Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update

Oral Maxillofac Surg. 2016 Dec;20(4):377-383. doi: 10.1007/s10006-016-0576-z. Epub 2016 Sep 23.

Abstract

Background: Maxillofacial fractures occur in a significant proportion worldwide and can occur as an isolated injury or in combination with other severe injuries including cranial, spinal, and upper and lower body injuries requiring prompt diagnosis with possible emergency interventions. The epidemiology of facial fractures varies with regard to injury type, severity, and cause and depends on the population studied. Hence, understanding of these factors can aid in establishing clinical and research priorities for effective treatment and prevention of these injuries.

Materials and methods: In this present retrospective study, we provide a comprehensive overview regarding cranio-maxillofacial trauma on 3611 patients to assist the clinician in assessment and management of this unique highly specialized area of traumatology. A preformed pro forma was used to analyze the medical records of patients treated for facial trauma in The Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Chennai. The distribution according to age, gender, etiology, type of injury, time interval between accident and treatment, loss of consciousness, facial bones involved, pattern of fracture lines, treatment offered, and postoperative complications were recorded and evaluated.

Results: We inferred male patients sustained more injuries mostly in the third decade of age. Road traffic accidents were the most common cause of injury. Mandible was the most commonly fractured bone in the facial skeleton. Soft tissue injuries occurred more in road traffic accidents and upper lip was the commonest site of injury.

Conclusion: Our study provides insights into the epidemiology of facial injuries and associated factors and can be useful not only in developing prevention strategies but also for grading the existing legal regulations and also for framing a more effective treatment protocol.

Keywords: Etiology; Maxillofacial trauma; Retrospective analysis.

MeSH terms

  • Accidents, Traffic
  • Adult
  • Facial Bones / injuries
  • Facial Bones / surgery
  • Female
  • Fracture Fixation, Internal
  • Humans
  • Incidence
  • Male
  • Mandibular Fractures / classification
  • Mandibular Fractures / diagnosis
  • Mandibular Fractures / epidemiology
  • Mandibular Fractures / surgery
  • Maxillary Fractures / classification
  • Maxillary Fractures / diagnosis
  • Maxillary Fractures / epidemiology
  • Maxillary Fractures / surgery
  • Maxillofacial Injuries / classification
  • Maxillofacial Injuries / diagnosis*
  • Maxillofacial Injuries / epidemiology*
  • Maxillofacial Injuries / surgery
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Skull Fractures / classification
  • Skull Fractures / diagnosis*
  • Skull Fractures / epidemiology*
  • Skull Fractures / surgery
  • Soft Tissue Injuries / classification
  • Soft Tissue Injuries / diagnosis
  • Soft Tissue Injuries / epidemiology
  • Soft Tissue Injuries / surgery