A retrospective cohort study on the aetiology and characteristics of maxillofacial fractures presenting to a tertiary centre in the UK

Abukhder, Munir; Mobarak, Dima

doi:10.1016/j.amsu.2022.103622

Cited by 6 publications

(11 citation statements)

References 29 publications

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“…A multi-country prospective study of facial fractures found that 76.9% of In South Carolina, the law mandates that all drivers and passengers of a motor vehicle wear a seatbelt when available. As a result, motor vehicle crashes, despite being a leading cause of severe and complex trauma 10,11 and frequently being cited as one of the most common causes of facial fractures [1][2][3][8][9][10][11][12]14 were less likely to result in facial fractures (.81x). By contrast, laws requiring helmets vary.…”

Section: Discussionmentioning

confidence: 99%

“…This is very consistent in the literature with male patients outnumbering the female patients. [1][2][3][8][9][10][11][12]14 One literature review looked at 69 studies from around the world, all of which found facial fractures affecting males at a higher rate, though it did vary by country with male to female ratios ranging from 1.8:1 to 20:1. 8 The variability likely has a lot to do with cultural differences, with gender roles determining the amount women could be exposed to trauma.…”

Section: Discussionmentioning

confidence: 99%

“…It was estimated that in 2017, as many as 1,819,732 people were living with disability related to a facial fracture. 5 The incidence and patterns of facial fractures vary by age, sex, race, 9,10 and even between countries based on socioeconomic and cultural differences. 11 This holds true in the trauma population which contains the most severely injured patients and thus has its own patterns emerge.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Instead, trauma departments often see a majority of injuries resulting from motor vehicle accidents (MVA's) and assaults. 1,2,[9][10][11] While these mechanisms of injury are well documented, many studies only look at their relative prevalence. They fail to compare facial fracture patients to a control to assess the relative danger each of these mechanisms pose.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Sanders

Rhodes

Boscia

et al. 2023

The American Surgeon™

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Background The incidence and causes of facial fractures differ between patients, but patterns arise within populations. These patterns vary by gender, age, and between countries. This study aims to determine variables to identify patients at risk for facial fractures in a United States trauma population. Methods This is a single-center study of Trauma Registry data, inclusive of years July 1, 2016, to January 31, 2022. Inclusion criteria were based upon all trauma patients. Confirmation of a non-isolated facial fracture (dependent variable) was verified using ICD10 diagnosis codes. A logistic regression was performed in SPSS to ascertain the effects of predictor variables on the likelihood that a trauma patient will experience a facial fracture. Results 20377 patients were included in the analysis based upon the requirements specified in the methods section; 1575 (7%) had a positive facial fracture. The logistic regression model was statistically significant (N = 18507, P < .01). Significant risk factors for facial fracture identified included helicopter transport (OR = 1.35, P < .01) and increasing injury severity scores (OR = 1.07, P < .01). Modes of injury most likely to predict facial fracture included assault (OR = 6.62, P < .01), moped (OR = 2.02, P < .01), and motorcycle trauma (OR = 1.55, P < .01). The discharge disposition most likely among facial fracture patients included short-term general hospital (OR = 1.71, P < .01) and intermediate care facility (OR = 4.47, P < .01). Conclusions Patients with traumatic injuries from assault, moped, and motorcycle accidents were more likely to present with facial fractures. These patients had more severe injuries, seen as increased ISS scores, higher likelihood of transport by helicopter, and the need for additional care after discharge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Sanders

Rhodes

Boscia

et al. 2023

The American Surgeon™

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“…The mandibular fractures are the most common facial fractures with a high prevalence of condylar and subcondylar fractures of the mandible [1][2][3][4]. In elderly subjects, mandible fractures occur frequently, with an incidence between 27.8% and 43.3% [5,6]. The fracture site can be the mandible midline, paramedian, body, angle, or condyle [7].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Hedeșiu

