the epidemiology of MFF treated at the Oral and Maxillofacial Surgery (OMFS) Unit, Hospital Universiti Sains Malaysia (USM). Methods. A retrospective review of 473 medical records of patients with MFF treated from June 2013 to December 2015 was conducted. Information on demographic characteristics of patients, aetiology of injury, types of MFF, and treatment was obtained. Descriptive analysis, Pearson's chi-squared test, and multiple logistic regression analysis were conducted. The level of significance was set at 0.05. Results. Most patients treated for MFF were males (82.2%), aged 30 and below (63.1%), and from Malay ethnic (97.4%). Road traffic accident was the most common cause of MFF (83.1%), with motorcycle accident accounting for most injuries (73.6%). Orbital wall fracture was the most frequent MFF type (51.2%). About half of MFF patients (51.4%) were treated conservatively. Patients aged more than 20 years old were at higher odds of sustaining orbital wall fracture (AOR= 1.76; 95% CI: 1.214-2.558; P= 0.003) but were at lower odds of sustaining mandibular fracture (AOR= 0.47; 95% CI: 0.315-0.695; P= 0.001) than patients who are 20 years old and younger. Helmet use among motorcyclists was significantly associated with the nasal, orbital wall, and maxillary sinus wall fractures (P= 0.006, 0.010, and 0.004, respectively). Conclusion. Motorcycle accident was the most common cause of MFF in Kelantan, Malaysia. Ages of patient and helmet use were associated with the type of MFF sustained. This study provides important information to facilitate the planning of MFF prevention strategies among motorcyclists and emphasizes the importance of using a helmet when riding a motorcycle.

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“…The maxillofacial region is the most exposed part of the body and is prone to injury. [2] Maxillofacial injuries can occur as an isolated injury or may be associated with multiple injuries to the head, chest, abdominal, spinal, and extremities,[34] along with psychological trauma. [567] There are many reports about pattern of facial fractures in the literature from different countries[8] such as England,[9] Finland,[10] Italy,[11] India,[21213141516171819] Japan,[2021] Nigeria,[22] New Zealand,[23] Poland,[24] Pakistan,[25] Bulgaria,[26] and the United States.…”

Section: Introductionmentioning

confidence: 99%

Trends of maxillofacial fractures in the Garhwal Himalayas at Government Medical College, Srinagar, Uttarakhand

Shah¹,

Nautiyal

Gupta³

et al. 2016

Natl J Maxillofac Surg

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Context:Evaluation of Maxillofacial fractures in hilly region of Garhwal Himalyas and its relation with age, gender, anatomical location, seasonal variation and treatment provided.Aims:The aim of the present study is to analyze the pattern of maxillofacial fractures in the Garhwal Himalayan region of India and to compare the results with similar studies in India and the rest of the world.Settings and Design:This was a prospective study conducted on 102 patients with 128 facial fractures.Materials and Methods:This study was conducted on 102 patients who were admitted for the treatment of maxillofacial fractures in the Department of Dentistry at Government Medical College, Srinagar, Uttarakhand, India.Statistical Analysis Used:All analyses were performed using Chi-square test and level of significance.Results:Peak incidence was noted in the second to fourth decades of life. Male: female ratio was 4:1. Road traffic accident was the main etiology (42.2%), followed by fall (37.2%) and assault (11.8%). Among other etiology of injury, distinguishing feature was bear bite, which was only seen in winters causing 5.9% of total injury. Fall was reported high in females whereas road traffic accident in males. Mandible was fractured in 73.5% of patients while mid-face in 26.5% of patients. Open reduction with internal fixation was the choice of treatment in 60.8% of cases. Nearly 79.4% of patients were treated under local anesthesia. The mean duration of hospitalization was (standard deviation 5.2 days) 5.3 days.Conclusions:Road traffic accidents still remain the main cause of maxillofacial fractures in developing countries such as India. In hilly area, road traffic accident can be minimized by better wide roads with guide walls/parapet, strict law enforcement for overspeed, overload, and to use seat belts while driving, and use of helmet while riding two-wheeler. Open reduction internal fixation remains the first choice of treatment in facial fractures due to early return of function with minimal morbidity and better nutritional status in patients compared to closed reduction.

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Complications in Facial Trauma

Cited by 23 publications

References 35 publications

Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Traffic accidents, maxillofacial injuries and risk factors: A systematic review of observational studies

Epidemiology of Maxillofacial Fractures at a Teaching Hospital in Malaysia: A Retrospective Study

Trends of maxillofacial fractures in the Garhwal Himalayas at Government Medical College, Srinagar, Uttarakhand

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