Epidemiology of Maxillofacial Fracture – A Hospital Based Study

Mahat, Arun Kumar; Gurung, Ganesh; Shrestha, Merina; Chaudhary, Bishwanath

doi:10.3126/jngmc.v17i2.28756

Cited by 3 publications

(5 citation statements)

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“…combat COVID-19. In our study, the majority of cases were in the third decade of life (38.4%, n=20) as found in other studies done in Nepal prior to the COVID-19 6,7,9 pandemic. This age group is ac ve and they have more responsibili es for the livelihood of their families so they have to venture out more compared to other age groups even in this pandemic.…”

Section: Figure 1: Pa Ern Of So Ssue Injuriessupporting

confidence: 87%

Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal

Gurung

Chapagain

Pokharel

et al. 2020

Birat J. Health Sci.

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Introduction: Maxillofacial injuries are one of the most common injuries seen in trauma patients. Road traffic accidents (RTA) are the most common cause of maxillofacial injuries all over the world. RTA are supposed to decrease due to lockdown which has become a usual phenomenon during the COVID- 19 pandemic. Changes in the etiology of maxillofacial injuries are supposed to dictate their pattern as well. Objectives: The objective of this study was to assess the pattern of maxillofacial injuries during the COVID-19 Pandemic at Birat Medical College and Teaching Hospital. Methodology: A cross-sectional study was conducted among the patients attending Birat Medical College and Teaching Hospital for the treatment of maxillofacial injuries from 1 May to 31 July 2020. Consecutive sampling was used to collect data from 52 study participants. Results: A total of 52 patients with maxillofacial injuries were studied. The age of patients ranged from 1 year to 73 years with a median age of 26 years. There were 69.2% (n=36) males with a male to female ratio of 2.25:1. The most common etiology was Road Traffic Accidents (50%, n=26). Laceration (70.7%, n=29) was the most common soft tissue injury. Parasymphysis fracture (23.8%, n=5) was the most common site of mandible fracture. The most common midface fracture was the zygomaticomaxillary complex (ZMC) fracture (40.9%, n=9). Conclusion: RTA still remains the most common etiology of maxillofacial injuries in spite of COVID-19 and the pattern of maxillofacial injuries has not changed much either.

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Section: Figure 1: Pa Ern Of So Ssue Injuriessupporting

confidence: 87%

Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal

Gurung

Chapagain

Pokharel

et al. 2020

Birat J. Health Sci.

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“…In this study, limb injury (17.89%), skull and brain injury (15.81%), and chest and back injury (14.94%) were the three most common concomitant bodily injuries. In a study by Mahat et al [ 40 ], skull and brain injury (23%) was the most common concurrent injury. By Fanglu (Degree thesis: Fanglu Z, 2019), the most common concurrent injury was eye injury (35.55%), indicating that the concomitant bodily injuries in patients with maxillofacial fractures are various.…”

Section: Discussionmentioning

confidence: 99%

Maxillofacial Fractures: A Four-Year Retrospective Study of 1828 Cases in West China

Miao¹,

Zhang²,

Yan³

et al. 2023

Cureus

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Objective: To analyze the epidemiological and clinical characteristics of maxillofacial fracture cases in a stomatological center in southwest China. Methods: This study includes 1828 cases of maxillofacial fractures treated in our hospital from January 2018 to December 2021. We analyzed the gender, age, causes of injury, fracture sites, concomitant injuries, treatment, and postoperative infection of these cases. Our data are also compared with those from similar domestic studies. Results: Among the 1828 cases, the male-to-female ratio was 2.48:1 with an average age of 34.55 ± 16.36 years. The highest incidence of fracture was 21-50 years old, and the most common cause of injury was falls (38.95%). There was a statistically significant difference in the composition of injury causes among different age groups(P<0.05). Mandible (37.56%) was the most easily fractured site, and limb injury (17.89%) was the most common concomitant body injury. In all cases, 85.23% of patients were treated with open reduction and internal fixation. Conclusions: Maxillofacial fractures often occur in the mandible of young and middle-aged men. Falls and traffic accidents are the main causes of injury, often accompanied by limb and brain injuries. Open reduction and internal fixation is still the most commonly used treatment. There are some differences in the results reported by different domestic hospitals.

