Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977–1987)

Telfer, M.R.; Jones, G. Melvill; Shepherd, Jonathan

doi:10.1016/0266-4356(91)90192-8

Cited by 153 publications

(112 citation statements)

References 22 publications

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“…There seems to be a trend toward assault as the most frequent cause of facial fractures in certain urban trauma centers, with facial fractures caused by motor vehicle accidents (MVA) occurring less often, as observed by some authors 4,6,8,24,26 . In the present study, automobile and motorcycle/bicycle accidents were considered two distinct items, but if motor vehicle accidents (MVA) were considered (excluding only bicycle accidents), as in other studies 4,12,18,25,28 , they would represent 25.68% of all causes of facial fractures, becoming the principal etiology. Despite the increased use and design of protective devices for motor vehicle occupants, MVA is still the leading cause of injury.…”

Section: Discussionmentioning

confidence: 99%

“…Continuous long-term collection of data regarding the epidemiology of maxillofacial fractures is important because it provides necessary information for the development and evaluation of preventive measures for reducing the incidence of facial injuries, such as the introduction of the seat belt legislation 12,28 . The nature of a retrospective study inherently results in flaws.…”

Section: Discussionmentioning

confidence: 99%

“…Ajagbe et al 2 (1977) states that MVA occur largely because of recklessness and negligence of the driver, poor maintenance of vehicles, often driving under the influence of alcohol or drugs and complete disregard of traffic laws. Because of legislative changes and preventive measures involving seat belt and airbag use, as well as the reduction of drinking and driving, MVA-related facial injuries have decreased in some developed countries, and interpersonal violence has emerged as the predominant cause of facial trauma, with alcohol and unemployment as contributing factors 5,16,18,28 . Hogg et al 18 (2000) demonstrated that occupants of vehicles who are not wearing seat belts are injured in crashes at a rate more than five times higher than that of occupants wearing a seat belt.…”

Section: Discussionmentioning

confidence: 99%

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Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Chrcanovic¹,

Freire-Maia

Souza

et al. 2004

Braz. oral res.

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A retrospective study was performed to assess facial fractures in patients treated at a public hospital in Belo Horizonte, in 2000. The data collected included age, gender, etiology, distribution of maxillofacial trauma considering day of the week and month, anatomic site of the fracture, and treatment. The analyses involved descriptive statistics and chi-squared test, Bonferroni test and analysis of variance. A total of 1,326 facial fractures were found in 911 patients. Most fractures occurred in adults with age ranging from 21 to 30 years. Men were more affected than women, with a male-female ratio of 4.69:1. Accidents causing facial fractures occurred predominantly on weekends. Bicycle and motorcycle accidents were the major cause of trauma, followed by interpersonal violence, automobile accidents, and falls. When the relation between the gender and the etiology of facial fractures was analyzed, a significant relation was noted between these variables (p < 0.001). There was also a relation between the patients' age and the site of the fractures (p = 0.0014). The mandible was found to be the most commonly fractured bone in the facial skeleton, followed by the zygomatic complex and the nose. A non-surgical approach was chosen in most cases. There were significant differences between the kind of treatment applied and the site of the fracture (p < 0.001). DESCRIPTORS: Maxillary fractures; Mandibular fractures; Facial injuries; Epidemiologic studies. RESUMO:Um estudo retrospectivo foi realizado para avaliar fraturas faciais em pacientes atendidos no ano de 2000 em um hospital público de Belo Horizonte. As informações coletadas incluíam idade, sexo, etiologia, distribuição do trauma de acordo com o dia da semana e o mês, o local anatômico da fratura e o tratamento. As análises envolveram estatísticas descritivas, teste qui-quadrado, teste Bonferroni e análise de variância. Foram encontradas 1.326 fraturas de face em 911 pacientes. A maioria das fraturas ocorreu em adultos na faixa etária de 21 a 30 anos. Os homens foram mais acometidos do que as mulheres, numa proporção homem:mulher de 4,69:1. Os traumas causadores de fraturas faciais ocorreram predominantemente nos fins de semana. Os acidentes de moto e bicicleta foram a maior causa de trauma, seguidos por violência interpessoal, acidentes automobilísticos e quedas. Quando analisada a relação entre o gênero e a etiologia das fraturas de face, observou-se uma associação estatisticamente significativa entre essas variáveis (p < 0,001). Houve também uma associação entre a idade dos pacientes e a localização das fraturas (p = 0,0014). O osso facial mais fraturado foi a mandíbula, seguida por complexo zigomático e nariz. O tratamento conservador foi realizado na maioria dos casos. Houve diferenças estatisticamente significativas entre o tipo de tratamento instituído e a localização da fratura (p < 0,001).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Chrcanovic¹,

Freire-Maia

Souza

et al. 2004

Braz. oral res.

