Metaanalysis of Maxillofacial Trauma in the Northern Districts of Kerala: One Year Prospective Study

Ravindran, Vinod; Nair, K. S. Ravindran

doi:10.1007/s12663-011-0264-3

Cited by 33 publications

(62 citation statements)

References 21 publications

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“…Road traffic accidents remain the most frequent cause in the many developing countries, including India [8,9,[20][21][22][23][24]. The present study supports the findings of these earlier studies, showing that road traffic accidents represents 64 % of all etiological factors.…”

Section: Discussionsupporting

confidence: 91%

“…This study revealed that the peak incidence of maxillofacial fractures occurred in the 21-30 year age group, with mean age of 29.6 years. Many surveys of maxillofacial fractures reported the same results concerning age [2,5,7,8,20]. The possible explanation for this was that younger persons involved in intense social interaction and higher rate of mobility, drive motor vehicles carelessly making them more susceptible to road transport accident and interpersonal assault.…”

Section: Discussionmentioning

confidence: 91%

“…Different studies have shown that there are epidemiological differences in the etiology, type, and site of fracture and in patient characteristics [8,9,20,22,23].…”

Section: Discussionmentioning

confidence: 99%

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Etiology, Incidence and Patterns of Mid-Face Fractures and Associated Ocular Injuries

Septa¹,

Newaskar²,

Agrawal³

et al. 2012

J. Maxillofac. Oral Surg.

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A prospective study on mid-face fractures was carried out in the Department of Oral and Maxillofacial Surgery at College of Dentistry, Indore, from August 2007 to September 2009 to analyze etiology, incidence and patterns of midface fractures and associated ocular injuries. Two hundred patients were included in this study, amongst those who reported to the Department of OMFS, College of Dentistry, Indore. After confirmed diagnosis of mid face fracture all the patients were stratified according to age, sex, cause of the accident, influence of alcohol, location, type of fractures and associated ocular injuries. The study included 200 patients with a mean age of 29.6 years. The most frequently injured patients belonged to the 21-30 year-old age group. The male predilection was 76 %. Road traffic accident was the most common causative factor (64 %), followed by assault (21 %), cases of fall (9.5 %) and other causes (5.5 %). The most common fracture in this study was found to be zygomatic complex fractures (62.5 %) (more in the age group of 21-30 years). This was followed by Lefort II fractures (23 %), multiple fractures (10 %) and Lefort I fractures (6 %), Lefort III fractures (4.5 %) and Naso-ethmoidal fractures (4 %) in descending order. 84.5 % subjects were having ocular involvement. Subconjunctival hemorrhage was present mostly in 83.5 % followed by remaining as corneal injury 15 %, reduced acuity 11.5 %, diplopia 10.5 %, enophthalmos 8.5 %, telecanthus 5 %, hyphema 3.5 %, blindness 3 % and proptosis 0.5 %. Zygomatic complex fractures were the most frequent type of injury that was complicated by blindness or a serious eye injury (61 %). Collection of data regarding the epidemiology of maxillofacial fractures is important because it may assist healthcare providers to provide necessary information for the development and evaluation of preventive measures. Ocular injuries should have an early ophthalmological examination at the time of trauma to detect any kind of ocular dysfunction.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 91%

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Etiology, Incidence and Patterns of Mid-Face Fractures and Associated Ocular Injuries

Septa¹,

Newaskar²,

Agrawal³

et al. 2012

J. Maxillofac. Oral Surg.

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“…Interpersonal and domestic violence, contact sports, alcohol and drug use, and falls are also strongly associated with facial injuries [9][10][11][12]. Furthermore, studies have demonstrated a strong association of facial injury with males, aged between 20-30 years and weekends [1,5,6,9,13,14].…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Study of Oral and Maxillofacial Injuries in an Emergency Hospital in Southern Brazi

Miguens¹,

Borges²,

Dietrich³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To identify and analyze cases of OMF treated in an emergency hospital in southern Brazil. Material and Methods: The investigators conducted a retrospective, cross-sectional study. The sample was composed of 1,533 patient medical records. Demographic, seasonal, and clinical variables were collected. Additionally, the medical records also included data on etiological factors, injury site, and tissues involved. A descriptive analysis was conducted based on 1,179 (76.9%) records of OMF injuries. Results: Most patients were male children and adolescents. Accidents (59.7%), such as falls, and interpersonal violence (18.7%), such as physical aggression, were the main etiological factors. Most injuries involved soft tissue (66.4%), especially in the lip region; whereas fractures affected the nasal bones. Transfers and hospitalizations accounted for 8.1% of clinical outcomes and dentists participated in the treatment of 85% of cases. Conclusion:The results of this study suggest a higher prevalence of OMF injuries in men, affecting young people more frequently and showing falls as the main etiological factor. Dentists participated in the majority of the medical care. Future studies will focus on determining risk groups, developing preventive programs, and improving health care services, with the participation of dentists in the multidisciplinary team.

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“…The most common site of fracture in decreasing order were that of the zygomatic bone (88%) zygomatic arch (8.2%), and both the zygomatic bone and arch (3%). In a metaanalysis of maxillofacial trauma by Ravindran et al, 22 the most prevalent midface injury was in the zygomatic region (209, 36.4%), followed by orbital (102, 17.8%), Le Fort I (18, 3.1%), Le Fort II (43, 7.5%) and Le Fort III (10, 1.7%). Nasal bone fracture is the commonest isolated bone fractures.23 In our study, nasal bone fracture was present in 26 % of cases.…”

mentioning

confidence: 99%

Computed Tomography evaluation of maxillofacial injuries

Prasad

Khanal

2017

J Coll Med Sci-Nepal

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Background & Objectives:The maxillofacial r egion, a complex anatomical structure, can be evaluated by conventional (plain) films, Tomography, Multidetector Computed Tomography, Three-Dimensional Computed Tomography, Orthopantomogram and Magnetic Resonance Imaging. The study was conducted with objective of describing various forms of maxillofacial injuries, imaging features of different types of maxillofacial fractures and the advantage of using Three-Dimensional Computed Tomography reconstructed image. Materials & Methods: A hospital based cross-sectional study was conducted among 50 patients during April 2014 to September 2016 using Toshiba Aquilion Prime 160 slice Multi Detector Computed Tomography scanner. Results: The maxillofacial fractures were significantly higher in male population (88%) than female population (12 %). Road traffic accidents were the most common cause of injury others being physical assault and fall from height. It was most common in 31-40 years (26%) and 21-30 (24%) years age group. Maxillary sinus was the commonest fracture (36%) followed by nasal bone and zygomatic bone (30%), mandible and orbital bones (28%). Soft tissue swelling was the commonest associated finding. Three dimensional images (3 D) compared to the axial scans missed some fractures. However, the extension of the complex fracture lines and degree of displacement were more accurately assessed. Complex fractures found were Le fort (6%) and naso-orbito-ethmoid (4%) fractures. Conclusion: The proper evaluation of complex anatomy of the facial bones requires Multidetector Computed Tomography which offers excellent spatial resolution enabling multiplanar reformations and three dimensional reconstructions for enhanced diagnostic accuracy and surgical planning.

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Metaanalysis of Maxillofacial Trauma in the Northern Districts of Kerala: One Year Prospective Study

Cited by 33 publications

References 21 publications

Etiology, Incidence and Patterns of Mid-Face Fractures and Associated Ocular Injuries

Etiology, Incidence and Patterns of Mid-Face Fractures and Associated Ocular Injuries

A Retrospective Study of Oral and Maxillofacial Injuries in an Emergency Hospital in Southern Brazi

Computed Tomography evaluation of maxillofacial injuries

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