World Oral and Maxillofacial Trauma (WORMAT) project: A multicenter prospective analysis of epidemiology and patterns of maxillofacial trauma around the world.

Roccia, Fabio; Iocca, Oreste; Sobrero, Federica; Rae, Euan; Laverick, Sean; Carlaw, Kirsten; Aquilina, Peter; Bojino, Alessandro; Romeo, Irene; Duran‐Valles, Francesc; Bescós, Coro; Segura, Ignasi Parelles; Ramieri, Guglielmo; Ganasouli, Dimitra; Zanakis, Stylianos N.; Gorla, Luis Fernando de Oliveira; Pereira-Filho, Valfrido Antônio; Goetzinger, Maximilian; Bottini, Gian Battista; Gallafassi, Daniel; Faverani, Leonardo Pérez; Alalawy, Haider; Kamel, Mohammed; Samieirad, Sahand; Jaisani, Mehul Raiesh; Rahman, Sajjad Abdur; Rahman, Tabishur; Aladelusi, Timothy; Hassanein, Ahmed Gaber

doi:10.1016/j.jormas.2022.05.004

Cited by 21 publications

(52 citation statements)

References 60 publications

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“…Many factors lead to road traffic accidents, including road conditions, enforcement of speed limits, vehicle conditions, and driving under the influence of drugs or alcohol. 11,16 In the event of such accidents, helmets and seat belts specifically protect the face. A multi-country prospective study of facial fractures found that 76.9% of facial fractures from motorcycle accidents were in patients not wearing a helmet with similar findings for patients in MVA’s without seatbelts (76.8%).…”

Section: Discussionmentioning

confidence: 99%

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Sanders

Rhodes

Boscia

et al. 2023

The American Surgeon™

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Background The incidence and causes of facial fractures differ between patients, but patterns arise within populations. These patterns vary by gender, age, and between countries. This study aims to determine variables to identify patients at risk for facial fractures in a United States trauma population. Methods This is a single-center study of Trauma Registry data, inclusive of years July 1, 2016, to January 31, 2022. Inclusion criteria were based upon all trauma patients. Confirmation of a non-isolated facial fracture (dependent variable) was verified using ICD10 diagnosis codes. A logistic regression was performed in SPSS to ascertain the effects of predictor variables on the likelihood that a trauma patient will experience a facial fracture. Results 20377 patients were included in the analysis based upon the requirements specified in the methods section; 1575 (7%) had a positive facial fracture. The logistic regression model was statistically significant (N = 18507, P < .01). Significant risk factors for facial fracture identified included helicopter transport (OR = 1.35, P < .01) and increasing injury severity scores (OR = 1.07, P < .01). Modes of injury most likely to predict facial fracture included assault (OR = 6.62, P < .01), moped (OR = 2.02, P < .01), and motorcycle trauma (OR = 1.55, P < .01). The discharge disposition most likely among facial fracture patients included short-term general hospital (OR = 1.71, P < .01) and intermediate care facility (OR = 4.47, P < .01). Conclusions Patients with traumatic injuries from assault, moped, and motorcycle accidents were more likely to present with facial fractures. These patients had more severe injuries, seen as increased ISS scores, higher likelihood of transport by helicopter, and the need for additional care after discharge.

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Section: Discussionmentioning

confidence: 99%

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Sanders

Rhodes

Boscia

et al. 2023

The American Surgeon™

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“…The increases in fall‐ and assault‐related injuries, which most frequently affect the middle third of the face, 29,31,37,44 and the reduction in those from RTAs, which may result in fractures in the lower third, particularly among cyclists and motorcyclists, 11,39,40,44 may explain the significant increase in middle third facial fractures and the reduction in lower third fractures in the second period.…”

