Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study

Abstract

BackgroundThe Global Burden of Disease Study (GBD) has historically produced estimates of causes of injury such as falls but not the resulting types of injuries that occur. The objective of this study was to estimate the global incidence, prevalence and years lived with disability (YLDs) due to facial fractures and to estimate the leading injurious causes of facial fracture.MethodsWe obtained results from GBD 2017. First, the study estimated the incidence from each injury cause (eg, falls), and then the proportion of each cause that would result in facial fracture being the most disabling injury. Incidence, prevalence and YLDs of facial fractures are then calculated across causes.ResultsGlobally, in 2017, there were 7 538 663 (95% uncertainty interval 6 116 489 to 9 493 113) new cases, 1 819 732 (1 609 419 to 2 091 618) prevalent cases, and 117 402 (73 266 to 169 689) YLDs due to facial fractures. In terms of age-standardised incidence, prevalence and YLDs, the global rates were 98 (80 to 123) per 100 000, 23 (20 to 27) per 100 000, and 2 (1 to 2) per 100 000, respectively. Facial fractures were most concentrated in Central Europe. Falls were the predominant cause in most regions.ConclusionsFacial fractures are predominantly caused by falls and occur worldwide. Healthcare systems and public health agencies should investigate methods of all injury prevention. It is important for healthcare systems in every part of the world to ensure access to treatment resources.

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

“…In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 . Traumas as a result of road accidents also decreased: these represented 14.2% of traumas during the 2020 lockdown period in the present study compared to 20–32% in the literature 5 , 6 , 7 . However, the percentage of traumas due to domestic accidents and assaults was observed to be increased relative to the other aetiologies of the trauma.…”

“…There were hardly any fractures due to sports or leisure trauma, which can easily be explained by the implementation of the lockdown measures, and this partly accounts for the reduction in overall number of traumas. The reduction also resulted from an overall decrease in all trauma causes, which the participating surgical departments are already familiar with and has been reported in the literature 5 , 6 , 7 , 8 . In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 .…”

“…The reduction also resulted from an overall decrease in all trauma causes, which the participating surgical departments are already familiar with and has been reported in the literature 5 , 6 , 7 , 8 . In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 . Traumas as a result of road accidents also decreased: these represented 14.2% of traumas during the 2020 lockdown period in the present study compared to 20–32% in the literature 5 , 6 , 7 .…”

Sequential sequestrations increase the incorporation and retention of multiple growth factors in mineralized collagen scaffolds

“…Craniomaxillofacial injuries -injuries of the mouth, jaw, face, and related structures -can be caused by a wide range of congenital abnormalities, oral cancer treatments, and traumatic injuries. Trauma related injuries experienced by civilians [1][2][3][4][5] and high-energy impact injuries experienced by Warfighters 6-8 present unique clinical challenges. These injuries are often large, complex in geometry, and cannot be repaired with external fixtures alone 9,10 .…”

Navigating telemedicine for facial trauma during the COVID‐19 pandemic

“…Facial trauma remains a significant morbidity of concern as patients continue to enter the emergency room from falls, assaults, or accidents 6‐8 . Evaluation of acute facial injuries requires considerable provider‐patient interaction as the thorough examination process guides successful treatment.…”