Psychological Consequences of Maxillofacial Trauma in the Indian Population: A Preliminary Study

Krishnan, Balasubramanian; Rajkumar, Ravi Philip

doi:10.1055/s-0037-1604426

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…27,28 In the present study, a significant number of patients with MFI were depressed compared with the N-MFI group. These results were similar to the results of some studies 29,30 but inconsistent with the results of other studies. 31 Previously psychological studies of multiple trauma cases after MVA reported irritability, pessimism, negative attitudes, and depression.…”

Section: Discussionsupporting

confidence: 53%

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

Hosseini

Shalmaei

Mohtasham-Amiri

et al. 2022

Dental Traumatology

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Annually, a significant number of people suffer maxillofacial injuries (MFI), 1-3 which include dental injuries. [4][5][6] Studies in different countries have reported that the prevalence of MFI has been in the range of 6%-30%. However, in most of these studies, a high prevalence of this type of injury has been reported. 3 In Iran, the rate of MFI following motor vehicle accidents (MVA) was significantly high, and it shows that despite better enforcement of traffic laws, better roads and vehicles, the pattern of this type of injury has not changed and a review of prevention protocols is needed. 7 The difficulty of treatment and the high cost of treatment of these cases is another issue. 2 The annual cost of treating these injuries is $US 2-5 million per million cases. 8 The functional, psychological, and social effects of MFI on the patient have been reported. 9 These injured people suffer from longterm and serious health problems due to the pain and the need for various plastic surgerical procedures in order to maintain their appearance and physical recovery. 5,10 Elderly people with facial trauma experience significant emotional, social, and functional disorders. 11 High simultaneous occurrence of concussion with a maxillofacial injury causes more severe consequences and increased length

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Section: Discussionsupporting

confidence: 53%

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

Hosseini

Shalmaei

Mohtasham-Amiri

et al. 2022

Dental Traumatology

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“…Further, facial nerves and muscles responsible for central conduction, sensations, expressions, and eye movements are positioned near the facial bones ( Plaisier et al, 2000 ). Therefore, fracture of face bones can result in death or inconvertible sequelae such as intracranial injury and severe psychosocial disorders ( Choi, Lorenz & Spain, 2020 ; Clavijo-Alvarez et al, 2012 ; Krishnan & Rajkumar, 2018 ). Face fracture sites are multiple including frontal bone, nasal bone, zygomatic bone, maxilla and mandible, among which mandibular fracture was reported to account for the most common anatomic sites ( Lee, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Trends in the incidence, prevalence and years lived with disability of facial fracture at global, regional and national levels from 1990 to 2017

Min

Wang

et al. 2021

PeerJ

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Background Facial fracture is one of the most common injuries globally. Some types of facial fractures may cause irreversible damage and can be life-threatening. This study aimed to investigate the health burden of facial fractures at the global, regional, and national levels from 1990 to 2017. Methods Facial fracture data, including the incidence, prevalence, and years lived with disability (YLDs) from 1990 to 2017, were obtained from the Global Burden of Disease study. We calculated the estimated annual percentage changes (EAPCs) to assess the changes of facial fractures in 195 countries or territories and 21 regions. Results From 1990 to 2017, the change in cases of facial fracture incidence was 39% globally, while the age-standardized incidence rate showed a downtrend with an EAPC of 0.00. Syria experienced a ten-fold increase in incidence cases with an EAPC of 9.2, and this condition is largely responsible for the global health burden of facial fractures. The prevalence and YLDs showed a similar trend worldwide as the incidence. Additionally, we found that the incidence, prevalence, and YLDs showed a discrepancy among various age groups with a gradual change of proportion over the past 28 years. The age-standardized rates (ASRs) of facial fractures were nearly twice for male than those for female from 1990 to 2017. Conclusions EAPC showed a correlation with the ASRs of facial fractures and had no relationship with socio-demographic index. The proportion of children and elderly suffering from facial fractures slightly changed with time. The ratio of facial fractures between males and females was 2:1. These findings suggest that more targeted and specific strategies based on age and gender should be established in various countries and regions.

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“…The present survey of the opinions of OMFS is in agreement with the above studies. The variability in prevalence among societies has been attributed to the availability of post trauma social support, previous mental health illness, presence of post-operative pain or discomfort and substance abuse 22 . Interestingly, 14.8% of surgeons in this study reported not to have encountered a facial trauma patient with psychological disorder.…”

Section: Discussionmentioning

confidence: 99%

A national survey of oral maxillofacial surgeons’ and trainees’ awareness and practice regarding psychological problems associated with facial trauma

Ogundipe¹,

Akomolafe²,

Adejobi³

et al. 2022

Afr H. Sci.

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Background: The psychological problems associated with facial trauma may sometimes pose additional health concerns for the injured patient. Understanding the gaps in the Oral and Maxillofacial surgeons’ (OMFS) awareness of patient in need of specialist mental health intervention is important in ensuring holistic care for the trauma patient. Objectives: To determine the knowledge, practices and self-assessed level of competence of Nigerian Oral maxillofacial surgeons/trainees regarding psychological problems associated with facial trauma and to determine their perceived need for training in assessment of psychological consequences following facial trauma. Methods: A cross-sectional study was conducted in which a web-based structured questionnaire was sent to Oral and maxillofacial surgeons and trainees. Results: Majority of respondents (85.2%) had encountered psychological problems in patients who have sustained facial trauma. Half (50.6%) of OMFS / trainees had high level of knowledge regarding psychological problems associated with facial trauma; depression, anxiety, post-traumatic stress disorder, body image disorder and acute stress syndrome were the five most common trauma related psychological problems mentioned. More respondents reported low level of competence in conducting mental state examination when compared to other skill sets. In-unit counselling was reported as the method of intervention by majority (69.1 %), followed by referral to the mental health specialists (17.3%). More than one third (40.7%) of OMFS were extremely interested in undergoing additional training in the psychological assessment of patients who have sustained facial trauma. Conclusion: Nigerian Oral and maxillofacial surgeons frequently encounter psychological problems in patients with traumatic facial injuries. Notwithstanding their perceived self-assessed low level of competence in psychological assessment of trauma patients, objective assessment revealed a relatively high level of knowledge of psychological problems that can affect the facial trauma patient with many indicating a high perceived need for additional training in the psychological assessment of facial trauma patient. There is a need for incorporating psychological assessment into the management to ensure holistic care of trauma patients. Keywords: Maxillofacial trauma; psychological problems; Nigeria.

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Psychological Consequences of Maxillofacial Trauma in the Indian Population: A Preliminary Study

Cited by 9 publications

References 26 publications

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

Trends in the incidence, prevalence and years lived with disability of facial fracture at global, regional and national levels from 1990 to 2017

A national survey of oral maxillofacial surgeons’ and trainees’ awareness and practice regarding psychological problems associated with facial trauma

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