Maxillofacial Fractures. Analysis of demographic distribution and treatment in 2901patients (25-year experience)

Erol, Behçet; Tanrikulu, Rezzan; Görgün, Belgin

doi:10.1016/j.jcms.2004.04.006

Cited by 227 publications

(249 citation statements)

References 27 publications

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“…Our finding correlates with the findings of other studies [1,2,4,5,12,15,22,24,25,27,28,30,31] in respect to RTAs being the main etiological factor for maxillofacial fractures. This could be due to the fact that there is lack of individual sensitization about importance of safety devices of the vehicle, lack of adherence to safety rules and regulation, (most of the vehicles do not have all the safety devices), lack of clear road traffic signal, congestion on the road due to lack of separate pathways for pedestrians, large numbers of overloaded buses and poorly maintained two wheelers.…”

Section: Discussionsupporting

confidence: 92%

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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Aim The present study was planned to investigate the etiology of maxillofacial injuries and to analyze the pattern of maxillofacial factures as well as the various factors influencing their distribution. Study design A one year cross-sectional study was done and 1,108 patients with maxillofacial fractures were analyzed consecutively from April 2010 to March 2011 who reported to the department of Oral and Maxillofacial Surgery in the Centre for Dental Education & Research and Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi. A performa was designed to collect the data that included age and sex distribution, etiology, influence of alcohol, type of fractures, use of restraints devices, associated injuries and treatment delivered. Results Out of 1,108 patients, 89.62 % were males with a male:female ratio of 8.63:1. The 21-30 year age group was found to be maximum (39.98 %). Road traffic accidents accounted for 49.01 %, followed by assault (22.38 %) and fall from height (21.66 %). Two wheelers were the most commonly involved vehicle. Out of 437 road traffic accident patients (excluding pedestrian, n = 106), only 52.40 % were found to be using restraints devices at the time of accident. Totally 25.45 % patients were under the influence of alcohol at the time of injury. According to anatomical distribution of fractures, mandibular fractures (33.57 %) were most prevalent, followed by maxilla (31.13 %), nasal (28.33 %) and zygoma (24.36 %). Head injuries (18.32 %) were found to be the most common associated injuries followed by lower limb fractures. Conclusion The motive behind executing this article is to analyze the various trends of facial fractures and all those factors that affect their distribution. A perfect understanding of pattern of maxillofacial fracture will assist the executors of health care in the treatment planning and management of facial injuries. Knowledge gained from the present study would influence in assessing the effectiveness of existing preventive measures and elaboration of future preventive measures and conducting new research.

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Section: Discussionsupporting

confidence: 92%

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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“…This is due to the elasticity of bones in children and the presence of tooth buds [15,16]. However, Erol et al report a peak incidence of 26.7% between 0 and 10 years in Turkey, attributed to falls from housetops [17]. The frequency of 14.2% of paediatric population in our series is close to that reported by Ogunlewe et al (16.4%) in Lagos, Nigeria [16].…”

