Maxillofacial fracture epidemiology and treatment plans 
in the Northeast of Iran: A retrospective study

Samieirad, Sahand; Aboutorabzade, Mohammad-Reza; Tohidi, Elahe; Shaban, Baratollah; Khalife, Hussein; Hashemipour, Maryam Alsadat; Salami, Hamid-Reza

doi:10.4317/medoral.21809

Cited by 25 publications

(64 citation statements)

References 58 publications

(91 reference statements)

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“…This result corroborates other studies which have suggested a 3:1 ratio; with 1 girl being affected for every three boys . Other studies have shown an even higher proportion with ratios up to 4:1 …”

Section: Discussionsupporting

confidence: 92%

“…Traffic accidents were ranked as the leading cause of oral‐maxillofacial trauma in children and adolescents worldwide with a prevalence of 20%. Additionally, an increase in road traffic accidents (around 40%) has been described in some countries which may be partially explained by poor adherence to laws and poor use of protective head gear, therefore increasing susceptibility to craniofacial injuries …”

Section: Discussionmentioning

confidence: 99%

“…Over a long period of time, motorcycle accidents have been ranked as the most common cause of cranio‐maxillofacial fractures, both in Brazil and other countries, despite preventive initiatives . Falls are ranked second, followed by urban violence and the practice of radical sports …”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9][10][11] Falls are ranked second, followed by urban violence and the practice of radical sports. 12,13 Craniofacial trauma in children and adolescents represents a small sample when compared to the adult population, ranging from 1% to 14% in those under 16 years of age, and 0.87% to 1% in children under the age of 5 years. 14 However, these data maintain cause for concern owing to the sequelae resulting from these injuries, which are frequently severe, generating some form of functional incapacity and subsequently a negative impact on the life of the victims.…”

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confidence: 99%

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Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

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Background/Aims Very few studies have been performed to evaluate cranio‐maxillofacial trauma diagnosed in hospitals in children and adolescents. The aim of this study was to perform an analysis of oral and cranio‐maxillofacial trauma in the aforementioned population. Materials and Methods A hospital‐based retrospective study, which reviewed 1438 patient records, was conducted at the “Teresina Emergency Hospital”, Brazil. Data regarding demographics, day of the week on which trauma occurred, type of injury, etiology, anatomic trauma site, time of hospital admission, and associated comorbidities (or injuries) were collected. Results There were 1092 (75.9%) males and 346 (24.1%) females. The largest group was adolescents aged between 13 and 18 years (956, 66.5%). The majority lived in urban areas (69%). Trauma occurred most frequently during the week. The most prevalent etiology was road traffic accidents involving motorcycles (771, 53.6%) causing facial and skull fractures (598, 41%). The most prevalent soft tissue lesions were facial abrasions (49%), followed by injuries to the cheek (16.7%). Comorbidities associated with craniofacial trauma were present in 82%, with complications from traumatic brain injuries being the most prevalent (65.6%) Dental trauma was recorded in only 81 cases (5.6%). Conclusion Male adolescents living in urban areas were most affected by craniofacial trauma. The most common cause was road traffic accidents involving motorcycles, resulting in facial and skull fractures. Complications from traumatic brain injuries were the most common associated injuries.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

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“…It has been shown that the incidence of nasal bone fractures vary by age, gender, geographic region, socioeconomic status, and culture . Nasal bone fracture etiology similarly varies by population, and includes most commonly sports trauma, assault, motor vehicle accidents, and falls …”

Section: Introductionmentioning

confidence: 99%

Septal fractures predict poor outcomes after closed nasal reduction: Retrospective review and survey

2018

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Objectives/Hypothesis To determine outcomes of patients with displaced nasal bone fractures after closed nasal reduction (CNR). Study Design Retrospective patient review. Methods Review of all patients presenting to the emergency department of a tertiary‐care, level 1 trauma hospital with a nasal bone fracture over a 2‐year period, followed by telephone survey after CNR. Results Six hundred seven patients presented to the emergency department in 2015 and 2016 with a diagnosis of nasal bone fracture. Of these, 134 patients met inclusion criteria and underwent CNR without septal reduction. Those with sports‐related injuries and those with a septal fracture identified on computed tomography imaging were significantly more likely to undergo CNR. Ninety‐one patients completed the post‐CNR telephone survey. Over 90% of patients were satisfied with the procedure. However, patients with septal fractures reported worse outcomes, as 53.6% versus 24.1% (P = .0025) disagreed that CNR improved nasal breathing. Of all patients, 11 (2%) eventually underwent septorhinoplasty, with the presence of septal fracture on imaging a significant risk factor. Conclusions Nasal bone fractures are a common injury, often managed initially with CNR. Patients with septal fractures should be counseled on the high risk of posttraumatic nasal deformity and obstruction despite CNR. In addition, addressing a septal fracture found on imaging may be warranted with either closed septal reduction or early aggressive management given the poorer outcomes seen in the present study. Although these patients are more likely to have definitive treatment, many forego later intervention despite persistent symptoms, emphasizing the need for early intervention or close follow‐up. Level of Evidence 3Laryngoscope, 129:1784–1790, 2019

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Facial Fracture Patterns and Severity of Associated Injuries After Motorcycle Accidents

2023

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BackgroundMotorcycle injuries remain a significant cause of motor vehicle-related morbidity and mortality in Taiwan. Besides, the facial region is a commonly fractured site under motorcycle accidents. To date, there are no trauma mechanism-based studies of facial fractures.Aim and ObjectivesThis study aims to determine the facial fracture patterns, the severity of head trauma, and associated injuries by different motorcycle-related trauma mechanisms enabling a greater understanding of its distribution and magnitude.MethodsThis is a retrospective descriptive analysis conducted over a 2-year period at Linkou Chang Gung Memorial Hospital. We focused on the population of maxillofacial injury caused by motorcycle accidents. We divided the patient cohort into 3 main trauma mechanisms: single-motorcycle collision (SM group), motorcycle-to-motorcycle collision (MM group), motorcycle-to-vehicle collision (MV group). Data, including demographics, age, fracture patterns of facial bones, and other associated injuries, were collected.ResultsA total of 881 cases were identified that involved facial fractures. Most patients were male (71%), young adult (mean age, 32.49 years), and the most common fracture region is the midfacial fracture (79.5%, 700 victims). Among the 3 groups, the MM group was less likely to sustain severe injuries by trauma score system, less head injury and mortality rate. The MV group and SM group have similar mortality rates but different fracture pattern tendencies. Lower facial fractures were more likely in the MV group, but midface fractures in the SM group. Associated injuries were higher in the MV group.ConclusionsOur study presents the different trends of fracture patterns and injury under 3 main mechanisms of motorcycle casualties. We document all these data in the hope of providing insights into trauma doctors dealing with motorcycle accidents.

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Maxillofacial fracture epidemiology and treatment plans in the Northeast of Iran: A retrospective study

Cited by 25 publications

References 58 publications

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Septal fractures predict poor outcomes after closed nasal reduction: Retrospective review and survey

Facial Fracture Patterns and Severity of Associated Injuries After Motorcycle Accidents

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