scholarly journals An Epidemiological Analysis Of Maxillofacial Fractures: A 10-Year Cross-Sectional Cohort Retrospective Study Of 1007 Patients

2020 ◽  
Author(s):  
Mihai Juncar ◽  
Paul Andrei Tent ◽  
Raluca Iulia Juncar ◽  
Antonia Harangus ◽  
Mircea Rivis
Keyword(s):  
Statistical Analysis ◽  
Interpersonal Violence ◽  
Medical Staff ◽  
Urban Areas ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Level Of Education ◽  
Low Level ◽  
Maxillofacial Fractures ◽  
Male Patients

Abstract Background: Epidemiological data is providing vital indicators for organizing the financial resources related to a particular type of trauma, estimating expenses and training of dental practioners and ambulatory medical staff for collaboration with a certain pattern of patients. Knowing the etiology and epidemiology of a certain pathology is significant for approaching its means of prevention.Methods: A 10-year retrospective statistical analysis of 1007 patients with maxillofacial fractures treated in a University Clinic of Oral and Maxillofacial Surgery in Romania was performed. The data were extracted from patients’ medical records. Statistical analysis was performed. A value of p<0.05 was considered statistically significant. Results: The incidence of maxillofacial fractures was high among patients in the 20-29 age group (35.9%). Male patients (90.57%, M:F=9.6:1), having a low level of education (46.60%) and living in urban areas (53.50%) were more affected. The main cause of maxillofacial fractures was interpersonal violence (59.37%), both in the mandibular and midface topographic regions (p=0.001, p=0.002). In urban areas, fractures caused by interpersonal violence and road traffic accidents were predominant, while in rural areas, most of the fractures were due to interpersonal violence, domestic accidents, work accidents and animal attacks (p=0.001). Conclusions: Interpersonal violence is the main cause of maxillofacial fractures having epidemic proportions. Male patients aged 20-29 years with a low level of education represent the major risk category. Considering the wide area of ​​interpersonal aggression, both the medical staff in the hospital and in the dental offices must be educated in order to collaborate with possible violent patients. Dentists must be prepared to work on a post-traumatic dento-periodontal field. Taking all measures to prevent inter-human aggression is imperative and will lead to a major decrease in maxillofacial fractures and an overall increase of oral health in a population.

scholarly journals An epidemiological analysis of maxillofacial fractures: a 10-year cross-sectional cohort retrospective study of 1007 patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mihai Juncar ◽  
Paul Andrei Tent ◽  
Raluca Iulia Juncar ◽  
Antonia Harangus ◽  
Rivis Mircea
Keyword(s):  
Statistical Analysis ◽  
Interpersonal Violence ◽  
Medical Staff ◽  
Urban Areas ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Level Of Education ◽  
Low Level ◽  
Maxillofacial Fractures ◽  
Male Patients

Abstract Background Epidemiological data is providing vital indicators for organizing the financial resources related to a particular type of trauma, estimating expenses and training of dental practioners and ambulatory medical staff for collaboration with a certain pattern of patients. Knowing the etiology and epidemiology of a certain pathology is significant for approaching its means of prevention. Methods A 10-year retrospective statistical analysis of 1007 patients with maxillofacial fractures treated in a University Clinic of Oral and Maxillofacial Surgery in Romania was performed. The data were extracted from patients’ medical records. Statistical analysis was performed. A value of p < 0.05 was considered statistically significant. Results The incidence of maxillofacial fractures was high among patients in the 20–29 age group (35.9%). Male patients (90.57%, M:F = 9.6:1), having a low level of education (46.60%) and living in urban areas (53.50%) were more affected. The main cause of maxillofacial fractures was interpersonal violence (59.37%), both in the mandibular and midface topographic regions (p = 0.001, p = 0.002). In urban areas, fractures caused by interpersonal violence and road traffic accidents were predominant, while in rural areas, most of the fractures were due to interpersonal violence, domestic accidents, work accidents and animal attacks (p = 0.001). Conclusions Interpersonal violence is the main cause of maxillofacial fractures having epidemic proportions. Male patients aged 20–29 years with a low level of education represent the major risk category. Considering the wide area of interpersonal aggression, both the medical staff in the hospital and in the dental offices must be educated in order to collaborate with possible violent patients. Dentists must be prepared to work on a post-traumatic dento-periodontal field. Taking all measures to prevent inter-human aggression is imperative and will lead to a major decrease in maxillofacial fractures and an overall increase of oral health in a population.

