Trends in the characteristics of maxillofacial fractures in Nigeria

Ao, Fasola; Nyako, Ebenezer A; Ae, Obiechina; Arotiba, JT

doi:10.1016/s0278-2391(03)00671-2

Cited by 131 publications

(188 citation statements)

References 12 publications

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“…Our finding correlates with the findings of other studies [1,2,4,5,12,15,22,24,25,27,28,30,31] in respect to RTAs being the main etiological factor for maxillofacial fractures. This could be due to the fact that there is lack of individual sensitization about importance of safety devices of the vehicle, lack of adherence to safety rules and regulation, (most of the vehicles do not have all the safety devices), lack of clear road traffic signal, congestion on the road due to lack of separate pathways for pedestrians, large numbers of overloaded buses and poorly maintained two wheelers.…”

Section: Discussionsupporting

confidence: 92%

“…The vehicle most commonly involved in RTA in our study was the two wheeler as also reported in other studies [2,3,27,28]. People using two wheelers for travelling are more prone to RTA than four wheeler users as two wheelers are relatively less stable and provide lesser protection to the riders, The most commonly involved mechanism of injury in current study was skid, followed by rear impact crashes.…”

Section: Two Wheeler As Most Common Vehiclesupporting

confidence: 78%

“…Although being the heaviest and strongest facial bone, the mandible is more susceptible to fracture because it is the only movable facial bone and it has anatomical peculiarity in form and location. Various studies have also shown the mandible to be the most affected bone [1,2,7,12,15,19,22,24,26,28,33,42]. But other studies accounted zygoma to be the maximally involved bone [29,43].…”

Section: Mandible As Commonest Bone Involvedmentioning

confidence: 99%

“…There are various reports on the incidence of maxillofacial fractures in different countries. It has been observed that in developing countries [1][2][3][4][5][6][7] facial fractures related to road traffic accident (RTA) account maximum incidence while in developed countries, most frequent mode is assault [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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Aim The present study was planned to investigate the etiology of maxillofacial injuries and to analyze the pattern of maxillofacial factures as well as the various factors influencing their distribution. Study design A one year cross-sectional study was done and 1,108 patients with maxillofacial fractures were analyzed consecutively from April 2010 to March 2011 who reported to the department of Oral and Maxillofacial Surgery in the Centre for Dental Education & Research and Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi. A performa was designed to collect the data that included age and sex distribution, etiology, influence of alcohol, type of fractures, use of restraints devices, associated injuries and treatment delivered. Results Out of 1,108 patients, 89.62 % were males with a male:female ratio of 8.63:1. The 21-30 year age group was found to be maximum (39.98 %). Road traffic accidents accounted for 49.01 %, followed by assault (22.38 %) and fall from height (21.66 %). Two wheelers were the most commonly involved vehicle. Out of 437 road traffic accident patients (excluding pedestrian, n = 106), only 52.40 % were found to be using restraints devices at the time of accident. Totally 25.45 % patients were under the influence of alcohol at the time of injury. According to anatomical distribution of fractures, mandibular fractures (33.57 %) were most prevalent, followed by maxilla (31.13 %), nasal (28.33 %) and zygoma (24.36 %). Head injuries (18.32 %) were found to be the most common associated injuries followed by lower limb fractures. Conclusion The motive behind executing this article is to analyze the various trends of facial fractures and all those factors that affect their distribution. A perfect understanding of pattern of maxillofacial fracture will assist the executors of health care in the treatment planning and management of facial injuries. Knowledge gained from the present study would influence in assessing the effectiveness of existing preventive measures and elaboration of future preventive measures and conducting new research.

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Section: Discussionsupporting

confidence: 92%

Section: Two Wheeler As Most Common Vehiclesupporting

confidence: 78%

Section: Mandible As Commonest Bone Involvedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Study of the Pattern of Maxillofacial Fractures Seen at a Tertiary Care Hospital in North India

Pandey

Roychoudhury

Bhutia

et al. 2013

J. Maxillofac. Oral Surg.

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“…1). Epidemiology of facial fractures varies with era and geographic, socioeconomic, and cultural factors [3][4][5][6]. Classically, interpersonal violence is reported as their leading cause in the industrialized world [4,6] while road traffic accidents are predominant in developing countries [3,7].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of facial fractures: an analysis of 349 patients

Béogo¹,

Dakouré²,

Coulibaly³

et al. 2014

Med Buccale Chir Buccale

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-Introduction: Facial fractures epidemiology varies with geographic region. Patients and methods:This study reports the frequency, demographic characteristics and aetiologies of facial fractures in a 5-year retrospective survey, in Burkina Faso. Results: In 349 patients, the fracture involved the mandible (44.5%), the zygomatic complex (38.9%), the maxilla (13.8%) or the naso-fronto-orbito-ethmoidal complex (2.8%). The peak of frequency (58.2%) was recorded between 20 and 39 years and the male to female ratio was 7.1:1. The aetiologies of the fractures were road traffic crashes (80.5%), assaults (9.7%), falls (8.3%), and sport accidents (1.5%). In 80% of the road traffic accidents, a two-wheeled vehicle was involved and 75.9% of falls were from a tree height. There was a significant association between multiple facial fractures and road traffic accidents. Discussion: Epidemiology of facial fractures in this study is similar to that generally reported in developing countries. Frequency of falls from trees height constitutes however a particularity. These findings illustrate the necessity of enforcement of road traffic security, as well as a development of program of prevention of falls from trees, in Burkina Faso.Résumé -Épidémiologie des fractures faciales : l'analyse de 349 patients. Introduction : L'épidémiologie des fractures a une variation géographique. Patients et méthodes : Une étude rétrospective sur 5 ans rapporte la fré-quence, les caractéristiques démographiques et les étiologies des fractures faciales au Burkina Faso. Résultats : Chez 349 patients, la fracture intéressait la mandibule (44,5 %), le complexe zygomatique (38,9 %), le maxillaire (13,8 %) ou le complexe ethmoido-naso-fronto-orbitaire (2,8 %). Le pic de fréquence (58,2 %) était observé entre 20 et 39 ans et le rapport homme/femme était de 7.1:1. Les étiologies des fractures étaient les accidents de la circulation routière (80,5 %), les agressions (9,7 %), les chutes (8,3 %) et les accidents de sport (1,5 %). Dans 80 % des accidents de trafic, un véhicule à 2 roues était impliqué et 75,9 % des accidents par chute étaient des chutes du haut d'un arbre. Les fractures faciales multiples étaient significativement associées aux accidents de la route. Discussion : L'épidémiologie des fractures faciales dans cette étude est similaire à celle généralement rapportée dans les pays en développement. La fréquence des accidents par chute du haut d'un arbre constitue cependant une particularité. Ces résultats illustrent la nécessité d'un renforcement de la sécurité routière ainsi que d'un déve-loppement de programmes de prévention des accidents par chute du haut d'un arbres, au Burkina Faso.

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