Maxillofacial fractures in a semi-urban Nigerian teaching hospital

Ugboko, V.I.; Odusanya, S A; Fagade, O O

doi:10.1016/s0901-5027(05)80616-2

Cited by 153 publications

(236 citation statements)

References 14 publications

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“…Our finding correlates with the findings of other studies [1,2,4,5,12,15,22,24,25,27,28,30,31] in respect to RTAs being the main etiological factor for maxillofacial fractures. This could be due to the fact that there is lack of individual sensitization about importance of safety devices of the vehicle, lack of adherence to safety rules and regulation, (most of the vehicles do not have all the safety devices), lack of clear road traffic signal, congestion on the road due to lack of separate pathways for pedestrians, large numbers of overloaded buses and poorly maintained two wheelers.…”

Section: Discussionsupporting

confidence: 92%

“…This finding correlates with findings of other studies [7,15,18,19,24,27,32,33,42]. However in contrast to our study, various studies have reported that most common mandibular fracture site was body of the mandible by [1,17,22,26,28,30,44,45], parasymphysis [3,6,46], symphysis by [12] and angle of the mandible by [9].…”

Section: Condylar Fracture In the Mandible As Commonest Fracturesupporting

confidence: 91%

“…The vehicle most commonly involved in RTA in our study was the two wheeler as also reported in other studies [2,3,27,28]. People using two wheelers for travelling are more prone to RTA than four wheeler users as two wheelers are relatively less stable and provide lesser protection to the riders, The most commonly involved mechanism of injury in current study was skid, followed by rear impact crashes.…”

Section: Two Wheeler As Most Common Vehiclesupporting

confidence: 78%

“…Although being the heaviest and strongest facial bone, the mandible is more susceptible to fracture because it is the only movable facial bone and it has anatomical peculiarity in form and location. Various studies have also shown the mandible to be the most affected bone [1,2,7,12,15,19,22,24,26,28,33,42]. But other studies accounted zygoma to be the maximally involved bone [29,43].…”

Section: Mandible As Commonest Bone Involvedmentioning

confidence: 99%

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Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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Aim The present study was planned to investigate the etiology of maxillofacial injuries and to analyze the pattern of maxillofacial factures as well as the various factors influencing their distribution. Study design A one year cross-sectional study was done and 1,108 patients with maxillofacial fractures were analyzed consecutively from April 2010 to March 2011 who reported to the department of Oral and Maxillofacial Surgery in the Centre for Dental Education & Research and Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi. A performa was designed to collect the data that included age and sex distribution, etiology, influence of alcohol, type of fractures, use of restraints devices, associated injuries and treatment delivered. Results Out of 1,108 patients, 89.62 % were males with a male:female ratio of 8.63:1. The 21-30 year age group was found to be maximum (39.98 %). Road traffic accidents accounted for 49.01 %, followed by assault (22.38 %) and fall from height (21.66 %). Two wheelers were the most commonly involved vehicle. Out of 437 road traffic accident patients (excluding pedestrian, n = 106), only 52.40 % were found to be using restraints devices at the time of accident. Totally 25.45 % patients were under the influence of alcohol at the time of injury. According to anatomical distribution of fractures, mandibular fractures (33.57 %) were most prevalent, followed by maxilla (31.13 %), nasal (28.33 %) and zygoma (24.36 %). Head injuries (18.32 %) were found to be the most common associated injuries followed by lower limb fractures. Conclusion The motive behind executing this article is to analyze the various trends of facial fractures and all those factors that affect their distribution. A perfect understanding of pattern of maxillofacial fracture will assist the executors of health care in the treatment planning and management of facial injuries. Knowledge gained from the present study would influence in assessing the effectiveness of existing preventive measures and elaboration of future preventive measures and conducting new research.

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Section: Discussionsupporting

confidence: 92%

Section: Condylar Fracture In the Mandible As Commonest Fracturesupporting

confidence: 91%

Section: Two Wheeler As Most Common Vehiclesupporting

confidence: 78%

Section: Mandible As Commonest Bone Involvedmentioning

confidence: 99%

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Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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“…1 Despite its importance in health planning, few reports on the worldwide pattern of oral and maxillofacial surgical diseases are available. In Nigeria, there are considerable data on specific surgical conditions such as facial fractures, [2][3][4] tumors [5][6][7] and other maxillofacial conditions. [8][9][10] However, reports of the overall pattern of presentation to oral and maxillofacial surgical treatment centers in Nigeria are quite few.…”

Section: Introductionmentioning

confidence: 99%

Audit of oral and maxillofacial surgical conditions seen at Port Harcourt, Nigeria