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“…12,20,23,[25][26][27][28][29] Soft tissue injuries were the most commonly occurring type of injury and mandibular fracture was the most frequent type of bony injury. That agree with other studies.…”

Section: Discussionmentioning

confidence: 99%

Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt

Abdelrahman¹,

Abdelmaaboud²,

Hamody³

2017

Int Surg J

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Background: panfacial fractures resembles a therapeutic challenge to maxillofacial surgeons This study was carried out to determine the etiology, injury characteristics and management outcome of pan facial fractures at Sohag university hospital.Methods: A retrospective hospital based study of panfacial fractures patients was carried out at Sohag university hospital from January 2010 to December 2016. Data was collected and analyzed using SPPS.Results: 200 Panfacial Trauma Patients were analysed. Males to females by a ratio of 24:1. Their ages ranged from 13 to 63 years with a mean of 30±12 years Most injuries were due to road traffic accidents (78%), and by falling from height in 12%. Mandibular fractures were the most common type of injuries. Open reduction and internal fixation by using plates and screws was the commonest surgical technique, used in 97.8% of cases. The most common complications were limited mouth opening, malocclusion. The mean duration of hospital stay was 11.13±2.23 days.Conclusions: Road traffic accident (RTC) was the most common cause of panfacial injuries in our locality and the young adult males were the most commonly affected victims. The majority of maxillofacial fractures were treated by open reduction and internal fixation.

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“…In the Republic of Ireland, during the five years These statistics are of public concern, not only because of the detrimental effects on health caused by binge drinking but also because there is a common perception that binge drinking is associated with interpersonal violence, especially among younger people. There is evidence to suggest that the consumption of alcohol by the victim is associated with injury (Telfer, Jones, & Shepherd, 1991), and that the 15-25 year age group has been shown to be the modal group for alcohol-related facial trauma, assaults and for facial injuries occurring in public bars or on the street (Hutchison, Magennis, Shepherd, & Brown, 1998). Binge drinking is associated with vulnerability to physical assault and so this pattern of drinking behaviour places adolescents in danger of long-term and short-term life-altering physical trauma (Magennis, Shepherd, Hutchison, & Brown, 1998).…”

mentioning

confidence: 99%

Explaining Binge Drinking among Adolescent Males using the Theory of Planned Behaviour

Dempster¹

2005

The Irish Journal of Psychology

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Binge drinking among adolescents in Northern Ireland is prevalent and has detrimental effects on public health. Health education interventions, based on valid explanatory models of health behaviour, are required to reduce binge drinking behaviour among adolescents. This paper examines the utility of the Theory of Planned Behaviour in explaining binge drinking behaviour among adolescent males.Using questionnaire responses from 94 adolescent boys attending secondary schools in the Belfast area, logistic regression modelling suggested that the Theory of Planned Behaviour explained 36% of the variance in self-reported binge drinking behaviour.Attitudes towards binge drinking were the strongest predictor of binge drinking behaviour. Tackling attitudes about binge drinking is a challenge to be considered when designing interventions to reduce binge drinking among this population. Dempster et al. 3 Binge drinking is associated with high levels of morbidity (Perreira & Sloan, 2002) and mortality (Kauhanen, Kaplan, Goldberg, & Salonen, 1997). Binge drinking is defined by different criteria but the amount of alcohol which can be consumed in one session and be considered non-binge drinking is up to half the recommended maximum weekly consumption (Bennett, Smith, & Nugent, 1990). For men, the recommended maximum weekly consumption is 21 units of alcohol per week, where one pint of beer/lager/cider equals 2 units and one measure of spirits equals 1.5 units (Health Promotion Agency Northern Ireland, 2001). Consequently, binge drinking for males (in this research) is defined as drinking more than 10 units of alcohol (for example, more than 5 pints of beer) in one session. These recommendations pertain to adults; the repercussions of drinking these amounts are potentially more severe among younger people.There is widespread public and governmental concern about the level of alcohol consumption among young people in Ireland. The Health Behaviour in School-Aged Children survey, conducted in the Republic of Ireland, revealed that 60% of adolescents in the 15-16 year age group are current drinkers (Centre for Health Promotion Studies, 1999) and one third of adolescents in this age group reported binge drinking three or more times in the previous month. In NorthernIreland, one recent study shows that 51% of 15-16 year old boys had been intoxicated with alcohol within the previous 30 days (Miller & Plant, 2001). The Health Promotion Agency Northern Ireland (2000) has also reported that over 80% of both boys and girls had tasted alcohol by the age of 13, and that 44% of boys and 40% of girls were regular drinkers by age 16. In the Republic of Ireland, during the five years These statistics are of public concern, not only because of the detrimental effects on health caused by binge drinking but also because there is a common perception that binge drinking is associated with interpersonal violence, especially among younger people. There is evidence to suggest that the consumption of alcohol by the victim is associated with in...

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Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977–1987)

Cited by 153 publications

References 22 publications

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt

Explaining Binge Drinking among Adolescent Males using the Theory of Planned Behaviour

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