Maxillofacial Injuries and Violence Against Women

Arosarena, Oneida A.; Fritsch, Travis A.; Hsueh, Yichung; Aynehchi, Behrad B.; Haug, Richard H.

doi:10.1001/archfaci.2008.507

Cited by 22 publications

(3 citation statements)

References 16 publications

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“…An unexpected outcome of this review was the identification of articles calling attention to the importance of the dentistry profession in the detection of IPV survivors and advocating for vigilance in head injury screening, although the potential for TBI was not discussed (Arosarena, Fritsch, Hseuh, Aynehchi, & Haug, 2009; Gwinn, McClane, Shanel-Hogan, & Strack, 2004; Lincoln & Lincoln, 2010; Mishra, 2012; Nelms, Gutmann, Soloman, Dewald, & Campbell, 2009). Dentists routinely examine the head, face, neck, and mouth (HFNM) and may be able to detect physiological signs of IPV, including strangulation, potentially invisible on other medical exams (Arosarena et al, 2009; Lincoln & Lincoln, 2010). Dentists and dental assistants have a unique opportunity for early identification of survivors of IPV seeking routine treatment (Gwinn et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Battered and Brain Injured: Traumatic Brain Injury Among Women Survivors of Intimate Partner Violence—A Scoping Review

Haag

Jones

Joseph

et al. 2019

Trauma, Violence, & Abuse

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Objectives: The objective of this scoping review is to examine the extent, range, and nature of literature targeting health-care professionals on the prevalence and outcome of intimate partner violence (IPV)-related traumatic brain injury (TBI). The purpose is to gain an understanding of prevalence, investigate screening tool use, generate IPV/TBI-specific support recommendations, and identify suggestions for future research. Method: The review was guided by Arksey and O’Malley’s five stages for conducting a scoping review. A comprehensive search of nine databases revealed 1,739 articles. In total, 42 published research papers that focused specifically on TBI secondary to IPV were included in the study. Synthesis: The literature reports inconsistencies in prevalence rates from IPV-related TBI. There are no current standardized screening practices in use, though the literature calls for a specialized tool. Frontline professionals would benefit from education on signs and symptoms of IPV-related TBI. Empirical studies are needed to generate reliable data on prevalence, experience, and needs of brain-injured survivors of TBI. Conclusions: Findings from this study demonstrate the need for the development of an IPV-sensitive screening tool, more accurate data on prevalence, an interprofessional approach to care, and raised awareness and education on the diffuse symptoms of IPV-related TBI.

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Section: Discussionmentioning

confidence: 99%

Battered and Brain Injured: Traumatic Brain Injury Among Women Survivors of Intimate Partner Violence—A Scoping Review

Haag

Jones

Joseph

et al. 2019

Trauma, Violence, & Abuse

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“…Domestic violence was the most common etiology in women, with a rate of 66% (n: 112). In the literature, it has been reported that the frequency of maxillofacial fractures in women due to domestic violence varies between 34% and 73% [35]. Considering that partner violence is increasing, it is important for healthcare providers to identify victims, report them to relevant support units, and direct the patient to domestic violence service programs.…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive Look at Maxillofacial Traumas: On the Basis of Orbital Involvement

Gokharman,

Kadirhan,

Celik Aydin

et al. 2023

Diagnostics

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Introduction: Orbital wall fractures that may develop in maxillofacial traumas (MFTs) may cause ophthalmic complications (OCs). The aim of this study is to determine the frequency of orbital fractures (OFs) accompanying MFTs and findings suspicious for orbital traumatic involvement. Materials and Methods: Computed tomography (CT) images of 887 patients who presented to the emergency department within a 1-year period with a history of MFT were retrospectively scanned. During the examination, patients with orbital wall fractures, craniofacial bone fractures, and posttraumatic soft tissue changes were recorded. Results: OF was observed in 47 (5.3%) of the patients admitted for MFT. In cases with OFs, accompanying nasal (25.5%), ethmoid (2.1%), frontal (19.1%), maxillary (38%), and zygomatic bone fracture (10.6%), sphenoid (4.3%), and soft tissue damage (55.3%) were observed. It was observed that the pathologies mentioned at these levels were significantly higher than in patients without orbital involvement (p < 0.05). In our study, mild (48.9%) and moderate-severe (2.12–4.25%) OCs accompanying OFs were observed after MFT. Conclusions: The frequency of MFT varies depending on various factors, and such studies are needed to take preventive measures. Knowing the risk and frequency of orbital damage accompanying MFTs may help reduce complications by allowing rapid and accurate diagnosis.

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“…In some cultures, it has been reported that assaulted females may provide inadequate documentation because of sociocultural reasons indirectly causing harm [ 19 ]. Arosarena’s study recognised patterns of assaults to where intimate partner violence was more likely to have zygomatic complex fractures, orbital blow-out fractures, and intracranial injuries, whereas women assaulted by unknown or unidentified assailants were more likely to have mandible fractures [ 20 ]. Our experience identified an overall higher proportion of midface than mandibular fractures (78 vs 36), but indigenous proportions were inversely affected (12 vs 9) suggesting the mechanism of injury and assault were different.…”

Section: Discussionmentioning

confidence: 99%

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 Injuries and Violence Against Women

Cited by 22 publications

References 16 publications

Battered and Brain Injured: Traumatic Brain Injury Among Women Survivors of Intimate Partner Violence—A Scoping Review

Battered and Brain Injured: Traumatic Brain Injury Among Women Survivors of Intimate Partner Violence—A Scoping Review

A Comprehensive Look at Maxillofacial Traumas: On the Basis of Orbital Involvement

Patterns and characteristics of maxillofacial fractures in women

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