Patterns of Pediatric Facial Fractures

2021 ◽  
pp. 194338752199173
Author(s):  
Kevin Hong ◽  
James Jeong ◽  
Yehudah N. Susson ◽  
Shelly Abramowicz
Keyword(s):  
Motor Vehicle ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Inclusion Criteria ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Peak Incidence ◽  
Maxillofacial Fractures

Objective: The aim of this study was to assess patterns of maxillofacial trauma in the pediatric population in Atlanta. This information is important to help guide management and allocate resources for treatment of maxillofacial injuries at Children’s Healthcare of Atlanta (CHOA). Methods: This study was a retrospective chart review of children who presented from 2006 to 2015. Inclusion criteria were: (1) age 18 years old or younger, (2) presentation to emergency department, (3) diagnosis of maxillofacial fractures, and (4) evaluation by Oral and Maxillofacial Surgery, Otolaryngology, or Plastic Surgery services. Medical records were reviewed to record demographic, mechanism of injury, fracture location, and yearly incidence of injury. Descriptive statistics were computed to summarize findings and overall trends. Results: During the study period, 39,833 patients were identified. Of them, 1995 met the inclusion criteria. The majority were male (n = 1359, 68%) with an average age of 9.4 years old (range of 1 month to 18 years old). Mechanisms of injury were motor vehicle collisions (MVC) (n = 597, 29.9%), fall (n = 565, 28.3%), sports injury (n = 317, 15.9%), pedestrian struck (n = 215, 10.8%), assault/abuse (n = 204, 10.2%), other (n = 81, 4.1%), or gunshot wound (n = 16, 0.8%). Fracture sites were mandible (n = 519, 26%), complex (n = 479, 24%), nasal (n = 419, 21%), dentoalveolar (n = 279, 14%), orbital (n = 259, 13%), and maxilla (n = 40, 2%). Males had a higher incidence of assault than females (n = 185, 91% of assaults). The incidence of maxillofacial trauma increased with age with a peak incidence in 13 to 16-year-olds (n = 566, 28.3%). During the years examined, there was an upward trend in MVCs as the etiology with a peak incidence of facial fractures due to MVCs occurring in 2015. All other mechanisms remained constant during this time period. Conclusions: There was an increase in pediatric facial fractures secondary to motor vehicle collisions from 2007 to 2015 despite improvements in regulations, traffic safety, and technology.

“AN ANALYSIS OF OPHTHALMIC INJURIES IN PATIENTS WITH MAXILLOFACIAL TRAUMA”

2021 ◽  
pp. 81-83
Author(s):  
Sharmila. S ◽  
Abhilash Balakrishnan ◽  
Saji Nair .A ◽  
Ajith Kumar.K
Keyword(s):  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Ocular Injury ◽  
Age Group ◽  
Facial Fractures ◽  
Periorbital Oedema ◽  
Maxillofacial Fractures ◽  
Ocular Injuries

