Review of 793 Facial Fractures Treated from 2001 to 2008 in A Coruña University Hospital: Types and Etiology

Abstract

The purpose of this article is to analyze the incidence, demographic distribution, type, and etiology of all facial fractures treated by the Department of Oral and Maxillofacial Surgery in A Coruña University Hospital (Spain) from 2001 to 2008. A descriptive and analytic retrospective study evaluated 643 patients treated for facial fracture (excluding nasal and dento-alveolar) by the Department of Oral and Maxillofacial Surgery in A Coruña University Hospital from January 2001 to December 2008. Five parameters were studied: year of the injury, gender, age, fracture type, and etiology. Six hundred and fortythree patients with 793 fractures were included. Of these, 83.2% were males and 16.8% were females. The patients' age ranged between 18 months and 89 years, with a mean of 37.6 and a median of 33. The major cause of injury was traffic accidents (27%), followed by assaults (20.5%), accidental traumas (20.1%), sports (11%), syncopes (7.8%), rural accidents (6.1%), industrial accidents (5.1%), and suicide attempts (0.3%). In 1.1% of the patients, it was impossible to verify the etiology. The etiology of facial fractures varies from one country to another, depending on the cultural, environmental, and socioeconomic factors. In our study, the most common cause was traffic accidents, closely followed by assaults. The number of fractures due to traffic accidents has decreased in the last 3 years. Rural accidents accounted for a significantly higher percentage of fractures than that observed in other series. The number of fractures receiving a surgical treatment from 2005 to 2008 has progressively decreased.KEYWORDS: Fracture, facial, trauma, maxillofacialThe etiology of facial fractures has been the subject of numerous studies. The etiology of this group of fractures has changed over the years and it is related to several factors such as gender, age, geographic region, and socioeconomic status. This makes both the incidence and the etiology different between countries, and even within the same country. The aim of this study is to assess the incidence, epidemiology, type, and cause of all

Retrospective clinical study of mandible fractures

“…The symphysis and angle were the most common sites of multiple fractures followed by the symphysis and condyle. This finding was similar to other research studies6,7,13. Based on reports from other studies, the mandible angle fracture was the most frequent in cases of single fractures13, especially with assault-related fractures, and the symphysis and angle fractures were most common in multiple fractures5.…”

“…Other research reports showed similar results7. Assaults were the second most common factor while car accidents showed a relatively lower ratio with 74 patients (10.1%).…”

“…Assaults were the second most common factor while car accidents showed a relatively lower ratio with 74 patients (10.1%). However, other studies have reported that car accidents were the most common etiologic factor in mandible fractures, therefore, regional characteristics could have affected the differences in these results1-5,7-9. This study was based at a hospital located near a residential area with a densely-concentrated population, in addition to close proximity to universities with a number of social restaurants and bars and the traffic system and conditions may have impacted the results.…”

An analysis of 45 patients with pure nasal fractures

“…[ [15][16][17] Our series included six female (8.7:1.3) patients. This high vulnerability of men to most types of trauma may be associated with the fact that in our society men have more freedom in outdoor activities and are more involved in high-risk jobs, thus being more vulnerable to accidents.…”

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

“…Studies show that traffic collisions are among the leading causes of maxillofacial trauma [5,[7][8][9][10][11][12][13][14]17,18,20]. Notable subtypes of this type of trauma are incidents involving bicycles or motorcycles, which are represented at a significant percentage as etiological agents.…”