Pavel

Almășan

et al. 2022

Oral

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The main objective was to examine the biomechanical behavior of the mandible under standardized trauma and to develop models of biomechanical responses when the mandible is subjected to various simulated impacts. A homogenous model based on the bone’s average mechanical properties was used. To simulate external loads on the mandible, forces on the chin, forces in an anteroposterior direction, and forces from the basilar edge were applied. To simulate mandibular biomechanics, we employed a model created in the ANSYS v19.0 software. The skull with the temporomandibular joint (TMJ) from the Grabcad website was used as the geometric mandibular model. We attempted to simulate the stresses developed in the mandible by impact forces. The amount of force (F) corresponded to the fall of a five-kilogram body (the head), from a height of two meters (F = 6666.7 N). The impact force was applied perpendicular to an arbitrary surface of an area of 10−3 m2. Impact on the chin region and lateral impact on the mandible, from the basilar edge to the gonion were examined. The investigated clinical situations were mandibular complete dentition; jaw with missing mandibular molars; missing third molar and first and second premolars; missing canine, third molar, first and second premolars, and complete edentation. In a normal bite, the highest stress was on the TMJ area. In case of impact on the chin, in complete edentation, a mandibular fracture occurred; in case of impact on the gonion, all stress values exceed the limit value above which the mandible in the condyle area may fracture.

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Prevalência dos traumas bucomaxilofaciais em pacientes atendidos no Estado de Roraima

Souza¹

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Dedico esta dissertação a minha esposa Adriana, aos meus filhos Leonardo e João Lucas, aos meus pais Souza e Rige, e as irmãs Dayse e Débora pelo apoio incondicional. Dedico também ao meu orientador Prof. Dr. Eduardo Sant'Ana, pela confiança, paciência, incentivo, amizade e excelente orientação. AGRADECIMENTOS Gostaria de agradecer primeiramente a Deus, por ter me provido tudo que necessitei, e fé para alcançar meus objetivos e sonhos. Agradeço amues pais Souza e Rige, meus primeiros orientadores pelo incentivo, apoio e paciência que foram decisivos para minha formação humana e profissional. Agradeço as duas irmãs, Dayse e Débora pelo companheirismo e conselhos nas horas ruins, bem como meus sobrinhos. Agradeço imensamente a minha esposa Adriana pelo carinho, apoio incondicional e incentivo para que fizesse o curso. Bem como agradeço aos meu dois filhos Joao Lucas e Leonardo pela paciência e ausências devido a dedicação do mestrado. Agradeço aos meus Professores do departamento de cirurgia da pós-graduação FOB/USP, Prof. Dr. Renato Yassutaka Faria Yaedú, Prof. Dr. Osny Ferreira Júnior e Prof. Dr. Eduardo Sanchez Gonçales, pelos ensinamentos, orientações em clínica, diálogos frutíferos e boa vontade de ajudar no que for necessário. E por fim agradeço ao meu orientador Prof. Dr. Eduardo Sant'Ana por me receber como aluno de mestrado. Pela sua disponibilidade, e incentivo, as suas críticas construtivas e pelos sábios conselhos, sou eternamente grato por todo o apoio como professor e amigo. "O cientista não é o homem que fornece as verdadeiras respostas; é quem faz as verdadeiras perguntas". Claude Lévi-Strauss RESUMOOs traumas faciais constituem um grave problema de saúde pública mundial devido a sua alta prevalência e morbidade e podem variar dependendo da região e população estudada. Este trabalho se trata de um estudo epidemiológico retrospectivo descritivo tendo como referência os traumas bucomaxilofaciais no estado de Roraima, no período de 01 de janeiro de 2013 a 31 de dezembro de 2022.Dados como tipo e prevalência das fraturas dos ossos faciais, gênero, idade, etiologia do trauma, procedência dos pacientes acometidos, tipo de tratamento proposto e a porcentagem de "follow up" foram avaliados. E como resultado foram examinados 638 casos, apontando uma dominância do gênero masculino (524 -82,13%) em relação ao sexo feminino, na segunda década de vida. A etiologia com maior incidência foi o acidente de trânsito (498 -78,06%), onde a fratura mandibular foi o local da face com maior acontecimento (337 -52,82%). Na mandíbula o sítio anatômico mais acometido foi o corpo mandibular e no terço médico de face foi o complexo zigomático-orbitário (CZO). Sendo eleito como tratamento a redução cruenta com fixação interna rígida (554 -86,83%), com baixos índices de complicações e/ou sequelas (39 -6,11%). O tempo internação foi de 7 a 9 dias com maior prevalência (206 -32,29%), observando-se uma relação estatísticamente significativa entre o tempo de levado para se realizar o procedimento proposto para cada caso e a quantida...

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A retrospective cohort study on the aetiology and characteristics of maxillofacial fractures presenting to a tertiary centre in the UK

Cited by 6 publications

References 29 publications

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Prevalência dos traumas bucomaxilofaciais em pacientes atendidos no Estado de Roraima

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