A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city

Shekar, BR Chandra; Reddy, Cvk

doi:10.4103/0970-9290.44532

Cited by 78 publications

(60 citation statements)

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“…This finding correlates with reports from India and other parts of the world. [11,14,15,16] However, we differ from the studies done in Turkey [17] and Pakistan [18] where the dominant age groups having a high incidence were 1 st decade and 2 nd decade respectively.…”

Section: Resultscontrasting

confidence: 97%

“…In developing countries, RTA is generally believed to be the most common cause of facial trauma and this has been confirmed by some of the previous studies. [1,2,9,15,19] In most of the developed countries violence and sports are increasingly replacing traffic accidents. [14,20,21] However, in our study, RTA was the dominant cause of maxillofacial trauma and made up to 52.9% of all incidents which correlates with the findings from the developing part of the world.…”

Section: Slmentioning

confidence: 99%

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Demographic Distribution, Etiological Spectrum, Injury Characteristics, Management and Preventive Recommendations for Maxillofacial Injuries at a Tertiary Care Centre in Central India

Jindwani¹,

Paharia²

2015

jemds

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Oral and maxillofacial injuries worldwide can pose considerable long term orofacial deformity and disability. They present a therapeutic challenge to trauma, maxillofacial and plastic surgeons practicing in developing countries. OBJECTIVE: This retrospective study was conducted to find out the epidemiological characteristics, etiology, pattern of maxillofacial injury and the subsequent treatment planned in northern regions of Madhya Pradesh at a tertiary care teaching institution at Gwalior. METHODOLOGY: A total of 170 consecutive maxillofacial trauma patients reporting at the trauma Centre and the outpatient department (OPD) of dental surgery at Gajra Raja Medical College, Gwalior were analyzed in a span of 18 months to determine the demographic details, etiological risk factors, pattern of facial injuries and treatment given at this institute. RESULTS: An 18 months survey was conducted from November 2013 till March 2015 to evaluate 170 subjects. Males outnumbered females with a male: female ratio of 5.5: 1. Road traffic accidents (RTA) turned out to be the dominant etiological risk factor involved in 52.9% of the cases. Motor cycle accidents and the influence of alcohol played a prominent role in etiology. Mandible was the most common bone involved in injuries. Parasymphysis and midsymphysis were the commonly involved sites. Closed reduction with arch bar fixation under local anesthesia was the commonly given treatment modality used in 73.5% cases. CONCLUSION AND RECOMMENDATIONS: RTA on two-wheelers and under the influence of alcohol is still the most promising risk factor of facial trauma. Periodic review of driving skills, stricter implementation of traffic rules, timely maintenance of faulty roads and promotion of educational campaigns to create general awareness regarding the relation between risk factors and the mortality and morbidity associated with maxillofacial injuries are recommended.

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Section: Resultscontrasting

confidence: 97%

Section: Slmentioning

confidence: 99%

Demographic Distribution, Etiological Spectrum, Injury Characteristics, Management and Preventive Recommendations for Maxillofacial Injuries at a Tertiary Care Centre in Central India

Jindwani¹,

Paharia²

2015

jemds

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“…However, these variables were not associated with the work modality. Men are recognized as the main victims of traffic violence [18][19][20][21][22][23] . In Brazil, a large number of males with a low socioeconomic status grow up in a culture that stresses a need for social identification and owning objects of value 24 .…”

Section: Discussionmentioning

confidence: 99%

Ground transportation accidents involving two categories of motorcyclists who transport passengers

Lucas-Neto

Barbosa

Bernardino

et al. 2016

RGO, Rev. Gaúch. Odontol.

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Objective Methods Interviews were held with the aid of a questionnaire administered to a probabilistic sample of 210 individuals (125 from city hall and 85 from the private firm). Results A high number of motorcyclists in both categories combined (78.6%) suffered traffic accidents in the 12 months prior to the inquiry. Collisions with automobiles constituted the most frequent type of accident (43.6%). Accidents were more associated with motorcyclists working for city hall (p < 0.05), due mainly to the fact that these individuals had been employed for a longer period of time (p < 0.001). The occurrence of bodily injuries was high in both categories (63.6%). Facial injuries were the least frequent in both categories due mainly to the use of protection equipment (98.2%). ConclusionThe occurrence of traffic accidents was high in the two motorcycle passenger transportation categories analyzed, demonstrating that motorcycles are used to transport passengers in a risky manner.

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“…The mandibular condyle is a relatively weak anatomic area, which often gets fractured following a blow to the chin as the force of the blow is transferred through the mandibular body onto the condyle. 14,15 Also, the abrupt change in direction in the region of the angle of the mandible (from a relatively thicker body to a comparably thin ramus) also increases the chances of mandibular fracture following facial trauma. The midfacial skeleton was another frequent site of fracture in this study.…”

Section: Discussionmentioning

confidence: 99%

A study on faciomaxillary injuries in a tertiary care hospital

Ravikumar¹,

Manoharan²,

Sugapradha³

2017

Int Surg J

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Background: Faciomaxillary injuries are increasing in frequency and severity due to road traffic accidents and violence among the people of the delta districts of Tamilnadu. Alcohol plays a major role both in road traffic accidents and assaults resulting in faciomaxillary injuries. Human bites play a significant role in the soft tissue injuries of the face resulting in loss of lobule of ear, nasal tip loss and partial loss of lower lip. The purpose of this study was to evaluate the aetiology, incidence, patterns and treatment modalities of faciomaxillary injuries which include both soft tissue and bony injuries. Methods: The study was conducted in the Department of Plastic and Reconstructive Surgery of Thanjavur Medical College, Tamil Nadu, India between 2012-2015. About 850 patients in and around the delta districts of Tamilnadu admitted with various soft tissue and bony injuries of the faciomaxillary region were studied. Age, sex, time, mechanism and aetiology of injury, history of bleeding, unconsciousness and prior first aid, type of vehicle and use of preventive measures, type of fracture, associated injuries and treatment modalities were evaluated. Results: Faciomaxillary injuries were mostly due to road traffic accidents. Highest number of fractures was predominantly occurring in the age group of 21-30 years. Males incurred more fractures with a male to female ratio of 7.4:1.1. Fracture mandible was the most common followed by zygoma, nasal and naso ethmoid fractures. Pan facial fractures were more common among alcoholics. 28 patients had associated head injury and 14 patients had cervical spine injuries. Open reduction and internal fixation was the preferred modality for mandible whereas the mid face fractures were treated more often by closed methods. Soft tissue injuries involving ear, nose, lip and eyelids were more common. Conclusions: Drunken driving should be curbed in the society. Educating the people about road safety rules will bring down the faciomaxillary injuries. Motivating the public against violence will reduce human bites and soft tissue injuries of the face.

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A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city

Cited by 78 publications

References 0 publications

Demographic Distribution, Etiological Spectrum, Injury Characteristics, Management and Preventive Recommendations for Maxillofacial Injuries at a Tertiary Care Centre in Central India

Demographic Distribution, Etiological Spectrum, Injury Characteristics, Management and Preventive Recommendations for Maxillofacial Injuries at a Tertiary Care Centre in Central India

Ground transportation accidents involving two categories of motorcyclists who transport passengers

A study on faciomaxillary injuries in a tertiary care hospital

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