Incidence of multiple facial fractures: a 20-year retrospective study
DOI:
https://doi.org/10.33448/rsd-v9i8.5347Keywords:
Fracture fixation; Traumatology; Epidemiology.Abstract
Facial fractures have a variable incidence according to the individual's age and gender, geographical location and cultural aspects, socioeconomic position, influence of climate and weather, use of alcohol and drugs, variation of traffic laws, domestic violence and etiological factors. With the objective of verifying the epidemiology of facial trauma in the region of Araçatuba - SP, a retrospective survey of twenty years was carried out based on the medical records of patients treated at the Oral and Maxillofacial Surgery Service at Unesp Araçatuba, verifying the incidence, etiological factors, age group and gender of patients who suffered multiple facial fractures. The data obtained were inserted in EpiInfo, for counting and statistics (Spearman's correlation test). 2770 records were evaluated, of which 357 patients had more than one fracture on the face. It was observed that there was a higher prevalence in male patients (p <0.05). The etiological factor highlighted was the motorcycle accident followed by automobile accidents and physical aggression. Multiple fractures in the face are very frequent events in hospital emergencies, with men being more frequently affected, and high impact accidents are those that most determine the severity and association of facial fractures.
References
Al-bokhamseen, M., Salma, R., Al-Bodbaij, M. (2019). Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series. Saudi Dent J 31: 129- 136.
Alvi, A., Dohert, T., Lewen, G. (2003). Facial fractures and concomitant injuries in trauma patients. Laryngoscope. 113:102-6.
Allareddy, V., Nalliah, R. P. (2011). Epidemiology of facial fracture injuries. J Oral Maxillofac Surg. 69: 2613-8.
Batstone, M. D., Monsour, F. N., Pattel, P., Lynham, A. (2007). The patterns of facial injury suffered by patients in road traffic accidents: a case controlled study. Int J Surg. 5: 250-4.
Baird, C., Kernohan, G., Coates, V. (2004). Outcomes of advanced trauma life support training: questioning the role of observer. AccidEmergNurs. 12: 131-5.
Chukwulebe, S., Hogrefe, C. (2009). The Diagnosis and Management of Facial Bone Fractures. Emerg Med Clin North Am. 37: 137-151.
Correia, C., Grayson, W. L., Park, M., Hutton, D., Zhou, B., Guo, X. E., Niklason, L., Sousa, R. A., Reis, R. L., Vunjak-Novakovic, G. (2011). In vitro model of vascularized bone: synergizing vascular development and osteogenesis. PLoS One. 6: e28352.
Costa Navarro, D., JiménezFuertes, M., Medina Alvarez, J. C., RequenaMeana, L., JimenoLecina, E., Inaba, K., Herrero, E., Velasco, J. A.(2009) Introduction and operation of a multiple trauma unit in a general hospital. Cir Esp. 86: 363-8.
Erdmann, D., Follmar, K. E., DeBruijn, M., Bruno, A. D., Jung, S. H., Edelman, D., Mukundan, S., Marcus, J. R. (2008). A retrospective analysis of facial fracture etiologies. Ann Plast Surg. 60: 398-403.
Lee, K. F., Wagner, L. K., Lee, Y. E., Suh, J. H., Lee, S. R. (1987). The impact-absorbing effects of facial fractures in closed-head injuries. An analysis of 210 patients. J Neurosurg. 66: 542- 7.
Montovani, J. C., de Campos, L. M. P., Gomes, M. A., de Moraes, V. R. S., Ferreira, F. D., Nogueira, E. A. (2006). Etiologia e incidência das fraturas faciais em adultos e crianças: experiência em 513 casos. RevBrasOtorrinolaringol. 72: 235-241.
Nahum, A. M. (1975). The biomechanics of maxillofacial trauma. Clin Plast Surg. 2: 59- 64.
O'connor, R. C., Shakib, K., Brennan, P. A. (2005). Recent advances in the management of oral and maxillofacial trauma. Br J Oral Maxillofac Surg. 53: 913-21.
Pappachan, B., Alexander, M. (2012). Biomechanics of cranio-maxillofacial trauma. J Maxillofac Oral Surg. 11: 224-30.
Park, K. P., Lim, S. U., Kim, J. H., Chun, W. B., Shin, D. W., Kim, J. Y., Lee, H. (2015). Fracture patterns in the maxillofacial region: a four-year retrospective study. J Korean Assoc Oral Maxillofac Surg. 41: 306-16.
Perry, M., O'hare, J., Porter, G. Advanced Trauma Life Support (ATLS) and facial trauma: can one size fit all? Part 3: Hypovolaemia and facial injuries in the multiply injured patient. (2008). Int J Oral MaxillofacSurg. 37: 405-14.
Rampa, S., Wilson, F. A., Tak, H. J., Roy, S., Wani, R. J., Markiewicz, M. R., Allareddy, V. (2019). Patient- characteristics and causes of facial fractures in the State of California. J of Oral Maxillofac Surg.77: 1855-1866.
Samieirad, S., Tohidi, E., Shahidi-Payam, A., Hashemipour, M. A., Abedini, A. (2015). Retrospective study maxillofacial fractures epidemiology and treatment plans in Southeast of Iran. Med Oral Patol Oral Cir Bucal. 20: 729-36.
Schneider, D., Kämmerer, P. W., Schön, G., Dinu, C., Radloff, S., Bschorer, R. (2015). Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg- Western Pomerania, Germany: A retrospective study of 409 patients. J Craniomaxillofac Surg. 43: 1948-51.
Zaleckas, L.. Pečiulienė, V., Gendvilienė, I., Pūrienė, A., Rimkuvienė, J. (2015). Prevalence and etiology of midfacial fractures: a study of 799 cases. Medicina (Kaunas) 51: 222- 7.
Zhou, H., Lv, K., Yang, R., Li, Z., Li, Z. (2016). Mechanics in the Production of Mandibular Fractures: A Clinical, Retrospective Case-Control Study. PLoS One. 11: e0149553.
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