PURPOSE OFTHE STUDY: To estimate the proportion and types of ophthalmic injuries in patients with maxillofacial fractures PATIENTS AND METHODS: All patients with maxillofacial trauma, who came to the Department of Oral and Maxillofacial surgery Government Dental college Thiruvananthapuram from November 2020 to June 2021were included in this study. The information and data collected included age, sex, mechanism of injury, type of maxillofacial fracture and type of ophthalmic injury. RESULTS: Ocular injury was sustained by 209 patients out of which 180 (86.1%) were males and 29(13.9%)were females. The largest age group of patients associated with ophthalmic injuries were 30-39 years. The etiology of facial fractures or ocular injuries showed that road trafc accidents more frequently resulted in ocular injuries 66.5% followed by assault 18.7% and self fall 14.8%. Ophthalmic injuries occurred mostly in association with orbital fractures 33.5% followed by Zygomatico maxillary complex fracture 26.8%and Maxillary sinus fractures 24.4%. Periorbital oedema was the most common ophthalmic injury accounting for 46.4%of cases followed by Periorbital ecchymosis 35.4% and Subconjuntival haemorrhage 17.2%. CONCLUSION: Mid facial trauma commonly causes ophthalmic injuries of varying degrees. Prompt ophthalmic examination of all patients with mid facial trauma is mandatory to prevent any blinding complications

scholarly journals Epidemiology of Maxillofacial Fractures at a Teaching Hospital in Malaysia: A Retrospective Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Maher M. Abosadegh ◽  
Norkhafizah Saddki ◽  
Badr Al-Tayar ◽  
Shaifulizan Ab. Rahman
Keyword(s):  
Road Traffic ◽  
Multiple Logistic Regression Analysis ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Common Cause ◽  
Helmet Use ◽  
Motorcycle Accident ◽  
Sinus Wall ◽  
Maxillofacial Fractures ◽  
Orbital Wall

Background/Aim. Epidemiology of maxillofacial fractures (MFF) varies between populations. This study investigated the epidemiology of MFF treated at the Oral and Maxillofacial Surgery (OMFS) Unit, Hospital Universiti Sains Malaysia (USM).Methods. A retrospective review of 473 medical records of patients with MFF treated from June 2013 to December 2015 was conducted. Information on demographic characteristics of patients, aetiology of injury, types of MFF, and treatment was obtained. Descriptive analysis, Pearson's chi-squared test, and multiple logistic regression analysis were conducted. The level of significance was set at 0.05.Results. Most patients treated for MFF were males (82.2%), aged 30 and below (63.1%), and from Malay ethnic (97.4%). Road traffic accident was the most common cause of MFF (83.1%), with motorcycle accident accounting for most injuries (73.6%). Orbital wall fracture was the most frequent MFF type (51.2%). About half of MFF patients (51.4%) were treated conservatively. Patients aged more than 20 years old were at higher odds of sustaining orbital wall fracture (AOR= 1.76; 95% CI: 1.214-2.558;P= 0.003) but were at lower odds of sustaining mandibular fracture (AOR= 0.47; 95% CI: 0.315-0.695;P= 0.001) than patients who are 20 years old and younger. Helmet use among motorcyclists was significantly associated with the nasal, orbital wall, and maxillary sinus wall fractures (P=0.006, 0.010, and 0.004, respectively).Conclusion. Motorcycle accident was the most common cause of MFF in Kelantan, Malaysia. Ages of patient and helmet use were associated with the type of MFF sustained. This study provides important information to facilitate the planning of MFF prevention strategies among motorcyclists and emphasizes the importance of using a helmet when riding a motorcycle.

scholarly journals Tratamento cirúrgico de fratura do complexo zigomatico orbital em paciente vítima de acidente desportivo: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 527-530
Author(s):  
José Jhenikártery Maia de Oliveira ◽  
Micaella Fernandes Farias ◽  
Flaviana Laís Pereira dos Santos ◽  
Artemisa Fernanda Moura Ferreira ◽  
Lucas Alexandre de Morais Santos
Keyword(s):  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Porto Alegre ◽  
Maxillofacial Fractures ◽  
Facial Edema ◽  
Nigerian Population ◽  
Non Surgical Treatment

