Factors Associated With the Complexity of Facial Trauma

Neto, Ivo Cavalcante Pita; Franco, Jéferson Martins Pereira Lucena; Araujo, Júlio Leite de; Santana, Milana Drumond Ramos; Abreu, Luíz Carlos de; Bezerra, Ítalla Maria Pinheiro; Soares, Eduardo Costa Studart; Gondim, David Gomes de Alencar; Rodrigues, Luciano Miller Reis

doi:10.1097/scs.0000000000004565

Cited by 21 publications

(33 citation statements)

References 36 publications

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“…This seven-year exploratory study showed that traffic accidents are the main etiological agent of MFT, followed by falls, similar to what has been reported in other studies ( 2 , 3 , 5 - 8 , 13 - 24 ). Traffic accidents and falls are two of the leading causes of trauma worldwide, including MFT ( 1 , 5 , 7 , 9 - 11 ).…”

Section: Discussionsupporting

confidence: 89%

“…In this study, most patients were male in the of 21 to 40 year-old age group. The literature indicates a greater tendency for MFT to be more prevalent in men in this age group ( 1 - 3 , 5 , 8 , 9 , 11 - 17 , 19 ), mainly because, in general, they more actively participate in social activities, sports activities, urban violence, traffic accidents, and drug use, including alcohol use.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors ( 4 , 19 , 22 ) attribute the higher prevalence of traffic accidents to changes in habits and social dynamics that require the use of motor vehicles. In Brazil, these accidents are an important public health problem as a result of limited awareness of road safety, inadequate road conditions without improvement or expansion of the road network, the use of old vehicles without safety features, nonuse of seat belts or helmets, and consumption of alcohol or other drugs ( 2 , 8 , 15 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…MFT related to traffic accidents is more common among males 21 to 40 years of age ( 1 - 3 , 5 , 8 , 9 , 11 - 19 ), while falls are the main causes of MFT in children and the elderly ( 5 , 10 , 11 ). Factors such as alcohol consumption ( 8 , 10 , 20 ), urban violence and the violation of traffic rules contribute to the increasing prevalence of MFT ( 8 , 12 , 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

“…Most studies ( 2 , 8 , 15 , 17 ) report the impact of MFT in large urban centers, demonstrating the need for studies in rural areas in northeastern Brazil, where surveillance and prevention of these injuries is more limited.…”

Section: Introductionmentioning

confidence: 99%

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Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Porto¹,

Yw²,

Fd³

2021

Med Oral

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Background This study aimed to determine the pattern of Maxillofacial trauma (MFT) due to traffic accidents and falls in a reference hospital in a rural region of northeastern Brazil between December 2011 and December 2018 and to identify associated factors. Material and Methods This was a cross-sectional study using 585 medical records of patients with MFT. The data were subjected to a Poisson-Tweedie multiple regression analysis to estimate the Prevalence ratio (PR), with a 95% confidence interval (95% CI) and a significance level of p <0.05. Results MFT due to traffic accidents was more prevalent among patients 21 to 40 years old (PR=2.30; 95% CI=1.20-4.41; p <0.001) diagnosed with zygomatic-orbital complex fractures (PR=1.80; 95% CI=1.08-2.98; p =0.023). Falls were more frequent among older groups of 41 to 60 years (PR=1.83; 95% CI=1.09-3.06; p =0.022) and over 61 years (PR=2.23; 95% CI=1.09-3.06; p =0.022). In traffic accidents, alcohol consumption increased the length of stay (PR=2.081; 95% CI=1.553-2.787; p <0.001), and patients who did not use personal protective equipment (PPE) had higher hospital costs (PR=179.964; 95% CI=1.485-1.994; p <0.001) for this etiology. Traffic accidents and falls are two of the main etiologies of MFT, especially for males in the young adult age group (traffic accidents) and those above 41 years (falls). Alcohol consumption and the nonuse of PPE influenced the length of the hospital stay and hospital costs. Conclusions Strategies to confront this problem, such as road and highway improvements, effective enforcement of laws and intersectoral coordination involving the entire community to implement policies and prevention programs targeted at these populations, can be implemented. Key words: Maxillofacial Injuries, public policy, hospital cost.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Porto¹,

Yw²,

Fd³

2021

Med Oral

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No Need to Routinely Remove Titanium Implants for Maxillofacial Fractures

Yu¹,

Liu

Chen

et al. 2019

Journal of Oral and Maxillofacial Surgery

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Temporomandibular Dysfunction After Surgery of Mandibular Fractures Not Involving the Mandibular Condyle: A Prospective Follow-Up Study

Rajantie

Snäll

Thorén

2019

Journal of Oral and Maxillofacial Surgery

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PurposeFacial trauma may lead to temporomandibular dysfunction (TMD). The aim of this study was to clarify the occurrence and characteristics of TMD in patients surgically treated for mandibular fractures not involving mandibular condyle. MethodsThis prospective, single-center follow-up study was comprised of patients who underwent surgery for a non-condylar mandibular fracture. Patients were first evaluated at presentation, and again six months post-surgery to assess the function of the masticatory system, using the Helkimo index.Specifically, this index incorporates two complementary sub-indices: the subjective symptomatic (anamnestic) index (A i ), and the objective clinical dysfunction index (D i ). The A i was recorded both at presentation and the six month follow-up. The D i was recorded at the six month follow-up. ResultsThirty-one patients completed the study. All patients were men (mean age 26.2, range 18-47 years). Four (12.9%) patients developed severe symptoms of dysfunction during the study period according to the A i . Clinical findings (D i ) were observed in 25 (80.6%) patients, but these were not associated with symptoms of dysfunction. Conclusions TMD is common six months after surgery in patients with non-condylar mandibular fractures.Patients with such fractures should be evaluated for dysfunction during follow-ups, and referred for further treatment if necessary. Evaluation of temporomandibular functionThe Helkimo anamnestic (A i ) and clinical (D i ) indices were used to identify the occurrence and severity of TMD 17 . During the pre-operative visits, patients' anamnestic subjective symptoms (A i ) were assessed using a questionnaire and an interview. At the six month follow-up, patients were evaluated again with the same questionnaire and interview. In addition, a comprehensive clinical examination of the masticatory system was performed according to the Helkimo clinical index (D i ).This index was only recorded at the six month follow-up; pre-operative TMD status could not be

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Factors Associated With the Complexity of Facial Trauma

Cited by 21 publications

References 36 publications

Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors

No Need to Routinely Remove Titanium Implants for Maxillofacial Fractures

Temporomandibular Dysfunction After Surgery of Mandibular Fractures Not Involving the Mandibular Condyle: A Prospective Follow-Up Study

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