A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi

Kapoor, Pranav; Kalra, Namita

doi:10.4103/2229-5151.94872

Cited by 52 publications

(70 citation statements)

References 17 publications

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“…6,7,10 The peak incidence of maxillofacial injuries was in the age group 21 to 30 years which was in concordance with all the other studies. 1,[6][7][8][9][10][11][12][13] This is because of the increased use of vehicles and travel in the third decade of life. The most common etiological factor for maxillofacial injuries is road traffic crashes in our country.…”

Section: Discussionsupporting

confidence: 80%

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Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Jayaraju¹,

Sagayaraj²,

Reddy³

et al. 2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods:The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results:Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion:Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications.

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Section: Discussionsupporting

confidence: 80%

“…1,[6][7][8][9] The male to female ratio of 9:1 was comparable to other studies. 10,11 Males are at a greater risk of crashes and maxillofacial injuries because of the increased use of vehicles and travel compared to females.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Jayaraju¹,

Sagayaraj²,

Reddy³

et al. 2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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“…Once again in agreement with other studies [5,7,9,13,14,[17][18][19], the mandible was the most common site of isolated facial fractures in this sample, accounting for 42.4% of all fractures observed, followed by the OZC with 35.6% [13]. It bears stressing that, at the study hospital, treatment of nasal fractures falls under the purview of the Plastic Surgery Department.…”

Section: Discussionsupporting

confidence: 75%

“…Studies show that traffic collisions are among the leading causes of maxillofacial trauma [5,[7][8][9][10][11][12][13][14]17,18,20]. Notable subtypes of this type of trauma are incidents involving bicycles or motorcycles, which are represented at a significant percentage as etiological agents.…”

Section: Discussionmentioning

confidence: 99%

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Pacheco

Paes

Oliveira

et al. 2016

Rev. Odonto Ciênc. (Online)

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Purpose: Epidemiological studies exhibit regional variation patterns as the result of local demographic and socioeconomic factors. This study assessed the epidemiology of maxillofacial fractures treated at a trauma center in Southern Brazil to identify the importance of motorcycle and bicycle crashes. Methods: The records of 2261 patients admitted between April 2003 and March 2013 were reviewed. Results: The male-to-female ratio was 5.6:1. The peak incidence occurred in the third decade of life. Bicycle and motorcycle crashes accounted for 20% of all reported etiologies. Mandibular and orbitozygomatic complex fractures were most prevalent. The most common treatments were open reduction with rigid internal fixation and conservative therapy. Overall, 1248 patients (55.9% of recorded admissions) had a length of stay of 7 days or less. Conclusion: Countrywide prevention projects and the use of alternative transportation should be encouraged.Key words: Epidemiology; Face; Wounds and injuries Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil Resumo Objetivo: Pesquisas epidemiológicas têm padrões de variações como resultado de fatores demográficos e socioeconômicos locais. Para identificar a importância dos acidentes de motocicletas e bicicletas, foram avaliadas as características epidemiológicas de fraturas maxilofaciais em um hospital público referência de trauma no sul do Brasil. Metodologia: A avaliação foi realizada através da análise de 2261 prontuários de pacientes internados entre abril de 2003 e março de 2013. Resultados: A razão entre homens e mulheres foi de 5,6:1. O pico de incidência foi observado na terceira década de vida e os acidentes de bicicleta e motocicleta atingiram 20% dentre os agentes etiológicos informados. As fraturas de mandíbula e do complexo zigomático-orbitário foram as mais prevalentes. Os tratamentos mais realizados foram: a redução cruenta com fixação interna rígida e o método conservador, sendo que 1248 pacientes (55,9% dos períodos de internação registrados) passaram até sete dias no hospital. Conclusão: Concluiu-se que projetos de prevenção contra acidentes e uso de transportes alternativos em todo país são necessários.

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“…Kapoor and Kalra [42] found in retrospective analysis of maxillofacial injuries, in patients reporting to a tertiary care hospital in East Delhi, that the injuries were most frequently observed in the mandible followed by the midface. In the present study, the most common location of the craniomaxillofacial fractures was found to be lower third (65 %).…”

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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A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi

Cited by 52 publications

References 17 publications

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

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

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