Introdução: Fraturas no complexo zigomático orbital podem resultar em deslocamento ósseo com alteração do volume orbital e distúrbios funcionais. As complicações associadas aos traumas dessa região podem vir a interferir diretamente na qualidade de vida do indivíduo, dessa forma, faz-se necessário a cirurgia de reposicionamento anatômico do osso. Objetivo: Relatar um caso clínico de fratura do complexo zigomático orbital em paciente vítima de acidente desportivo. Relato de caso: Paciente do sexo masculino, leucoderma, vítima de acidente desportivo, compareceu a um serviço de Cirurgia Bucomaxilofacial da cidade de Recife-PE, apresentando alterações anatômicas visíveis na região zigomática do lado esquerdo da face. Ao exame clínico observou-se assimetria facial, edema, equimose periorbital, hemorragia subconjuntival, perda de volume do lado afetado e desconforto relado pelo paciente, sugerindo fratura do complexo zigomático orbital. A Tomografia Computadorizada mostrou perda da projeção anteroposterior do corpo do osso zigomático esquerdo, com fratura no arco zigomático e descontinuidade da sutura esfenozigomática esquerdas. O corte tomográfico coronal evidenciou aprisionamento do conteúdo orbital por fragmentos presentes no assoalho da órbita, e fratura do pilar zigomático-maxilar. Através de acessos cirúrgicos peri-orbitais (superciliar e subtarsal) foi instalada 1 mini-placa com parafusos (1 em cada acesso), nas regiões da sutura fronto-zigomática e da margem infraorbital. Pelo acesso intraoral foi fixada uma placa no pilar zigomático-maxilar. O tratamento cirúrgico buscou acesso ao esqueleto da órbita, redução anatômica e fixação interna estável com mini-placas e parafusos. Considerações finais: Após 10 dias, observou-se o restabelecimento anatômico da projeção anteroposterior do osso zigomático direto, procedendo à melhora estético-funcional. Descritores: Anatomia Regional; Traumatologia; Fraturas Orbitárias. Referências Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017;26:218. Ugboko V, Udoye C, Ndukwe K, Amole A, Aregbesola S. Zygomatic complex fractures in a suburban Nigerian population. Dent Traumatol. 2005;21(2):70-5.  Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil. Rev Col Bras Cir. 2017;44(5):491-97. Ramos JC, Almeida MLD, Alencar YCG, de Sousa Filho LF, Figueiredo CHMC, Almeida MSC. Estudo epidemiológico do trauma bucomaxilofacial em um hospital de referência da Paraíba. Rev Col Bras Cir. 2018;45(6):e1978. Wulkan M, Parreira Junior JG, Botter DA. Epidemiologia do trauma facial. Rev Assoc Med Bras. 2005;51(5):290-95. Knight JS, North JF. The classification of malar fractures: an analysis of displacement as a guide to treatment. Br J Plast Su1961;13:325-39. Mendonça JCG, Crivelli DMB. Tratamento de fratura cominutiva do complexo zigomático orbitário com utilização de fio de aço: relato de caso. Rev Bras Cir Cabeça Pescoço. 2012; 41(2):93-5. Hupp JR, Tucker MR, Ellis E.Cirurgia oral e maxilofacial contemporânea. 6. ed. Rio de Janeiro: Elsevier; 2015. p. 1099-1113. Oliva MA. Acesso subciliar para fraturas do complexozigomático-orbitári. Rev Bras Cir Cabeça Pescoço. 2013;42(2):106-8. Soares LP, Gaião L, Santos MESM, Pozza DH, Oliveira MG. Indicações da Tomografia Computadorizada no Diagnóstico das Fraturas Nasoórbito-etmoidais. Rev de Clin Pesq Odontol. 2004;1(1):29-33. Kurita M, Okazaki M, Ozaki M, Tanaka Y, Tsuji N, Takushima A, et al. Patient satisfaction after open reduction and internal fixation of zygomatic bone fractures. J Craniofac Surg .2010;21(7):45–9. Hammer B. Fraturas orbitárias: Diagnóstico, tratamento cirúrgico, correções secundárias. São Paulo: Santos; 2005. Panarello F, Chaves Júnior AC, Leles JLR, Oliveira MG. Análise dos materiais empregados para a reconstrução das fraturas orbitárias – Revisão de literatura. RBC: Rev Int Cir Traumatol Bucomaxilofacial. 2005;3(9):57-64. Kloss FR, Stigler RG, Brandstätter A, Tuli T, Rasse M, Laimer K, Hächl OL, Gassner R. Complications related to midfacial fractures: operative versus non-surgical treatment. Int J Oral Maxillofac Surg. 2011;40(1):33-7. Liedtke FS, Richinho KP, Pisanelli CH, Araf D. Fraturas do soalho da órbita do tipo ‘’Blow-out”: revisão de literatura. Revicience 2005;5(5):8-11.