2008

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Background:The worldwide pattern of oral and maxillofacial surgical conditions has been rarely reported despite its significance in head and neck medicine. The Niger Delta region comprises 9 of the 36 states in the Federal Republic of Nigeria. There are scanty reports on oral and maxillofacial surgical diseases from the region despite its 95% contribution to Nigeria's oil-revenue. Methods: This retrospective survey of oral/maxillofacial surgical cases seen at a referral center in Port Harcourt, a city in the Niger delta region of Nigeria. Results: Between 2000 and 2004, our center offered specialized maxillofacial surgical services to 86 patients coming from 5 states in the Niger delta region. These patients made up 20% of all patients seen at the department within the period. There were 110 indications for surgical interventions. Most were complaints of trauma (46.4%). The rest were tumors and allied lesions (39.0%) and cysts (12.7%). Ratio of male to female patients was 1.7:1 while patients were aged between 9 and 85years (mean 31.2years, standard deviation ±15.4). Most (n = 63, 73%) had surgical treatment while a significant proportion (19%) defaulted. Seventy -nine surgical procedures were performed (69 primary and 10 secondary). Primary procedures included maxillo-mandibular fixation (31.9%) and enucleation of tumor/cyst (17.4%). While our series of 86 cases over 4years appears low, there is likelihood that oral and maxillofacial surgical conditions are as common in the Niger Delta region as in other parts of Nigeria. There is scarcity of skilled manpower and equipments for the management of oral maxillofacial surgical conditions in the region. Health promotion activities are needed to improve awareness for early diagnosis of these conditions. Also, poverty alleviation measures need to be effective as defaults were often due to inability to pay for treatment. Conclusion: In many parts of the Niger Delta region of Nigeria, oral and maxillofacial surgical diseases are not uncommon causes of morbidity. However, many parts of the region lack requisite manpower for prevention and curative health activities. Defaults from hospital treatment were due to preference for traditional (unorthodox) measures and financial inability. Poverty alleviation measures need to be stepped up while the state of medical infrastructure should be enhanced in the region. Keywords: oral, maxillofacial, diseases, trauma, tumors, cysts, cancerRésumé Introduction: La tendance mondiale de la situation de la chirurgie buccale et maxillo a été rarement signalée en dépit de son importance dans le domaine de médecine de la tête et du cou. La région du Niger Delta comprend 9 des 36 Etats de la République Fédérale du Nigéria. Il y peu de rapports sur la maladie de la chirurgie buccale et maxillo dans la région en dépit de sa 95% contribution au revenu pétrolier du Nigéria.Oral and maxillofacial surgical conditions in Nigeria. Adebayo E. T. et al. Page | 30Méthodes: Cette étude rétrospective des cas d'oral/chirurgie maxillo vus à un cent...

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Trends in Operative Complex Middle and Upper Maxillofacial Trauma: A 17‐Year Study

Paquet²,

O’Dell

et al. 2021

The Laryngoscope

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Objectives/Hypothesis Over 3 million incidents of facial trauma occur each year in the United States. This study aims to determine trends in operative middle and upper maxillofacial trauma in one of the largest US cities. Study Design Retrospective case‐control study. Methods Retrospective chart review of all operative middle and upper maxillofacial trauma from July 1993 to July 2010 presenting to Los Angeles County Hospital, a Level I Trauma Center. Data included demographics, mechanism of injury, and fracture characteristics. Results Analysis was performed for a total of 4,299 patients and 5,549 facial fractures. Mean patient age was 34.6, and most patients were male (88%). Between the two time periods (1993–2001 and 2002–2010), there was a 42% reduction in operative maxillofacial trauma (3,510 to 2,039). Orbital floor and zygomaticomaxillary complex fractures were the most prevalent types of fractures. Panfacial fractures demonstrated the largest reduction in number of fractures (325 to 5, P<0.01). Assault and motor vehicle accidents (MVA) were the two most common mechanisms of injury. Operative fractures due to MVAs decreased (390 to 214, P = .74), whereas fractures due to assault increased (749 to 800, P<0.01). Compared to adults, pediatric facial trauma (age < 18) were caused by a higher percentage of MVAs (27% vs. 13%), auto versus pedestrian (9% vs. 5%), and gunshot wounds (8% vs. 4%) (P<0.01). Conclusions Operative middle and upper maxillofacial trauma decreased over a 17‐year period. Assault was the most significant mechanism of trauma overall. These trends suggest that focusing future prevention strategies on curtailing interpersonal violence may more effectively address the burden of facial trauma. Level of Evidence 3 Laryngoscope, 131:1985–1989, 2021

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Maxillofacial fractures in a semi-urban Nigerian teaching hospital

Cited by 153 publications

References 14 publications

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Audit of oral and maxillofacial surgical conditions seen at Port Harcourt, Nigeria

Trends in Operative Complex Middle and Upper Maxillofacial Trauma: A 17‐Year Study

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