Maxillofacial fractures in females: a 5-year retrospective review

Ogunbowale, Akinsola; Costello, Liam; McCormack, Deirdre; Ekanayake, Kumara; Kearns, Gerard

doi:10.1007/s11845-021-02534-1

Cited by 8 publications

(14 citation statements)

References 28 publications

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“…An Irish study described two peaks in the incidence of facial fractures in females, 20–39 years, and 70–89 years. IPV was the most common injury in the younger group, and falls were the most common aetiology of injury in the older group 18 . This study did not find the second peak; only 3.68% of women undergoing surgery for facial fractures were over the age of 70 years.…”

Section: Discussioncontrasting

confidence: 60%

“…This study did not find the second peak; only 3.68% of women undergoing surgery for facial fractures were over the age of 70 years. Most of the women with facial fractures in this study were under the age of 39, an age where IPV is the most common aetiology of injury for women 18 …”

Section: Discussionmentioning

confidence: 97%

“…Most of the women with facial fractures in this study were under the age of 39, an age where IPV is the most common aetiology of injury for women. 18…”

Section: Understanding the Disparitiesmentioning

confidence: 99%

“…19 It can be difficult to identify victims of IPV, as patients who have been assaulted may not report an assault, rather reporting an accident, injury or fall. 9,13,18,20 Patients rarely volunteer a history of IPV, and physicians often fail to inquire appropriately. A survey of Canadian surgical residents found that most underestimated the prevalence of IPV in their practice.…”

Section: Intimate Partner Violencementioning

confidence: 99%

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Socioeconomic disparities in rates of facial fracture surgeries for women and men at a regional tertiary care centre in Australia

Jager

2022

ANZ Journal of Surgery

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Background Assault is the most common mechanism of injury in patients presenting with facial trauma in Australia. For women, there is a propensity for maxillofacial injuries to stem from intimate partner violence (IPV). Those with a low socioeconomic status have higher rates of IPV. This study examines variations in the proportion of surgical procedures that are due to facial trauma for Australian women and men by employment status and residential socioeconomic status. Methods A single centre retrospective study was conducted (2008–2018). The proportion of operative patients presenting with facial fractures was examined. Multivariable logistic regression adjusting for year and age, was performed for women and men. Results Facial fractures comprised 1.51% (1602) of all surgeries, patients had a mean age of 32, and 81.3% were male. Unemployed patients were more likely to require surgery for a facial fracture (OR 2.36 (2.09–2.68), P <0.001), and there were no significant variations by index of economic resources (IER). Unemployed males had higher rates of facial fractures (OR 2.09 (1.82–2.39), P <0.001). Unemployed and disadvantaged IER females had higher rates of facial fractures (OR 5.02 (3.73–6.75), P <0.001 and OR 2.31(1.63–3.29), P <0.001). Conclusions This study found disparities in rates of surgery for facial fractures; unemployment increased the rates for men and women, whereas disadvantaged IER increased rates for women. Studies have demonstrated higher rates of IPV for unemployed and low socioeconomic status women. Further research ascertaining the aetiology of these disparities is important both for primary prevention initiatives and to enable treating clinicians to better understand and address the role of IPV and alcohol consumption in these injuries.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 97%

“…Most of the women with facial fractures in this study were under the age of 39, an age where IPV is the most common aetiology of injury for women. 18…”

Section: Understanding the Disparitiesmentioning

confidence: 99%

Section: Intimate Partner Violencementioning

confidence: 99%

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Socioeconomic disparities in rates of facial fracture surgeries for women and men at a regional tertiary care centre in Australia

Jager

2022

ANZ Journal of Surgery

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“…Injuries in the maxillofacial and cranial regions are significant clinical problems [ 1 ]. Facial trauma has been found to account for approximately 45% of all trauma [ 2 ] and road accidents are one of the major causes for these injuries [ 3 , 4 ]. The predominant fracture sites are mandible, nasal bone, alveolar processes and zygomatic bones [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

In vivo performance of a rare earth free Mg–Zn–Ca alloy manufactured using twin roll casting for potential applications in the cranial and maxillofacial fixation devices

Dargusch

Balasubramani

Yang

et al. 2022

Bioactive Materials

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A magnesium alloy containing essential, non-toxic, biodegradable elements such as Ca and Zn has been fabricated using a novel twin-roll casting process (TRC). Microstructure, mechanical properties, in vivo corrosion and biocompatibility have been assessed and compared to the properties of the rare earth (RE) element containing WE43 alloy. TRC Mg-0.5 wt% Zn- 0.5 wt% Ca exhibited fine grains with an average grain size ranging from 70 to 150 μm. Mechanical properties of a TRC Mg-0.5Zn-0.5Ca alloy showed an ultimate tensile strength of 220 MPa and ductility of 9.3%. The TRC Mg-0.5Zn-0.5Ca alloy showed a degradation rate of 0.51 ± 0.07 mm/y similar to that of the WE43 alloy (0.47 ± 0.09 mm/y) in the rat model after 1 week of implantation. By week 4 the biodegradation rates of both alloys studied were lowered and stabilized with fewer gas pockets around the implant. The histological analysis shows that both WE43 and TRC Mg-0.5Zn-0.5Ca alloy triggered comparable tissue healing responses at respective times of implantation. The presence of more organized scarring tissue around the TRC Mg-0.5Zn-0.5Ca alloys suggests that the biodegradation of the RE-free alloy may be more conducive to the tissue proliferation and remodelling process.

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Patterns and characteristics of maxillofacial fractures in women

Diab

Moore

2022

Oral Maxillofac Surg

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Purpose Facial trauma in women is complex with physical, psychosocial, and cultural influences impacting clinical presentations. Although multifactorial, assaults and falls are principally reported as the main causes. Methods A retrospective review was conducted from January 2012 to January 2017 at the Women and Children’s Hospital and Royal Adelaide Hospital, Adelaide. All maxillofacial fractures in women that attended or were referred to the unit were included in this study. The primary objective was to analyse epidemiological trends of facial fractures and clinical outcomes in the South Australian female population. Results There is a bimodal distribution of facial fractures at 25–35 years and 65 + years. Indigenous females were 19.5 years younger than non-indigenous females (30.5 vs 49.9, P < 0.001). Approximately half the cohort had a fall-related facial fracture, followed by assault (26.2%), and sports (10.3%). There was a higher proportion of non-alcohol-related trauma from assaults than alcohol-related assaults (72.5% vs 27.5%, P < 0.001). Over half (58.0%) of the cohort had a midface fracture. The elderly had increased odds of 1.9 fold for facial fractures in winter, largely from falls, compared to younger women. Associated injuries were present in almost half the elderly women with 2.6 times the risk compared to younger women. Younger women had higher incidences of surgical intervention (52.6% vs 14.3%, P < 0.05). Conclusions Young women disproportionately experience larger incidences of non-alcohol-related assaults requiring operative intervention of the mandible, whereas elderly women principally suffer fall-related facial fractures with higher rates of associated injuries.

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Maxillofacial fractures in females: a 5-year retrospective review

Cited by 8 publications

References 28 publications

Socioeconomic disparities in rates of facial fracture surgeries for women and men at a regional tertiary care centre in Australia

Socioeconomic disparities in rates of facial fracture surgeries for women and men at a regional tertiary care centre in Australia

In vivo performance of a rare earth free Mg–Zn–Ca alloy manufactured using twin roll casting for potential applications in the cranial and maxillofacial fixation devices

Patterns and characteristics of maxillofacial fractures in women

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