Operative management of equine-related maxillofacial trauma presenting to a Melbourne level-one trauma centre over a six-year period

Singleton, Ched; Manchella, Sankar; Nastri, A.

doi:10.1016/j.bjoms.2019.10.301

Cited by 7 publications

(18 citation statements)

References 13 publications

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“…Similar age‐related gender distributions have been reported in previous studies 43‐47 . Only a third (11 of 33) of the maxillofacial fractures were due to a fall from the saddle, whereas, as in previous reports, 45,47 two thirds of patients (n = 22) were injured due to a kick by the horse or a strong movement of its head, as a consequence of incorrect handling or the unpredictable nature of the horse. Horse kicks are the most common cause of facial fractures, and they can be very dangerous because of the high energy generated and since they often happen when the rider is not wearing a helmet.…”

Section: Discussionsupporting

confidence: 84%

“…Step Activity Days been reported in previous studies. [43][44][45][46][47] Only a third (11 of 33) of the maxillofacial fractures were due to a fall from the saddle, whereas, as in previous reports, 45,47 highlighting the importance of a mouthguard to reduce the frequency and severity of these injuries. 48 In the present study, the incidences of dentoalveolar fractures, nasal fractures, and facial lacerations were underestimated because in the hospital these injuries are managed by dentists, otorhinolaryngologists, and plastic surgeons, respectively.…”

Section: Discussionmentioning

confidence: 52%

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Comprehensive analyses of maxillofacial fractures due to non‐professional sports activities in Italy

Bojino

Roccia²,

Giaccone

et al. 2020

Dental Traumatology

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Background/Aim: Sports activities have become increasingly popular among amateurs and this has led to an increase in maxillofacial fractures. The aim of this study was to investigate the management of amateur sport-related maxillofacial fractures and appropriate preventive measures. Methods: A trauma database was used to analyze 3231 patients with maxillofacial fractures admitted to the Maxillofacial Surgery Division of Città della Salute e della Scienza Hospital, Turin, Italy, from January 2001 to December 2019. Only patients with non-professional sports-related maxillofacial fractures were included. The following data were collected: age, gender, type of sport, mechanisms of injury, sites of fracture, Facial Injury Severity Scale, associated injuries, month of trauma, time to treatment, treatment, length of stay, and interval before return to sport. Results: There were 432 patients, 378 males and 54 females, with a mean age of 29.2 (5-76 years). Sport-related maxillofacial fractures' relative percent ranged from 11.1% in 2001 to 17.5% in 2019. Soccer was the most common cause of sport-related maxillofacial fractures (54.2%), and impact with a player/opponent was the main mechanism of injury (72%). An intentional violent act (player hit by a fist) was the cause of fracture in 8.5% of the soccer-related injuries. Fractures of the middle third of the face occurred in 61.2% of patients. Maxillofacial fractures were treated within 24 h in 25% of patients. There were 343 out of 412 patients who received open reduction and internal fixation (mean length of hospital stay: 3.7 days). There was no contraindication to resuming sport activities at 30/40 days after treatment, except for combat sports. Conclusions: This study provided further evidence of a relative increase in sportsrelated maxillofacial fractures. Soccer is related to the majority of sport maxillofacial fractures. Adherence to the rules is necessary to limit violent acts that cause such injuries. In non-professional players, resumption of the full activity is allowed after 40 days for non-combat sports.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 52%

Comprehensive analyses of maxillofacial fractures due to non‐professional sports activities in Italy

Bojino

Roccia²,

Giaccone

et al. 2020

Dental Traumatology

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“…On average, the patients stayed in hospital for 7.3 days, which is consistent with other researchers' reports [3]. The long-term observation did not reveal any complications in the healing of either sot tissue injuries or craniofacial fractures.…”

Section: Resultssupporting

confidence: 91%

The risk of craniofacial traumas while working with animals

Bilska-Stokłosa¹,

Marcinkowski²,

Osmola³

et al. 2022

Med Srod.

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Introduction and Objective. Viscerocranial fractures may have different aetiology. Injuries in agriculture, both those related to typical farm work and those caused by animals, are also important. The aim of this study was to analyse the causes and types of craniofacial fractures in patients who were treated for injuries suffered at work related to animal husbandry. Materials and method. The study was conducted on patients of the

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“…The low incidence of maxillofacial fractures occurring during sports is also in keeping with the literature, perhaps reflecting little interest in sports among female patients, especially contact sports, and a less aggressive playing style 27 . Although the number of injuries was relatively low, equestrian sports nevertheless caused the most fractures in this study, as also reported by several previous studies 28–30 …”

Section: Discussionsupporting

confidence: 89%

“…27 Although the number of injuries was relatively low, equestrian sports nevertheless caused the most fractures in this study, as also reported by several previous studies. [28][29][30] Surprisingly, ORIF was performed in less than 40% of the female patients with maxillofacial fractures. These results may reflect a preference to treat nasal bone fractures and mandibular condylar fractures conservatively in adults and children, and the higher risk of surgical complications in the elderly.…”

Section: Discussionmentioning

confidence: 99%

A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world

Romeo

Sobrero

Roccia

et al. 2022

Dental Traumatology

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Background/Aims Approximately 20% of patients with maxillofacial trauma are women, but few articles have analysed this. The aim of this multicentric, prospective, epidemiological study was to analyse the characteristics of maxillofacial fractures in the female population managed in 14 maxillofacial surgery departments on five continents over a 1‐year period. Methods The following data were collected: age (0–18, 19–64, or ≥65 years), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment, and length of hospitalization. Results Between 30 September 2019 and 4 October 2020, 562 of 2387 patients hospitalized with maxillofacial trauma were females (24%; M: F ratio, 3.2:1) aged between 1 and 96 years (median age, 37 years). Most fractures occurred in patients aged 20–39 years. The main causes were falls (43% [median age, 60.5 years]), which were more common in Australian, European and American units (p < .001). They were followed by road traffic accidents (35% [median age, 29.5 years]). Assaults (15% [median age, 31.5 years]) were statistically associated with alcohol and/or drug abuse (p < .001). Of all patients, 39% underwent open reduction and internal fixation, 36% did not receive surgical treatment, and 25% underwent closed reduction. Conclusion Falls were the main cause of maxillofacial injury in the female population in countries with ageing populations, while road traffic accidents were the main cause in African and some Asian centres, especially in patients ≤65 years. Assaults remain a significant cause of trauma, primarily in patients aged 19–64 years, and they are related to alcohol use.

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Operative management of equine-related maxillofacial trauma presenting to a Melbourne level-one trauma centre over a six-year period

Cited by 7 publications

References 13 publications

Comprehensive analyses of maxillofacial fractures due to non‐professional sports activities in Italy

Comprehensive analyses of maxillofacial fractures due to non‐professional sports activities in Italy

The risk of craniofacial traumas while working with animals

A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world

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