Maxillofacial fractures associated with motor vehicle accidents: A review of the current literature

Ruslin, Mohammad; Wolff, Jan; Forouzanfar, Tymour; Boffano, Paolo

doi:10.1016/j.ajoms.2015.03.003

Cited by 12 publications

(15 citation statements)

References 41 publications

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“…They are also more frequently exposed to violence 5,6 and road traffic accidents (RTAs). 7,8 Because of continuous advances in socio-economic standards, education and the medical field, the mean life span has increased with consequent ageing among the global population. It is estimated that in 2050, approximately 25% of the American population will be over 65 years, 9 and in Europe, approximately 30% of the population will be older than 60 years.…”

Section: Introductionmentioning

confidence: 99%

“…Young adult men reportedly most frequently experience maxillofacial trauma because, compared with young adult women, they are more involved in work 1,2 and sport 3,4 activities that carry highers risk of injury. They are also more frequently exposed to violence 5,6 and road traffic accidents (RTAs) 7,8 . Because of continuous advances in socio‐economic standards, education and the medical field, the mean life span has increased with consequent ageing among the global population.…”

Section: Introductionmentioning

confidence: 99%

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A multicentric prospective analysis of maxillofacial trauma in the elderly population

Bojino

Roccia

Carlaw

et al. 2022

Dental Traumatology

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Background/Aims The growth of the global elderly population will lead to an increase in traumatic injuries in this group, including those affecting the maxillofacial area, with a heavier load on health systems. The aim of this multicentric prospective study was to understand and evaluate the incidences, causes and patterns of oral and maxillofacial injuries in patients aged over 60 years admitted to 14 maxillofacial surgical departments around the world. Methods The following data were collected: gender, cause and mechanism of maxillofacial fracture, alcohol and drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment and length of hospitalization. Statistical analyses were performed using non‐parametric and association tests, as well as linear regression. Results Between 30 September 2019 and 4 October 2020, 348 out of 2387 patients (14.6%), 197 men and 151 women (ratio 1.3:1; mean age 72.7 years), were hospitalized. The main causes of the maxillofacial fractures were falls (66.4%), followed by road traffic accidents (21.5%) and assaults (5.2%). Of the 472 maxillofacial fractures, 69.7% were in the middle third of the face, 28% in the lower third and 2.3% in the upper third. Patients with middle third fractures were on average 4.2 years older than patients with lower third fractures (95% CI 1.2–7.2). Statistical analysis showed that women were more involved in fall‐related trauma compared with males (p < .001). It was also shown that road traffic accidents cause more fractures in the lower third (p < .001) and in the middle third‐lower third complex compared with upper third (p < .001). Conclusions Maxillofacial fractures in the elderly were more frequent in European and Australian centres and affected men slightly more than women. Falls were the leading cause of fractures, especially among women. The middle third of the face was most often affected, and conservative treatment was the most common choice for the management of such patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A multicentric prospective analysis of maxillofacial trauma in the elderly population

Bojino

Roccia

Carlaw

et al. 2022

Dental Traumatology

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“…The use of seatbelts in cars, wearing helmets while driving motorcycles, the strict control of speed limits and compliance with the laws related to drunk driving, combined with better road conditions and car safety features such as airbags and anti‐blocking systems, are the reasons commonly shared by several authors to explain the reduction in maxillofacial fractures caused by RTAs, especially in developed countries 20–22 . In previous surveys in developing countries, most female oral and maxillofacial injuries were due to RTAs (53.7% in India 1 ; 63.8% in Iran 11 ; Table 5).…”

Section: Discussionmentioning

confidence: 99%

A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world

Romeo

Sobrero

Roccia

et al. 2022

Dental Traumatology

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Background/Aims Approximately 20% of patients with maxillofacial trauma are women, but few articles have analysed this. The aim of this multicentric, prospective, epidemiological study was to analyse the characteristics of maxillofacial fractures in the female population managed in 14 maxillofacial surgery departments on five continents over a 1‐year period. Methods The following data were collected: age (0–18, 19–64, or ≥65 years), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment, and length of hospitalization. Results Between 30 September 2019 and 4 October 2020, 562 of 2387 patients hospitalized with maxillofacial trauma were females (24%; M: F ratio, 3.2:1) aged between 1 and 96 years (median age, 37 years). Most fractures occurred in patients aged 20–39 years. The main causes were falls (43% [median age, 60.5 years]), which were more common in Australian, European and American units (p < .001). They were followed by road traffic accidents (35% [median age, 29.5 years]). Assaults (15% [median age, 31.5 years]) were statistically associated with alcohol and/or drug abuse (p < .001). Of all patients, 39% underwent open reduction and internal fixation, 36% did not receive surgical treatment, and 25% underwent closed reduction. Conclusion Falls were the main cause of maxillofacial injury in the female population in countries with ageing populations, while road traffic accidents were the main cause in African and some Asian centres, especially in patients ≤65 years. Assaults remain a significant cause of trauma, primarily in patients aged 19–64 years, and they are related to alcohol use.

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“…The results of recent literature indicate a significant amount of difference in the incidence of fractures caused by motor vehicle accidents in developed countries such as Japan ( Ryo et al, 2009 ), the Netherlands ( Salentijn et al, 2014 ), and Ireland ( Walker et al, 2012 ) when compared with developing countries such as India ( Weihsin et al, 2014 ) and China ( Li et al, 2015 ). However, this data cannot be taken into account as there is a difference in the regulations and their applications ( Ruslin et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Incidence of maxillofacial fractures in motor vehicle accidents treated in Dubai

Kuriadom

Dar

Saffari

et al. 2021

The Saudi Dental Journal

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Aims To analyze the incidence of maxillofacial fractures due to motor vehicle accidents in Dubai, as well as age, sex, etiology, patterns, treatment, and complications. To compare the findings with similar studies and provide recommendations for the prevention and management of these fractures. Materials and methods A 7-year retrospective study of maxillofacial fractures due to motor vehicle accidents was done. Results We found that most of the accidents took place in December, and the majority of the patients were pedestrians (27%). Male to female ratio was 6:1, and patients in their third decade of life were the most affected (39%). The parasymphysis was the most prominently affected region (27.7%), followed by the orbital bone (18.6%). Open reduction surgery was done in 56% of the cases, and postoperative complications were found in 18.4%. Conclusions Pedestrians were most commonly involved in the accidents. An increase in awareness, trauma centers, and better facilities would perhaps improve the management of such fractures.

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Maxillofacial fractures associated with motor vehicle accidents: A review of the current literature

Cited by 12 publications

References 41 publications

A multicentric prospective analysis of maxillofacial trauma in the elderly population

A multicentric prospective analysis of maxillofacial trauma in the elderly population

A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world

Incidence of maxillofacial fractures in motor vehicle accidents treated in Dubai

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