Occurrence and Pattern of Maxillofacial Injuries Caused by Motorcycle Crashes Presenting at Two Major Referral Hospitals in Nairobi, Kenya

Nyameino, S.; Butt, Fawzia; Guthua, Symon W.; Macigo, FG; Akama, MK

doi:10.1055/s-0038-1660434

Cited by 10 publications

(13 citation statements)

References 17 publications

(34 reference statements)

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“…In other studies, only 10% of the casualties had consumed alcohol. 19 the relatively high percentage of alcohol victims in our study may be due to the small sample size.…”

Section: Discussionmentioning

confidence: 72%

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Patterns of Maxillofacial Injures Caused by Motorcycle Accidents

Noorali

Attyia

Alsunbuli

2023

Int Arch Otorhinolaryngol

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Introduction Motorcycles are used as a common means of transportation, and motorcycle accidents are responsible for a major portion of trauma injuries. Objectives The purpose of this study was to analyze the patterns of facial injuries in motorcyclists, to evaluate the types of injuries, and to investigate if the accident-related factors had any impact on the characteristics of the injuries. Methods This retrospective observational study included 74 patients with maxillofacial injuries following motorcycle-related accidents. Investigated data were divided into four main categories: sociodemographic, accident-related, injury-related, and treatment-related. Results All the patients were males with a mean age (±SD) of 25.03 (±9.986) years. Most accidents (n = 44, 59.4%) occurred in the evening. Most of the patients (n = 40, 54%) were traveling on motorcycle models that had maximum speed of over 120 km/h. Furthermore, 15 patients (18.9%) were under the influence of alcohol during the crashes and only one patient was wearing a helmet. Fractures of the maxillofacial bones were observed in 50 (67.5%) crash victims; 24 of them (48%) had middle third fractures, 11 (22%) had mandibular fractures, and 15 patients (30%) presented with a combination of lower, middle, and upper third fractures. Conclusion Almost all patients were not wearing helmets at the moment of the crash. The most common fractured site was the maxilla. The majority of the patients received surgical treatment. Increased enforcement of safety measures for riders and raising awareness about the dangers of motorcycle crashes are required measures to improve traffic safety and, ultimately, population health.

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“…In other studies, only 10% of the casualties had consumed alcohol. 19 the relatively high percentage of alcohol victims in our study may be due to the small sample size.…”

Section: Discussionmentioning

confidence: 72%

“…These factors are similar to those previously considered by studies from India. 14,19 In contrast, studies from Kenya 20 and Tanzania 17 reported that most of the motorcycle collisions occur during the day and less at night (62.6% and 73.9%, respectively).…”

Section: Discussionmentioning

confidence: 95%

Patterns of Maxillofacial Injures Caused by Motorcycle Accidents

Noorali

Attyia

Alsunbuli

2023

Int Arch Otorhinolaryngol

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“…20 Lack of adequate training coupled with poor law enforcement among motorcyclists may be the reason of the accidents. 21 The number of lower face fractures was more in the nonfastened group. This was statistically significant (p < 0.001).…”

Section: Discussionmentioning

confidence: 87%

“…After the application of the compulsory helmet law, which states mandatory helmet use for the rider as well as the pillion, the incidence of maxillofacial injuries as well as traumatic brain injuries has reduced considerably 20. Lack of adequate training coupled with poor law enforcement among motorcyclists may be the reason of the accidents 21…”

Section: Discussionmentioning

confidence: 99%

The Role of Helmet Fastening in Motorcycle Road Traffic Accidents

Arif

Rajanikanth

Prasad

2019

Craniomaxillofacial Trauma & Reconstruction

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Road traffic accidents are the leading cause of death among the Indian population. Motorcycle accidents are the most prominent type of injuries among road traffic accidents in India. In this prospective cross-sectional study, all the patients attending three centers in north Bangalore, with facial injuries occurring from a motorcycle accident, were included. The subjects were analyzed for the type of collision, helmet use, type of helmet use, and fastening status of the helmets. A total of 311 motorcyclists were included in this study for a period of 18 months (December 2015 to June 2017). There were 79.7% males and 20.3% females. The most prominent age group was 21 to 30 years. The percentage of riders sustaining facial injuries was significantly more in the non-helmeted group. The most common injuries in open face helmets were in the middle and lower third of the face, whereas in closed face helmets it was in the middle third of the face. The numbers of injuries were significantly higher in the nonfastened helmet group as compared with fastened helmet group. Helmet fixation is an important characteristic along with helmet type for the better effectiveness and safety of the helmets for the motorcyclists.

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“…Boda boda accidents are frequent owing to risky riding behaviours such as riding while under the influence of alcohol and drugs, poor maintenance of motorcycles and low levels of professional training (Nyachieo, 2015;Nguyen et al, 2018). Boda boda traffic accident related deaths and injuries have become major public health epidemics in Kenya (Nyameino, 2018).…”

Section: Introductionmentioning

confidence: 99%

Determinants of Accident Occurrence among Commercial Motor Cycle Riders in Kaloleni Sub-County, Kilifi County, Kenya

Zuma

Yonge

Msanzu

et al. 2021

mjtum

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Motorcycle accidents remain one of the main global concerns despite extensive research and interventions. The African region has the highest road fatality rates globally, in spite of being the least motorized region. Kenya has an estimated road fatality rate of 20.9 per 100,000 people, higher than that of the European region. There has been an increased use of motorcycles in Kenya over the last decade, so has the number of deaths from motorcycle injury. This study was aimed to establish the determinants of accident occurrence among commercial motorcycle riders in Kaloleni sub-County, Kilifi County, Kenya. A self- administered structured questionnaire was used to collect data from 279 commercial motorcycle riders. Factors associated with accident occurrence were analysed using both bivariate and multivariate analysis. Results showed that 29.2% of the respondents had been involved in a road traffic accident in the past 12 months by the time of the study. Factors that were independently associated with motorcycle accidents included riding experience of more than 8 years (p = 0.040), alcohol use (p = 0.040), slippery roads (p = 0.020) and pot holes on roads (p = <0.001). Moreover, participants acquired their riding skills from friends (64.9%) or self-trained (33.6%). It can be concluded that motorcycle accidents is still a major public health problem in the study area due to the recorded high rate. Thus, it is recommended that all motorcyclists should be well trained and issued with riding license after attending formal training, and strict penalties imposed against anybody contravening road traffic rules. Moreover, roads should be continuously improved to reduce accident rates.

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Occurrence and Pattern of Maxillofacial Injuries Caused by Motorcycle Crashes Presenting at Two Major Referral Hospitals in Nairobi, Kenya

Cited by 10 publications

References 17 publications

Patterns of Maxillofacial Injures Caused by Motorcycle Accidents

Patterns of Maxillofacial Injures Caused by Motorcycle Accidents

The Role of Helmet Fastening in Motorcycle Road Traffic Accidents

Determinants of Accident Occurrence among Commercial Motor Cycle Riders in Kaloleni Sub-County, Kilifi County, Kenya

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