The pattern of the maxillofacial fractures – A multicentre retrospective study

Shankar, Ashwini Naveen; Shankar, Vemanna Naveen; Hegde, Nidhi; Sharma, Vishal; Prasad, Rajendra

doi:10.1016/j.jcms.2011.11.004

Cited by 110 publications

(83 citation statements)

References 28 publications

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“…The most common fracture was tripod or zygomaticomaxillary complex fractures (68%), so called because it involves separation of all three major attachments of the zygoma to the rest of the face, followed by fractures of the orbital floor (17%) and the zygomatic arch (15%), as reported previously (20,21). …”

Section: Discussionsupporting

confidence: 51%

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Dang¹,

Barthélémy²,

Orliaguet³

et al. 2014

Med Oral

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Purpose: This study evaluated the trends and factors associated with maxillofacial fractures treated from 1997 to 2007 in the Oral and Maxillofacial Surgery Department of the Clermont-Ferrand University Hospital. Material and Methods: This study included 364 patients of which 82% were men and 45%, 20-29-years old. The etiology, anatomical distribution, treatment modality and complications of maxillofacial fractures were examined. Results: Overall, interpersonal violence, traffic accidents and falls were the most common mechanisms of injury. There was a decreasing trend in traffic accidents and increasing one in falls as a cause of fracture over the 11-years period of this study. Young male patients were preferentially victim of interpersonal violence and traffic accidents, while middle-aged ones were of falls and work-related accidents. Middle-aged female patients were preferentially victim of traffic accidents and interpersonal violence, while older ones were of falls. And the number of fractures per patient varied according to the mechanism of injury: low after work-related accidents and high after traffic accidents. About two-third of fractures involved the mandible. Most of these mandibular fractures were treated by osteosynthesis with or without intermaxillary fixation, with the proportion of the latter increasing over time. There were very few postoperative infections and only in mandible. Conclusions: Maxillofacial fractures predominantly occur in young men, due to interpersonal violence. There is nevertheless an increasing trend in falls as a cause of fracture, especially in female patients, consistent with the increasing trend in presentation of older people. Most maxillofacial fractures involve the mandible and there is an increasing trend in treating these fractures by osteosynthesis without intermaxillary fixation. Antibiotic prophylaxis associated with dental hygiene care can be indicated to prevent postoperative infections. Key words:Maxillofacial fractures, Epidemiology, Trends, Influencing factors, Fall, Age, Gender, Antibiotic prophylaxis.

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Section: Discussionsupporting

confidence: 51%

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Dang¹,

Barthélémy²,

Orliaguet³

et al. 2014

Med Oral

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show abstract

“…[133033] In the present study, most commonly affected age group was between 20 and 40 years, whereas studies from other states of India such as Gujarat[2] Karnataka,[1516] Haryana,[17] and Delhi[19] mentioned the age group between 21 and 30 years. International studies show the second to fourth decades life more commonly involved.…”

Section: Discussionmentioning

confidence: 52%

“…[2121314151617] Male predominance depends on the culture and socioeconomic status of that country. Studies from developed countries have lower ratio near about 2.1:1.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Maxillofacial injuries can occur as an isolated injury or may be associated with multiple injuries to the head, chest, abdominal, spinal, and extremities,[34] along with psychological trauma. [567] There are many reports about pattern of facial fractures in the literature from different countries[8] such as England,[9] Finland,[10] Italy,[11] India,[21213141516171819] Japan,[2021] Nigeria,[22] New Zealand,[23] Poland,[24] Pakistan,[25] Bulgaria,[26] and the United States. [27] Maxillofacial injuries vary between and within countries and depend on socioeconomic status, traffic standards, and topography of that area.…”

Section: Introductionmentioning

confidence: 99%

“…[2] In Europe, assault and fall were the main causes of facial fractures,[28] while in Asia and Africa, still road accidents are the main cause. [12132021222529] Indian studies from various states show road traffic accident being the leading cause,[212131415161718] except a study from New Delhi showed the assault. [19] Due to different Terrain in Himalayan region, maxillofacial injuries are predominately due to road traffic accident (mainly vehicle fall from hill not collision).…”

Section: Introductionmentioning

confidence: 99%

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Trends of maxillofacial fractures in the Garhwal Himalayas at Government Medical College, Srinagar, Uttarakhand

Shah¹,

Nautiyal

Gupta³

et al. 2016

Natl J Maxillofac Surg

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Context:Evaluation of Maxillofacial fractures in hilly region of Garhwal Himalyas and its relation with age, gender, anatomical location, seasonal variation and treatment provided.Aims:The aim of the present study is to analyze the pattern of maxillofacial fractures in the Garhwal Himalayan region of India and to compare the results with similar studies in India and the rest of the world.Settings and Design:This was a prospective study conducted on 102 patients with 128 facial fractures.Materials and Methods:This study was conducted on 102 patients who were admitted for the treatment of maxillofacial fractures in the Department of Dentistry at Government Medical College, Srinagar, Uttarakhand, India.Statistical Analysis Used:All analyses were performed using Chi-square test and level of significance.Results:Peak incidence was noted in the second to fourth decades of life. Male: female ratio was 4:1. Road traffic accident was the main etiology (42.2%), followed by fall (37.2%) and assault (11.8%). Among other etiology of injury, distinguishing feature was bear bite, which was only seen in winters causing 5.9% of total injury. Fall was reported high in females whereas road traffic accident in males. Mandible was fractured in 73.5% of patients while mid-face in 26.5% of patients. Open reduction with internal fixation was the choice of treatment in 60.8% of cases. Nearly 79.4% of patients were treated under local anesthesia. The mean duration of hospitalization was (standard deviation 5.2 days) 5.3 days.Conclusions:Road traffic accidents still remain the main cause of maxillofacial fractures in developing countries such as India. In hilly area, road traffic accident can be minimized by better wide roads with guide walls/parapet, strict law enforcement for overspeed, overload, and to use seat belts while driving, and use of helmet while riding two-wheeler. Open reduction internal fixation remains the first choice of treatment in facial fractures due to early return of function with minimal morbidity and better nutritional status in patients compared to closed reduction.

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Head and neck injury in major trauma in Ireland: a multicentre retrospective analysis of patterns and surgical workload

2020

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The pattern of the maxillofacial fractures – A multicentre retrospective study

Cited by 110 publications

References 28 publications

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Trends of maxillofacial fractures in the Garhwal Himalayas at Government Medical College, Srinagar, Uttarakhand

Head and neck injury in major trauma in Ireland: a multicentre retrospective analysis of patterns and surgical workload

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