scholarly journals Maxillofacial Injuries Related to Road Traffic Accidents: A Five Year Multi Center Analysis

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694708
Author(s):  
Utsav Singh Gurung ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Shubhamoy Mondal ◽  
Amit Gaur
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Treatment Protocol ◽  
Care Program ◽  
Epidemiological Data ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Chi Square ◽  
Periodic Evaluation

The purpose of this study was to assess the epidemiological data on maxillofacial injuries related to road traffic accidents from two multispecialty medical centers in India, and then evaluate their incidence and pattern. Data were extracted from the medical records of all road traffic accident victims with maxillofacial injuries who reported to the centers between January 2013 and December 2017. Descriptive statistics and chi-square test were used for statistical analysis; significance was set at p < 0.05. Out of 1,110 patients, highest incidence of injuries was observed in the males of age group 20 to 29 years with mean age of 25.95 years (standard deviation, 9.35 years). Head injury, laceration, and tooth luxation were the most common forms of associated injuries. The use of protective helmets and seatbelts was extremely low which was associated to higher risk of facial bone fractures. Violation of traffic rules was the most common etiology behind these accidents. These findings were statistically significant ( p < 0.05). The ever increasing incidence of maxillofacial injuries related to road traffic accidents suggests the need to deal with them promptly and wisely. Keeping an update on the changing pattern of these injuries by continuous recording and periodic evaluation of epidemiological data is helpful in the primary prevention of trauma by evolving a better trauma care program and effective treatment protocol focused on the target groups. The updated data can guide treating physicians in anticipating and diagnosing maxillofacial injuries.

scholarly journals Effect of law enforcement system (Saher) on maxillofacial injuries caused by road traffic accidents in Riyadh

2019 ◽  
Vol 6 (2) ◽  
pp. 88
Author(s):  
RaedS Almanea ◽  
Nasser Alasseri ◽  
MohammedS Algarni ◽  
SaudS Alajmi ◽  
WaleedS Jeleudan ◽  
...  
Keyword(s):  
Law Enforcement ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries

scholarly journals Maxillofacial Injuries Due to Road Traffic Accidents in Saudi Arabia: A Review of Incidence, Demographic Factors & Prevention Strategies

2017 ◽  
Vol 6 (1) ◽  
pp. 1386
Author(s):  
Kamran Bokhari Syed
Keyword(s):  
Saudi Arabia ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Seat Belt ◽  
Demographic Factors ◽  
Traffic Monitoring ◽  
World Health ◽  
Major Public Health Problem ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries

<p><strong>Background</strong>: World Health Organization has estimated that nearly 25% of all injuries fatalities worldwide are a result of road traffic crashes with 90% of the fatalities occurring in low and middle income countries. Trauma in Saudi Arabia is a major public health problem with increasing rates of mortality and morbidity.</p><p><strong>Objectives</strong>: To review the incidence of maxillofacial injuries due to road traffic accidents in Saudi Arabia and to highlight the etiological factors, the current preventive strategies and suggestions to reduce such injuries.</p><p><strong>Material and Methods</strong>: This review was conducted through literature search over a period of 25 years. The key words included in the search include road traffic injuries, maxillofacial trauma, Saudi Arabia. The search was conducted through search engines and which included Google, science direct, pub med. A total of 56 reference articles and web pages were reviewed. 31 of these references are cited in this review. The demographic factors involved in road traffic accidents, the existing legislation in the country as cited in the literature, primary care system and recent advances in management are highlighted in this review article.</p><p><strong>Conclusion</strong>: Trauma is a preventable cause of death, morbidity, depression and unemployment. Simple measures such as seat belt legislation, traffic monitoring, creation of awareness among youth will significantly bring down loss of lives. This will create a better society to live and enjoy life.</p>

scholarly journals Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Mubarak Ali Algahtany
Keyword(s):  
Head Injury ◽  
Hospital Stay ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Traumatic Head Injury ◽  
Chi Square ◽  
Duration Of Hospital Stay ◽  
Orthopedic Injury ◽  
Tertiary Center

