Falls Due to Loss of Consciousness are Associated With Maxillofacial Fracture Severity

Ito, Ryohei; Kubota, Kosei; Yaguchi, Shinya; Furudate, Ken; Tanaka, Yusuke; Kobayashi, Wataru

doi:10.1016/j.joms.2019.10.023

Cited by 7 publications

(8 citation statements)

References 29 publications

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“…psychotropics), cardiovascular risk factors, feet and footwear issues, medical problems, depression, cerebrovascular injury and increased bone fragility. 29,[36][37][38] Comparing the two time periods, assault-related trauma, mainly caused by punching, also significantly increased, affecting almost exclusively males between the ages of 17 and 60, consistent with the findings of three European studies that analysed facial trauma for periods longer than 10 years. TA B L E 4 Distribution of demographic variables, cause and area of fracture in the two time periods.…”

Section: Re Sultssupporting

confidence: 85%

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Gugliotta,

Roccia,

Sobrero

et al. 2023

Dental Traumatology

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BackgroundThis retrospective study analysed the epidemiology of maxillofacial trauma over 22 years to assess whether there have been significant changes in the causes and characteristics of fractures in paediatric, adult and elderly populations.Materials and MethodsThe following data were collected: age, sex, injury cause and mechanism, fracture site, Facial Injury Severity Scale, associated injuries, time of injury, type of treatment and length of hospital stay. The patients were analysed by age group (children [≤16 years], adults [17–60 years] and elderly [>60 years]) and divided into two time groups (group 1: 2001–2011; group 2: 2012–2022) that were compared to each other. Statistical analyses were performed using SPSS software.ResultsBetween 01 January 2001 and 31 December 2022, 3535 patients (2690 males and 845 females, mean age 39.3 years) were admitted for facial fractures. The comparison of the two temporal periods showed a decrease in the prevalence of males (p = .02), in road traffic injuries (p < .001), and in fractures of the lower third of the face (p = .005); there were significant increases in the mean age (p < .001), prevalence of the elderly (p = .006) and in fall‐ and assault‐related injuries (p < .001 and p = .03, respectively). Assault injuries increased only in the 17–60 age group (p = .02) while RTA‐related fractures decreased in all age groups (p < .05 for all comparisons). Bicycle accidents increased significantly, with a parallel decrease in motor vehicle accidents (both p < .001). Fall‐related fractures increased only in 17–60 and >60 age groups (p < .001 and p = .02, respectively).ConclusionsThis study shows significant changing trends in the epidemiology of maxillofacial trauma. While road traffic policies have been effective in the last years, preventive measures for falls in the elderly population and new legislative measures to prevent interpersonal violence should be advocated.

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Section: Re Sultssupporting

confidence: 85%

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Gugliotta,

Roccia,

Sobrero

et al. 2023

Dental Traumatology

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“…This trend was similar to previous findings that mandibular fractures accounted for 79.1% of maxillofacial fractures due to falling (70.6% of maxillofacial fractures due to simple falls and 64.6% of maxillofacial fractures due to falling from a height). 5,15 Regarding the injury site, a previous study of the distribution of facial lacerations in patients who had fallen revealed a greater frequency of direct injuries to the anterior region of the mandible. 17 This is consistent with the findings of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Falling is the most common mechanism of unintentional injury, and the consequent oral and maxillofacial injuries have been extensively examined 2,3,5,6,9–21 . Romeo et al 9 analyzed the characteristics of female patients with maxillofacial trauma in 14 maxillofacial surgery departments on 5 continents.…”

Section: Introductionmentioning

confidence: 99%

“…to a loss of consciousness are considered to have unique features related to a lack of protective reflexes. More severe maxillofacial injuries were observed in such cases than in falls of other causes 2,5,15,31. Some researchers have outlined medically related risk factors for falling, suggesting that in future, the detailed medical condition of patients who have fallen should be examined by physicians.…”

mentioning

confidence: 99%

“…Falling is the most common mechanism of unintentional injury, and the consequent oral and maxillofacial injuries have been extensively examined. 2,3,5,6,[9][10][11][12][13][14][15][16][17][18][19][20][21] Romeo et al 9 analyzed the characteristics of female patients with maxillofacial trauma in 14 maxillofacial surgery departments on 5 continents. They found that falling was the most common cause of maxillofacial trauma, followed by motor vehicle collisions and assault.…”

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confidence: 99%

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Factors predicting oral and maxillofacial fractures after falling and factors predicting the duration of treatment

Machida

Tomioka

Koshinuma

et al. 2023

Dental Traumatology

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Background/AimThe first objective of this study was to identify predictive factors for oral and maxillofacial fractures at the initial response to the patient. The second objective was to determine the factors influencing the incidence of treatment duration of more than 1 month using the information shown in the medical record.Materials and MethodsHospital records from 2011 to 2019 were reviewed to identify patients who had sustained oral and maxillofacial injuries by falling or falling from a height. Patterns and types of oral and maxillofacial injury, injury severity, and background of the injury were collected from the hospital records. The variables independently associated with a treatment duration of more than 1 month were determined by logistic regression analysis.ResultsIn total, 282 patients (150 men, 132 women; median age, 17.5 years) were selected for analysis. Maxillofacial fractures were observed in 20.9% of patients (59/282); among these, mandibular fractures were the most common (47/59). Logistic regression analysis showed that age (odds ratio [OR], 1.026), nighttime occurrence (OR, 2.192), and upper face injury (OR, 20.704) were independent predictive factors for having a maxillofacial fracture. Additionally, the number of injured teeth (OR, 1.515) and the use of intermaxillary fixation (OR, 16.091) were independent predictors of treatment duration of more than 1 month.ConclusionsThese results may be useful in the initial management of maxillofacial injuries in terms of better‐informing patients injured by falling their expected treatment duration and managing the psychological impacts of a long treatment duration.

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World Oral and Maxillofacial Trauma (WORMAT) project: A multicenter prospective analysis of epidemiology and patterns of maxillofacial trauma around the world.

Roccia

Iocca

Sobrero

et al. 2022

Journal of Stomatology, Oral and Maxillofacial Surgery

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Falls Due to Loss of Consciousness are Associated With Maxillofacial Fracture Severity

Cited by 7 publications

References 29 publications

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Factors predicting oral and maxillofacial fractures after falling and factors predicting the duration of treatment

World Oral and Maxillofacial Trauma (WORMAT) project: A multicenter prospective analysis of epidemiology and patterns of maxillofacial trauma around the world.

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