Section: Discussionmentioning

confidence: 99%

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Gugliotta,

Roccia,

Sobrero

et al. 2023

Dental Traumatology

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BackgroundThis retrospective study analysed the epidemiology of maxillofacial trauma over 22 years to assess whether there have been significant changes in the causes and characteristics of fractures in paediatric, adult and elderly populations.Materials and MethodsThe following data were collected: age, sex, injury cause and mechanism, fracture site, Facial Injury Severity Scale, associated injuries, time of injury, type of treatment and length of hospital stay. The patients were analysed by age group (children [≤16 years], adults [17–60 years] and elderly [>60 years]) and divided into two time groups (group 1: 2001–2011; group 2: 2012–2022) that were compared to each other. Statistical analyses were performed using SPSS software.ResultsBetween 01 January 2001 and 31 December 2022, 3535 patients (2690 males and 845 females, mean age 39.3 years) were admitted for facial fractures. The comparison of the two temporal periods showed a decrease in the prevalence of males (p = .02), in road traffic injuries (p < .001), and in fractures of the lower third of the face (p = .005); there were significant increases in the mean age (p < .001), prevalence of the elderly (p = .006) and in fall‐ and assault‐related injuries (p < .001 and p = .03, respectively). Assault injuries increased only in the 17–60 age group (p = .02) while RTA‐related fractures decreased in all age groups (p < .05 for all comparisons). Bicycle accidents increased significantly, with a parallel decrease in motor vehicle accidents (both p < .001). Fall‐related fractures increased only in 17–60 and >60 age groups (p < .001 and p = .02, respectively).ConclusionsThis study shows significant changing trends in the epidemiology of maxillofacial trauma. While road traffic policies have been effective in the last years, preventive measures for falls in the elderly population and new legislative measures to prevent interpersonal violence should be advocated.

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“…Mandibular fractures are common maxillofacial injuries that represent a significant socioeconomic and healthcare burden. 1,2 Although therapeutic strategies have evolved over time, the treatment goal in these injuries remains the restoration of pre-trauma anatomy and occlusion through stabilisation of bone fragments, while minimising perioperative complications. 3 Open reduction and internal fixation (ORIF) using titanium plates and screws, usually preceded by intraoperative maxillo-mandibular fixation (MMF), is the current gold standard for treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Mandibular fractures are common maxillofacial injuries that represent a significant socioeconomic and healthcare burden 1,2 …”

Section: Introductionmentioning

confidence: 99%

Manual versus rigid intraoperative maxillo‐mandibular fixation in the surgical management of mandibular fractures: A European prospective analysis

Sobrero

Roccia

Vilaplana

et al. 2023

Dental Traumatology

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PurposeIntraoperative stabilisation of bony fragments with maxillo‐mandibular fixation (MMF) is an essential step in the surgical treatment of mandibular fractures that are treated with open reduction and internal fixation (ORIF). The MMF can be performed with or without wire‐based methods, rigid or manual MMF, respectively. The aim of this study was to compare the use of manual versus rigid MMF, in terms of occlusal outcomes and infective complications.Materials and MethodsThis multi‐centric prospective study involved 12 European maxillofacial centres and included adult patients (age ≥16 years) with mandibular fractures treated with ORIF. The following data were collected: age, gender, pre‐trauma dental status (dentate or partially dentate), cause of injury, fracture site, associated facial fractures, surgical approach, modality of intraoperative MMF (manual or rigid), outcome (minor/major malocclusions and infective complications) and revision surgeries. The main outcome was malocclusion at 6 weeks after surgery.ResultsBetween May 1, 2021 and April 30, 2022, 319 patients—257 males and 62 females (median age, 28 years)—with mandibular fractures (185 single, 116 double and 18 triple fractures) were hospitalised and treated with ORIF. Intraoperative MMF was performed manually on 112 (35%) patients and with rigid MMF on 207 (65%) patients. The study variables did not differ significantly between the two groups, except for age. Minor occlusion disturbances were observed in 4 (3.6%) patients in the manual MMF group and in 10 (4.8%) patients in the rigid MMF group (p > .05). In the rigid MMF group, only one case of major malocclusion required a revision surgery. Infective complications involved 3.6% and 5.8% of patients in the manual and rigid MMF group, respectively (p > .05).ConclusionIntraoperative MMF was performed manually in nearly one third of the patients, with wide variability among the centres and no difference observed in terms of number, site and displacement of fractures. No significant difference was found in terms of postoperative malocclusion among patients treated with manual or rigid MMF. This suggests that both techniques were equally effective in providing intraoperative MMF.

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World Oral and Maxillofacial Trauma (WORMAT) project: A multicenter prospective analysis of epidemiology and patterns of maxillofacial trauma around the world.

Cited by 21 publications

References 60 publications

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: A 22‐year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy

Manual versus rigid intraoperative maxillo‐mandibular fixation in the surgical management of mandibular fractures: A European prospective analysis

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