Etiology and incidence of maxillofacial fractures in the north of Jordan

Bataineh, Anwar B.

doi:10.1016/s1079-2104(98)90146-9

Cited by 187 publications

(185 citation statements)

References 28 publications

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“…Compared with similar studies reported elsewhere, the main cause of maxillofacial fractures in the Middle East was motor vehicle accidents, same as our study [7,23,27,28,36]. Causes might involve various factors, such as highspeed driving, poor road conditions, reduced safety standards of motor vehicles, and inadequate stress on traffic rules and regulations.…”

Section: Discussionsupporting

confidence: 77%

A 7-Year Study of 1,278 Patients with Maxillofacial Trauma and Cerebrospinal Fluid Leak

Hasheminia

Motamedi

Hashemzehi

et al. 2014

J. Maxillofac. Oral Surg.

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Background A number of patients with facial fractures have cerebrospinal fluid (CSF) leak that may result in meningitis and other central nervous system complications. Commonly, CSF leak occurs following trauma, but the etiology and pattern of this disorder are different from region to region. This study aims to evaluate the distribution of CSF leak in patients with maxillofacial fractures in Isfahan province, Iran. Patients and Methods In this retrospective cross-sectional study, 1,287 medical files of patients admitted to a medical center with head and face injuries were evaluated during a 7-year period (2004)(2005)(2006)(2007)(2008)(2009)(2010). Data was obtained using descriptive analysis. Results Of the 1,278 patients with head and maxillofacial fractures, 16 (1.25 %) males and one (0.07 %) female had CSF leak; all these cases had skull base fracture. Of these, 52.9 % had maxillary fracture, 23.5 % nasal fracture, 41.1 % orbital fracture, 11.7 % mandibular fracture, 23.5 % frontal fracture, and 41.1 % had more than one site of fracture. 58.8 % had rhinorrhea and 41.2 % otorrhea. Of all these patients with CSF leak, 8 (47 %), 2 (11.8 %), and 7 (41.2 %) cases were treated spontaneously, using lumbar drain placement, and by surgical intervention, respectively. Conclusions Cerebrospinal fluid leak was observed most frequently in patients with fracture in the zygomatic and maxillary bone, and mostly exhibited itself as rhinorrhea and/or otorrhea. All cases with CSF leak had skull base fracture as well. However, post-traumatic CSF leaks are uncommon and are generally treated without surgical intervention (59 %). Distribution of CSF leak varies from one region to another and knowing this fact helps to manage the injury and prevent the complications.

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Section: Discussionsupporting

confidence: 77%

A 7-Year Study of 1,278 Patients with Maxillofacial Trauma and Cerebrospinal Fluid Leak

Hasheminia

Motamedi

Hashemzehi

et al. 2014

J. Maxillofac. Oral Surg.

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“…The male/female ratio is around 3/1 in the literature. [12][13][14][15][16][17] Nevertheless, the mean age of the patients exposed to maxillofacial trauma is above 30 years. [3,8,[14][15][16][17][18][19] There is a close relationship between the presence of accompanying head injury in patients with maxillofacial fractures.…”

Section: Discussionmentioning

confidence: 99%

Presence of accompanying head injury in patients with maxillofacial trauma

Işık

Gönüllü²,

Karadaş³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇMaksillofasiyal kırığı bulunan hastalar, bu travmaya eşlik eden kafa travması geçirme konusunda yüksek risk altın-dadırlar. Bu hastalarda kafa travmasının erken anlaşılma-sı hastanın sağkalımı ve iyileşmesi için kritik öneme sahiptir. GEREÇ VE YÖNTEMOcak 2006 ile Eylül 2009 tarihleri arasında hastanemizin acil servisine maksillofasiyal kırık nedeniyle gönderilen 246 hastanın kayıtları geriye dönük olarak tarandı. Hastaların yaş, cinsiyet, maksillofasiyal travmanın nedeni, tipi, yerleşimi ve kafa travması analiz edildi. BULGULARHastaların yaşlarının ortalaması 23,61±16,75 idi (%83,3 erkek, %16,7 kadın). Kraniyal yaralanma maksillofasiyal travmalı 38 hastada gözlendi. Hastalar arasında tek yüz kemiği kırığı bulunanlarda kafa travması riski çoklu kırıklı hastalara göre 3,44 kat daha az gözlenirken (p<0,001), yüz kemiği çoklu kırılan hastalarda kafa travması geçirme riski anlamlı derecede artmıştı (p<0,001). İçinde nazal kemik, maksiller kemik, mandibular kemik ve frontal bölge kırığı bulunan hastalarda kafa travması riski önemli derecede artmıştı (p<0,05 her bir grupta). SONUÇÇoklu yüz kemik kırığı bulunan hastalarda klinik bulguları olmasa dahi kafa travması yönünden araştırılmaları gerekir.Anahtar Sözcükler: Maksillofasiyal travma; kafa travması; yüz kemik kırığı.

