Epidemiological Profile of Facial Fractures and Their Relationship With Clinical–Epidemiological Variables

Abstract

The objective of this study was to identify the epidemiological profile of facial fractures and to associate with clinical-epidemiological variables. An epidemiological survey was conducted in which data retrieved from the records of patients with facial fractures were analyzed. Pearson χ(2) test, Student t-test, one-way analysis of variance, Bonferroni post-hoc test, and logistic regression were used for statistical analysis, adopting a level of significance of 5%. The sample consisted of 718 patients ranging in age from 21 to 30 years (56.4%), including 480 (66.9%) men. Traffic accidents were the main etiological agent (62.7%) and the nasal bones were the most affected (41.8%). An association was observed between age and etiology (P < 0.001), fractured bone (P < 0.001), type of treatment (P < 0.001), hospital length of stay (P < 0.001), and complications (P = 0.001). Patients with traffic accident [odds ratio (OR) = 3.08, P < 0.001] and fall (OR = 2.50, P = 0.049) as etiology had more risk of complications. The type of fractured bone was associated with etiology (P < 0.001), type of treatment (P < 0.001), hospital length of stay (P < 0.001), and complications (maxilla--OR = 1.90, P = 0.004). In conclusion, facial fractures predominantly affect men aged 21 to 30 years. Traffic accidents are the main etiology and the nasal bone is the site most affected. It was observed that the older the patient, the greater the susceptibility to falls, surgical treatment, hospital stay, and complications. Patients with maxillary or mandibular fractures remain hospitalized for longer periods of time. Fractures by traffic accident and fall had more risk of complications. The risk of complications was also higher in patients with maxilla fracture.

An Epidemiological Analysis Of Maxillofacial Fractures: A 10-Year Cross-Sectional Cohort Retrospective Study Of 1007 Patients

“…This study evidences a high incidence of maxillofacial fractures in the 20-29 age group, which is in accordance with the results reported by other authors [2,4,[9][10][11][12][13][14][15][16][17][18][19][20]. This nding can be due to the fact that during this life decade, individuals are more socially, professionally and physically active, being more exposed to trauma [2][3][4].…”

“…Maxillofacial fractures predominate among men, both in this study and in the literature [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Behaviorally, men are more predisposed to engage in interpersonal con icts than women, therefore the risk to suffer a fracture caused by aggression being higher [27].…”

Activité nouvelle de traumatologie maxillo-mandibulaire : illustration par un cas clinique

“…Les fractures faciales sont rencontrées plus souvent entre 21 et 30 ans avec une prédominance masculine [1]. La chirurgie d'ostéosynthèse sous anesthésie générale nécessite un binôme chirurgien oral-médecin anesthésiste très performant et une équipe soignante formée à la gestion post opératoire du patient.…”

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

“…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.…”