A meta‐analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents

Abstract

AimsChildren and adolescents who are affected by trauma may have complications that are more serious and dangerous. Herein, a meta‐analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies according to the geographic regions of the world among children and adolescents was conducted.Materials and MethodsA comprehensive search was performed in four databases of PubMed/MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2006 until July 7, 2021. To evaluate the quality of included articles, an adapted version of the Newcastle‐Ottawa scale was used. The prevalence of maxillofacial trauma was estimated by event rates and 95% confidence intervals in relation to etiology and geographic region of study population.ResultsThrough search in the databases and the electronic sources, 3071 records were identified, and 58 studies were eligible for inclusion in the meta‐analysis. A total of 264,433 maxillofacial trauma cases were reported by all included studies. Globally, the overall prevalence of maxillofacial trauma was highest due to Road Traffic Crashes (RTC) (33.8%) followed by falls (20.7%), violence (9.9%), and sports (8.1%) in children/adolescents. The highest prevalence of maxillofacial trauma were observed in African population (48.3%) while trauma due to falls was most prevalent in Asian population (44.1%). Maxillofacial trauma due to violence (27.6%) and sports (13.3%) were highest in North Americans.ConclusionThe findings demonstrate that RTC was the most prevalent etiology of maxillofacial trauma in the world. The prevalent causes of maxillofacial trauma differed between the regions of study population.

Prevalence of dental, oral, and maxillofacial traumatic injuries among domestic violence victims: A systematic review and meta‐analysis

“…The high prevalence of OMFI presented in our study is consistent with previous studies showing that violence in North America, as a whole, contributed to 27.6% of cases of maxillofacial trauma. 57 Divergent results regarding the prevalence of OMFI in relation to different etiologies may be attributed to the social environment, economy, and cultural differences. 58 In addition, an association between age and different etiologies of OMFI has also been suggested, with violence being the third most important etiology of OMFT in children and adolescents.…”

Predictive factors for maxillofacial fractures, sedentary behavior, and dental trauma literacy

“…In this Issue, Mohammadi et al conducted a systematic review and meta-analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents. 7 Fifty-eight studies were included in the quantitative synthesis to assess the main causes of maxillofacial fractures Through this meta-analysis, the authors provide an assessment of the current significant etiologies of oral trauma as well as suggestions for future studies reporting on maxillofacial fractures in children and adolescents.…”

Statisticheskij analiz dannyh po neotlozhnoj chelyustno-licevoj hirurgii

“…В странах со стареющим населением преобладает бытовая травма (в т. ч. в результате падения), а с большей долей молодого населения -дорожно-транспортная [16]. Вывод косвенно подтверждают и другие зарубежные авторы [4]. Нами же данный критерий не рассматривался ввиду высокой частоты случаев укрывания истинной причины травмы пациентами.…”

“…Челюстно-лицевой травматизм -это и медицинская, и социально-экономическая проблема. Бытовая и криминальная травма, развитие средств передвижения, доступных широкому кругу населения, дорожнотранспортные происшествия обусловливают высокий процент травмы ЧЛО в структуре общего травматизма [1][2][3][4]. В то же время несмотря на совершенствование мер профилактики, внедрение новых методов диагностики и лечения заболеваний ЧЛО, количество пациентов с гнойно-воспалительными заболеваниями ЧЛО не уменьшается, а процент пациентов с тяжелыми формами этих заболеваний ежегодно увеличивается [5].…”