Pattern of mid-facial fractures in Tehran, Iran

a b s t r a c tObjectives: The aim of the present descriptive study was to record data on maxillofacial trauma in working adults in a 3 year-period in a reference trauma centre in Chile. Materials and methods:A descriptive study was conducted on cases of maxillofacial fractures treated in the Maxillofacial Surgery Unit of the Hospital Clínico Mutual de Seguridad, Santiago de Chile, over a 3-year period. Frequency, type and cause of injury, as well as age and gender distribution were analysed. Results:The study population consisted of 283 patients, 259 (91.5%) males and 24 (8.5%) females with a mean age of 40.5 (SD: ±20.5) years. In 499 fracture sites zygomatic fractures were the most prevalent location of the 499 fracture sites, in both males and females (48%), followed by orbital fractures (27.2%), and jaw fractures (21.2%). The most common affected part of the face was isolated mid-facial fractures. Traffic-accident-related fractures were the most common cause (39.2%), with the largest proportion of these involving a car accident. Discussion:The results presented are in line with other studies and the analysis of this report provides important data for the design of plans for injury prevention, especially for measures in road traffic.

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“…The epidemiology about this trauma was similar to other studies; 21,22 72.3% were treated with an orbital reconstruction titanium mesh.…”

Section: Discussionsupporting

confidence: 83%

Facial fractures in a reference center for Level I Traumas. Descriptive study

González¹,

Pedemonte²,

Vargas³

et al. 2015

Revista Española de Cirugía Oral y Maxilofacial (English Editio

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“…This system was developed through direct observation, and incorporates what Le Fort described as "great lines of weakness" in the craniofacial skeleton. Through continued surgical experience, our understanding of the horizontal and vertical buttress systems of the face and their importance for successful reconstruction have become more nuanced (1)(2)(3). We also know that many facial fractures do not fit Le Fort's classification (1)(2)(3)(4)(5)(6)(7)(8).…”

mentioning

confidence: 99%

“…Much has changed since Le Fort's original descriptions; most craniofacial trauma now results from high-velocity motor vehicle collisions, often involving young males (2,3,17,19). This change in trauma mechanism and velocity may explain why many fractures observed today do not fit Le Fort's classification.…”

mentioning

confidence: 99%

The le fort system revisited: trauma velocity predicts the path of le fort i fractures through the lateral buttress

et al. 2015

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“…The higher percentage of males in this regard is related to the observation that in most of the families, males extensively work outdoors in order to earn the livelihood for the family which in turn makes them more susceptible to involve in RTA and assault. Mohajerani and Asghari [18] analysed the pattern of maxillofacial fractures in north western Iran and state that road traffic accident was the commonest cause (40 %) and the age group of 21-30 comprised the biggest group (30 %). Adebayo et al [8] reported in their epidemiologic survey that the age range was from 3 years to 67 years (mean = 39.7) with a peak incidence in the 4th decade (n = 197, 36.3 %) with a male-female sex ratio of 3.7:1.…”

Section: Discussionmentioning

confidence: 99%

Meta Analysis of Etiology and its Clinical and Radiological Correlation in Cases of Craniomaxillofacial Trauma

Kumar¹,

Ahmed²,

Hashmi³

et al. 2016

J. Maxillofac. Oral Surg.

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Aim The present study was planned to investigate the etiology of injuries and to analyze correlation between clinical and radiological findings in cases of craniomaxillofacial trauma. Study Design An 18 months cross-sectional study was done and 325 patients with maxillofacial fractures were analyzed from January 2013 to June 2014 who reported to the department of oral and maxillofacial surgery, Aligarh, Uttar Pradesh. Data was recorded in a preformed case sheet which included: patient's demographic data, cause of injury, type of injury, treatment plan. Results Out of the 325 patients, 74.4 % were males with a male: female ratio of 2.91:1. The 21-30 year age group was found to be maximum. Road traffic accidents accounted for 71.3 %, followed by fall from height (19 %) and assault (9.5 %). Most commonly involved vehicles were two wheelers followed by public transport. Mandibular fractures (65 %) were most prevalent, followed by zygomaticomaxillary complex (44.27 %), parietal bone (48 %) and orbital fractures (21.3 %). Thirtyseven fractures (7.14 %) were missed clinically which were confirmed later by radiographic technique. Maximum were in cranium region (57 %) followed by mandible (27 %), mid face region (16.21 %). Thirty-three fractures (6.37 %) were overestimated or suspected clinically which could not be confirmed by radiographic technique. Maximum were in mandible (48.5 %) followed by mid face (36.33 %) and cranium (15.15 %). Conclusion The idea behind this article is to analyze the various trends and affecting factors and correlation between clinical and radiological findings. A better understanding of the above said would help in future treatment planning and management of facial injuries.

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Pattern of mid-facial fractures in Tehran, Iran

Abstract: The main etiology of mid-facial fractures is automobile and motorcycle accidents. Protective measures were not observed in the majority of patients.

Cited by 30 publications

References 18 publications

Facial fractures in a reference center for Level I Traumas. Descriptive study

Facial fractures in a reference center for Level I Traumas. Descriptive study

The le fort system revisited: trauma velocity predicts the path of le fort i fractures through the lateral buttress

Meta Analysis of Etiology and its Clinical and Radiological Correlation in Cases of Craniomaxillofacial Trauma

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