Background. Traumatic head injury (THI) due to road traffic accidents (RTAs) is a global health problem. Studies exploring the association between RTA-related THI and concurrent orthopedic fractures are lacking. We aim to provide a detailed analysis of this association and its impact on inhospital outcomes. Methods. Retrospective analysis of RTA-related THI associated with orthopedic fractures admitted to a large tertiary center, Southwest, Saudi Arabia, over ten years. Descriptive statistics for participant demographics and clinical outcomes were represented by percentages. The associations between head injury diagnosis or orthopedic fractures region and patient demographics are analyzed using the Chi-square test. Post hoc analysis for the significant Chi-square values was carried out by calculating the significant adjusted residuals. Adjust p value was obtained by using the Benjamini-Hochberg procedure to control for multiplicity testing. A p value less than 0.05 was considered statistically significant. Results. Concurrent orthopedic fractures are present in one-tenth of RTA-related THI. The cohort was dominated by young males, with 46.5% of the population between 18 and 29 years old. There was a significant association between the head injury diagnosis and the region of orthopedic fracture ( p = 0.028 ). The type of head injury had significant associations with mortality and duration of hospital stay ( p = 0.039 and p = 0.037 , respectively). The region of orthopedic fracture significantly ( p = 0.018 ) affected the duration of hospital stay, with fractures in the clavicle/shoulder region significantly ( p = 0.035 ) having a short course of hospital admission. Conclusion. Orthopedic fractures concomitant with RTA-related THI are common. The associations between the two injuries tend to happen in specific patterns. The inhospital stay duration and mortality significantly correlated with the site of the head or orthopedic injury. Knowledge of these patterns improves the care of THI victims, triaging, and resource allocations.

scholarly journals Effectiveness of Closed Reduction in the treatment of nasal bone fractures

2021 ◽  
Vol 23 (1) ◽  
pp. 37-40
Author(s):  
Brihaspati Sigdel ◽  
K Sah
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Functional Abnormality ◽  
Nasal Injury

This study was conducted to investigate the effectiveness of closed reduction of nasal bone fracture according to severity. It was a retrospective study carried on 60 patients with mean age of 30.2 years (range 10-67 years) who have undergone a closed reduction of a nasal bone fracture at Gandaki Medical College Teaching Hospital from January 2017 to December 2019. The patient with nasal bone fracture who underwent surgical intervention with closed reduction under General anaesthesia were included in this study. Fracture severity was evaluated according to Hwang et al.’s classification method. All patients underwent closed reduction with external nasal splinting under General anesthesia. The patients were followed-up for at least three months to assess the complications, such as fracture recurrence and functional abnormality in the Department. The most common cause of nasal bone fracture was road traffic accidents 25 (41.6%) followed by physical assaults 18 (30%), fall injuries 12 (20%), other incidences 3 (5%), and industrial accidents 2 (3%). Forty-three (72%) cases underwent closed reduction within 24 hours of those who arrived within 4-6 hour of nasal injury in the hospital and the remaining 17 (28%) cases were reduced after 5 days of trauma. Concurrent fracture found in 8 (13%) cases and it included maxillary, zygomatic, orbital, frontal bone fracture. Nasal bone fracture mostly occurs in road traffic accidents. Closed reduction with good alignment is the preferred method. Septorhinoplasty and extracorporeal septoplasty should be applied in difficult and comminuted nasoseptal fracture.

scholarly journals Study on the Impact of “Gerayo Amahoro Policy” on Road Traffic Accidents Reduction in Rwanda

2021 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
JEAN DE DIEU GATESI
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Secondary Data ◽  
Status Report ◽  
Road Traffic Accidents ◽  
Chi Square ◽  
Road Traffic Crashes ◽  
Global Status ◽  
Inclusive Analysis ◽  
The Impact