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“…Many studies have shown MVA as the primary cause of maxillofacial fractures 1,4,5,11,12,15,20,[29][30][31] . Ajagbe et al 2 (1977) states that MVA occur largely because of recklessness and negligence of the driver, poor maintenance of vehicles, often driving under the influence of alcohol or drugs and complete disregard of traffic laws.…”

Section: Discussionmentioning

confidence: 99%

“…Ajagbe et al 2 (1977) states that MVA occur largely because of recklessness and negligence of the driver, poor maintenance of vehicles, often driving under the influence of alcohol or drugs and complete disregard of traffic laws. Because of legislative changes and preventive measures involving seat belt and airbag use, as well as the reduction of drinking and driving, MVA-related facial injuries have decreased in some developed countries, and interpersonal violence has emerged as the predominant cause of facial trauma, with alcohol and unemployment as contributing factors 5,16,18,28 . Hogg et al 18 (2000) demonstrated that occupants of vehicles who are not wearing seat belts are injured in crashes at a rate more than five times higher than that of occupants wearing a seat belt.…”

Section: Discussionmentioning

confidence: 99%

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Chrcanovic¹,

Freire-Maia

Souza

et al. 2004

Braz. oral res.

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A retrospective study was performed to assess facial fractures in patients treated at a public hospital in Belo Horizonte, in 2000. The data collected included age, gender, etiology, distribution of maxillofacial trauma considering day of the week and month, anatomic site of the fracture, and treatment. The analyses involved descriptive statistics and chi-squared test, Bonferroni test and analysis of variance. A total of 1,326 facial fractures were found in 911 patients. Most fractures occurred in adults with age ranging from 21 to 30 years. Men were more affected than women, with a male-female ratio of 4.69:1. Accidents causing facial fractures occurred predominantly on weekends. Bicycle and motorcycle accidents were the major cause of trauma, followed by interpersonal violence, automobile accidents, and falls. When the relation between the gender and the etiology of facial fractures was analyzed, a significant relation was noted between these variables (p < 0.001). There was also a relation between the patients' age and the site of the fractures (p = 0.0014). The mandible was found to be the most commonly fractured bone in the facial skeleton, followed by the zygomatic complex and the nose. A non-surgical approach was chosen in most cases. There were significant differences between the kind of treatment applied and the site of the fracture (p < 0.001). DESCRIPTORS: Maxillary fractures; Mandibular fractures; Facial injuries; Epidemiologic studies. RESUMO:Um estudo retrospectivo foi realizado para avaliar fraturas faciais em pacientes atendidos no ano de 2000 em um hospital público de Belo Horizonte. As informações coletadas incluíam idade, sexo, etiologia, distribuição do trauma de acordo com o dia da semana e o mês, o local anatômico da fratura e o tratamento. As análises envolveram estatísticas descritivas, teste qui-quadrado, teste Bonferroni e análise de variância. Foram encontradas 1.326 fraturas de face em 911 pacientes. A maioria das fraturas ocorreu em adultos na faixa etária de 21 a 30 anos. Os homens foram mais acometidos do que as mulheres, numa proporção homem:mulher de 4,69:1. Os traumas causadores de fraturas faciais ocorreram predominantemente nos fins de semana. Os acidentes de moto e bicicleta foram a maior causa de trauma, seguidos por violência interpessoal, acidentes automobilísticos e quedas. Quando analisada a relação entre o gênero e a etiologia das fraturas de face, observou-se uma associação estatisticamente significativa entre essas variáveis (p < 0,001). Houve também uma associação entre a idade dos pacientes e a localização das fraturas (p = 0,0014). O osso facial mais fraturado foi a mandíbula, seguida por complexo zigomático e nariz. O tratamento conservador foi realizado na maioria dos casos. Houve diferenças estatisticamente significativas entre o tipo de tratamento instituído e a localização da fratura (p < 0,001).

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Etiology and incidence of maxillofacial fractures in the north of Jordan

Cited by 187 publications

References 28 publications

A 7-Year Study of 1,278 Patients with Maxillofacial Trauma and Cerebrospinal Fluid Leak

A 7-Year Study of 1,278 Patients with Maxillofacial Trauma and Cerebrospinal Fluid Leak

Presence of accompanying head injury in patients with maxillofacial trauma

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

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