Section: Discussionsupporting

confidence: 79%

Epidemiology of facial fractures: an analysis of 349 patients

Béogo¹,

Dakouré²,

Coulibaly³

et al. 2014

Med Buccale Chir Buccale

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-Introduction: Facial fractures epidemiology varies with geographic region. Patients and methods:This study reports the frequency, demographic characteristics and aetiologies of facial fractures in a 5-year retrospective survey, in Burkina Faso. Results: In 349 patients, the fracture involved the mandible (44.5%), the zygomatic complex (38.9%), the maxilla (13.8%) or the naso-fronto-orbito-ethmoidal complex (2.8%). The peak of frequency (58.2%) was recorded between 20 and 39 years and the male to female ratio was 7.1:1. The aetiologies of the fractures were road traffic crashes (80.5%), assaults (9.7%), falls (8.3%), and sport accidents (1.5%). In 80% of the road traffic accidents, a two-wheeled vehicle was involved and 75.9% of falls were from a tree height. There was a significant association between multiple facial fractures and road traffic accidents. Discussion: Epidemiology of facial fractures in this study is similar to that generally reported in developing countries. Frequency of falls from trees height constitutes however a particularity. These findings illustrate the necessity of enforcement of road traffic security, as well as a development of program of prevention of falls from trees, in Burkina Faso.Résumé -Épidémiologie des fractures faciales : l'analyse de 349 patients. Introduction : L'épidémiologie des fractures a une variation géographique. Patients et méthodes : Une étude rétrospective sur 5 ans rapporte la fré-quence, les caractéristiques démographiques et les étiologies des fractures faciales au Burkina Faso. Résultats : Chez 349 patients, la fracture intéressait la mandibule (44,5 %), le complexe zygomatique (38,9 %), le maxillaire (13,8 %) ou le complexe ethmoido-naso-fronto-orbitaire (2,8 %). Le pic de fréquence (58,2 %) était observé entre 20 et 39 ans et le rapport homme/femme était de 7.1:1. Les étiologies des fractures étaient les accidents de la circulation routière (80,5 %), les agressions (9,7 %), les chutes (8,3 %) et les accidents de sport (1,5 %). Dans 80 % des accidents de trafic, un véhicule à 2 roues était impliqué et 75,9 % des accidents par chute étaient des chutes du haut d'un arbre. Les fractures faciales multiples étaient significativement associées aux accidents de la route. Discussion : L'épidémiologie des fractures faciales dans cette étude est similaire à celle généralement rapportée dans les pays en développement. La fréquence des accidents par chute du haut d'un arbre constitue cependant une particularité. Ces résultats illustrent la nécessité d'un renforcement de la sécurité routière ainsi que d'un déve-loppement de programmes de prévention des accidents par chute du haut d'un arbres, au Burkina Faso.

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“…In Turkey, traffic accidents represent 38% of the causes of facial fractures. 17 In contrast, Gassner et al 16 (2003) reported in Austria that activities of daily life and sports represented more than 50% of the cases. The association between the etiology of facial fractures and the type of fracture presents significant results if the nature of the impact is taken into consideration.…”

Section: Discussionmentioning

confidence: 94%

Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil

2009

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A retrospective study was performed to assess maxillofacial fractures in patients treated at a public hospital from 2002 to 2006. The data collected included age, gender, etiology, type of injury, treatment modalities and period of treatment. Causes were grouped into seven categories: road traffic collisions, sports accidents, occupational accidents, gunshot fractures, falls, violence and other causes. The analyses involved descriptive statistics, the Chi-squared Test and the Fisher Exact Test. Records from 132 patients sustaining 185 maxillofacial fractures were evaluated. The mandible (54.6%) was the most commonly fractured bone in the facial skeleton, followed by the zygoma (27.6%). The mean age of the patients was 37.7 years, and the male:female ratio was 4.3:1. Most fractures occurred in adults with ages ranging from 18 to 39 years. A significant statistical relation was found between the age and the etiology of the trauma (p < 0.05), and between the number of fractured sites and the age of the patient (p < 0.05). Considering the age groups, accidents were the most frequent cause of maxillofacial fractures in the age group between 18 to 39 years, and interpersonal violence was the most frequent cause of maxillofacial fractures in the age group between 40 to 59 years. Treatment was performed on the same day as the diagnosis in 44.7% of the patients. Open surgery with internal stable fixation was indicated for most of the patients. Facial fractures occurred primarily among men under 30 years of age, and the most common sites of fractures in the face were the mandible and the zygomatic complex. Traffic road collisions were the main etiologic factor associated with maxillofacial trauma.

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Maxillofacial Fractures. Analysis of demographic distribution and treatment in 2901patients (25-year experience)

Cited by 227 publications

References 27 publications

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Epidemiology of facial fractures: an analysis of 349 patients

Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil

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