The global status report on road safety declared that the number of annual road traffic deaths has reached 1.35 million. In Rwanda, considering the raising number of vehicles in line with the economy growth and the above 48.90/000 ratio of deaths per registered vehicles; the lives of people are therefore increasingly exposed to road traffic crashes. This study therefore aims to utilize statistical methods for assessing the impact of Gerayo Amahoro policy on Road Traffic Accidents reduction in Rwanda and propose counter measures that could help the decision makers in minimizing the losses caused by Road Traffic Accidents. secondary data related to road traffic accidents have been collected by using questionnaire from Rwanda National Police with the study period from 2016 up to 2020 inclusive. Analysis was done by using graphics and chi-square methods in excel and SPSS software. The results indicated that GERAYO AMAHORO policy plays the greatest role in reduction of RTAs in Rwanda due to the number of RTAs happened before the implementation of GERAYO AMAHORO which was high as compared to the total number of RTAs after implementation of GERAYO AMAHORO policy. This research conclude that negligence, over speed, bad maneuver and over drunk are mostly causes and responsible for the occurrence of RTAs in Rwanda; indicated that Vehicle types mostly related to RTAs were moto-cycles, cars and 4 wheel vehicles and the mostly victims related to RTAs were moto-cyclists, passengers and pedestrians.

scholarly journals Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

2021 ◽  
pp. 20-27
Author(s):  
Vladimir Vladimirovich Maslyakov ◽  
Yurii Evlampievich Barachevskii ◽  
Ol'ga Nikolaevna Pavlova ◽  
Dmitrii Aleksandrovich Polikarpov ◽  
Aleksandr Vladimirovich Pimenov ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Special Means ◽  
The Common ◽  
Open Injuries ◽  
Type Of Injury

For achieving the set goal, the author conducted a retrospective research. The study involved the victims of road traffic accidents aged from 18 to 70 years, who suffered maxillofacial injuries; total of 150 victims over the period from 2010 to 2020. The selected topic is a pressing medical and social problem. It is observed that the number of close and open injuries received in road traffic accidents is roughly the same. However, the open injuries qualified as moderate and severe were determined in 45 (30%) cases. The data analysis indicates that in 30.7% of cases, first aid was rendered by bystanders and/or relatives of the victims, who do not have the necessary competence and knowledge for providing such aid; in another 19.3% of cases, first aid was rendered by operational services personnel (traffic police, fire and rescue divisions), who have the necessary knowledge and skills. The absence of necessary skills for rendering first aid to the victims of road traffic accident with such type of injury explains high percentage of mistakes, which amounted to 41.3%. At the same time, the operational services personnel demonstrated good results in rendering first aid; no mistakes were detected. The analysis of the common mistakes indicates the application of physical efforts in the process of removing victims from the vehicle; no special means while the victim's head was not fixated, which causes additional injuries. In six (4.0%) cases, the spoor condition of the victims was mistaken with comatose.

scholarly journals An Autopsy-Based Analysis of Fatal Road Traffic Collisions: How the Pattern of Injury Differs with the Type of Vehicle

Trauma Care ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 162-172
Author(s):  
Stefano Tambuzzi ◽  
Wendelin Rittberg ◽  
Cristina Cattaneo ◽  
Federica Collini
Keyword(s):  
Traffic Accidents ◽  
Brain Injuries ◽  
Road Traffic ◽  
Epidemiological Data ◽  
Road Traffic Accidents ◽  
Traffic Fatalities ◽  
Abdominal Injuries ◽  
Pattern Of Injury ◽  
Thoracic And Abdominal ◽  
Thoracic And Abdominal Injuries

In Italy, in only 2018, 3310 people died in road traffic accidents, more than in any other European country. Since the revelation of this occurrence, the authors carried out an analysis aimed at investigating if there was a difference in the injury patterns among different road users. A retrospective post-mortem study on road traffic fatalities was performed, which had been autopsied at the Institute of Forensic Medicine of Milan. First, the authors analyzed the epidemiological data of all the 1022 road traffic accidents subjected to an autopsy from 2007 to 2019. Secondly, further analysis of individual autopsy reports was carried out. For this purpose, 180 autopsies belonging to 5 different categories were analyzed: car, pedestrian, motorbike, bicycle, and truck. Seventy-six percent of road traffic fatalities were male, 54% were between 10 and 49 years of age, and 62% of the patients died before arriving at a hospital. “Multiple injuries” was the main cause of death. Traumatic brain injuries were particularly high in pedestrians and cyclists. In car, motorbike, and truck fatalities, thoracic and abdominal injuries were the most frequent. Therefore, pedestrians and cyclists had a higher prevalence for traumatic head injuries, while car, motorcycle, and truck occupants, on the other hand, had a higher prevalence for thoracic and abdominal injuries.

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