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“…Результати лікування ушкоджень середньої зони обличчя суттєво залежать від багатьох факторів, провідними з яких є проміжок часу з моменту отримання травми до звернення за медичною допомогою, а також ступень її тяжкості та локалізація [10][11][12][13][14][15]. Можна зазначити, що більшість факторів в тому чи іншому степені залежать від культурних, економічних, соціальних та психологічних впливів, які визначають розподіл етіологічних чинників та характер травм не тільки в Україні але й у світі [6][7][8][9][14][15][16].…”

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“…У дослідженнях різних авторів показано, що переважними етіологічними факторами отримання травм щелепно-лицьової ділянки були падіння та кримінальна травма [2,4,[7][8][9][10]. За нашими даними достовірно найбільша частота трапляння була у кримінальної травми (50% від усіх видів травм), на другому місці знаходилася травма при падінні (38%), на третьому -травми унаслідок дорожньо-транспортних пригод (7%).…”

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“…Тобто отримані нами дані співпадають з даними більшості інших авторів. З іншого боку, ряд авторів [10,11] вважають дорожньо-транспортні пригоди провідним чинником отримання травм середньої зони обличчя. За їх даними ці травми траплялися у 57% хворих.…”

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The Analysis of Features of Traumatic Injuries in the Middle Face Area

Khudyk

2020

Ukr. ž. med. bìol. sportu

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Currently, fractures of the middle face area remain a serious problem of maxillofacial traumatology because there is not only an increase in the number of injuries to the bones of the facial skull, but also the sever character of these injuries, and an increasing number of post-traumatic complications. This is due to the increase in crime, alcoholism, the proliferation of weapons among the population, the increase in traffic accidents, and injuries in the war zone. The purpose of the study was a retrospective analysis of the features of the damage to the middle face area of patients in a large industrial region. Material and methods. We conducted a retrospective analysis of the injury features of the middle face area in 416 patients who became patients of the department of head and neck surgery for the period from January 1, 2010 to December 31, 2019. Results and discussion. The study results showed that the vast majority (χ2 = 529.9; F = 0.000000; p <0.05) of patients were male. Men had by 79.3 (OR = 79.29; F = 0.000000) times higher risk of middle face injury than women. The risk of traumatic face injury in women increased with the age. Thus, in the group of women aged 61+ it was by 29.6 times higher than in the group of women aged 21-30 (OR = 29.6; F = 0.003203). The greatest number of injuries was observed in the age group of 21-30 years. Assessment of the injury risk in this age group showed that it was by 35.5 times higher than in the group of patients aged 61+ and by 2.1 times higher than in the group aged 31-40. Conclusion. The main etiological factor of injuries of the middle face area was domestic trauma, which was 369 (88.7±1.5)% of cases, which was significantly more (χ2 = 498.5; F = 0.000000; p <0.05) than other types of injuries. The risk of domestic injury was by 61.6 times higher than other types of injury. The study results proved that criminal injuries had the highest frequency among all types of injuries (50% of all types of injuries), fall injury was on second place (38%), and road accidents injuries were on third place (7%). A significant majority of the middle face injuries had men, the number of women with injuries of the middle face area increased significantly with the age. The largest number of patients (71.4%) with injuries of the middle face area occurred in the age groups 21-30 and 31-40, that is people of working age

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Epidemiology of Maxillofacial Fracture – A Hospital Based Study

Cited by 3 publications

References 10 publications

Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal

Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal

Maxillofacial Fractures: A Four-Year Retrospective Study of 1828 Cases in West China

The Analysis of Features of Traumatic Injuries in the Middle Face Area

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