Epidemiology and Pattern of Oral and Maxillofacial Trauma

Abstract

Purpose: Maxillofacial trauma represents a serious public health problem and their epidemiology is extremely variable. The objective of the present study was to analyze and discuss the epidemiological characteristics of 2492 patients with oral and maxillofacial trauma over a 5-year period. Patients and Methods: This retrospective study was conducted at different hospitals of Xinjiang from 2012 to 2016. Data were collected for the cause of injury, age and gender distribution, frequency and type of injury, localization and frequency of soft tissue injuries, dentoalveolar trauma, facial bone fractures, presence of associated injuries, nerve injury, different treatment protocols. All the data were analyzed using statistical analysis that is chi squared test. Statistical analyses performed included descriptive analysis, chi square test, and logistic regression analyses. Results: A total of 2492 maxillofacial trauma patients were seen in 1981 patients with a male to female ratio of 3.88:1. The age group 21 to 30 years accounted for the largest subgroup in both sexes. The most common etiology of the trauma was traffic accident, accounted for 41.8%. The mandible (31.97%) was the most common site of fracture followed by the zygoma (25.3%). The common type associated injuries was limb injury (27.5%), it was followed by brain (24.5%) and eye (21.4%) injuries. The common nerve injury was the facial nerve injury, accounting for 62.9%. Conclusion: The incidence of oral and maxillofacial trauma is related to gender, age, and the cause of trauma. Young adults are the most likely group (P < 0.05). Maxillofacial trauma is often associated with limb, craniocerebral, and eye injuries. Traffic accident is the main cause of maxillofacial injury (P < 0.5).

Pain in Oral and Maxillofacial Surgery and Implant Dentistry: Types and Management

“…In a retrospective study by Wusiman et al, these traumas are likely to happen more to young adults, and vehicle accidents are most likely the cause. 91 The pain was noted to be the primary concern after the trauma and surgical involvement, significantly when the temporomandibular joint is affected. [92][93][94] The quality of life of the patients who underwent invasive approaches deteriorated for the first 3 months after the operation.…”

Stratification of the equivalent for dental treatment cost estimation among victims with maxillofacial trauma injuries occurred after road-traffic accidents

“…Injuries of the maxillofacial area are most often associated with lesions of the mandible and related structures, which is justified by the mobility of the mandible due to the close functional interaction of the temporomandibular joint, masticatory muscles and the corresponding ligaments [19,21,23,30]. According to Khudyk A. K. [17], the prevalence of fractures with lesions of the mandible in the period 2010-2019 statistically exceeded the prevalence of those with localization in the upper jaw.…”

“…Violations of functional and anatomical integrity of the structures of the dento-alveolar system, resulting from traffic accidents, are characterized by variable patterns of formation, which depend on the mechanism of action of the traumatic factor, vector and action of force, position of the victim, safety, pre-existing changes dental status and features of the biomechanical system of the maxillofacial area as a whole [2,15,16,19,21,23,24,30].…”

Prevalência do trauma maxilofacial em um hospital de referência da República Dominicana

“…Embora muitos estudos mostram que a mandíbula é o sítio anatômico principalmente afetado quando se fala em Trauma Facial (GODOI et al, 2013;SAMIERAD et al, 2015;LIMA et al, 2015;JAN et al, 2015;MANOHD, 2016;TESHOME et al, 2017;BONAVOLONTÀ et al, 2017;REZAEI et al, 2017;LEE et al, 2017;WUSIMAN et. al., 2020;KANALA et al, 2021).…”

“…Neste estudo encontrou-se que os acidentes de trânsito e as agressões foram a principal causa das fraturas faciais, concordando com a maioria dos estudos epidemiológicos deste tipo (GODOI et al, 2013;RALLIS et al, 2015;SCHEIDER et al, 2015;JAN et al, 2015;NAVARRO & MORALES, 2013;RIBEIRO et al, 2016;MANOHD et al, 2016;FARHADI et al, 2016;SARMIENTO, 2017;ABOSADEGH et al, 2017;FARIAS, 2017;BONAVOLONTÀ et al, 2017;RAZAEI et al, 2017, LEE et al, 2017BOCCHIALINI et al, 2018;ABOSADEGH et al, 2019;RAMISETTY et. al., 2019;PIETZKA et al, 2019;WUSIMAN et. al., 2020;KANALA et al, 2021).…”