scholarly journals Entonación de los enunciados aseverativos en el español de la Ciudad de México entre los años 1960 y 1970

2021 ◽  
Vol 9 (2) ◽  
pp. 5-41
Author(s):  
Érika Mendoza Vázquez ◽  
Keyword(s):  
Higher Education ◽  
Statistical Analysis ◽  
Pitch Accent ◽  
Prosodic Features ◽  
Mexican Spanish ◽  
Level Of Education ◽  
Low Level ◽  
Narrow Focus ◽  
Significant Factors

This paper describes the prosodic features —with emphasis on the nuclear pitch accent— of the statements documented in the corpus “Norma lingüística culta” and “Habla popular de la Ciudad de México” (Lope Blanch, 1971, 1976). The prosodic description is carried out with the Autosegmental Metrical model and the analysis of sociolinguistic factors. Regarding the nuclear pitch accent L+H *, the statistical analysis showed two significant factors: narrow focus statements and the low level of education. The nuclear accent H * is more prevalent in men and the low level of education. By contrast we observed that the group of adults, the higher education and the broad focus statements favor the descending contour, which has lesser relation with vernacular patterns in Central Mexican Spanish.

Out-of-hours cover in oral and maxillofacial surgery

2008 ◽  
Vol 90 (8) ◽  
pp. 282-283
Author(s):  
G Reddy-Kolanu ◽  
M Ethunandan ◽  
R Anand ◽  
V Ilankovan
Keyword(s):  
Medical Staff ◽  
Maxillofacial Surgery ◽  
Working Time ◽  
European Working Time Directive ◽  
Oral And Maxillofacial Surgery ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Dental Pathology ◽  
European Working ◽  
Working Time Directive

The European Working Time Directive (EWTD) has required all departments to re think staffing arrangements to provide out-of-hours ser vices. Large departments with man y junior doctors can continue to have oral and maxillofacial surgery (OMFS) SHOs covering the out-of-hours ser vice without exceeding the constraints of EWTD. For smaller departments the choice has been either to close the on-call service and centralise it in a larger department or to have a specialty cross-cover arrangement. The problems of cross-cover might be more apparent in OMFS than in other hospital specialties due to other medical staff possessing a negligible knowledge of dental pathology.

scholarly journals Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Giuliano Ascani ◽  
Francesca Di Cosimo ◽  
Michele Costa ◽  
Paolo Mancini ◽  
Claudio Caporale
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Central Italy ◽  
Maxillofacial Surgery ◽  
Close Correlation ◽  
Maxillofacial Fractures ◽  
Common Causes ◽  
Monthly Distribution ◽  
Future Plans

The aim of the present study was to assess the etiology and pattern of maxillofacial fractures in the Province of Pescara, Abruzzo, Central Italy. Was performed a retrospective review of patients treated at the Department of Maxillofacial Surgery of Spirito Santo Hospital from January 2010 to December 2012. Data collected and analyzed included sex, age, cause of injury, site of fracture, monthly distribution, and alcohol misuse. A total of 306 patients sustaining 401 maxillofacial fractures were treated. There were 173 males (56.5%) and 133 females (43.5%). Most of the patients (36.9%) were in the age group of 18–44 years. The most common causes of injuries were road traffic accidents (26.4%); the second leading cause was interpersonal violence (23.2%), followed by injuries associated with falls (19.2%). Fractures of the mandible (31%) and zygoma (23%) were the most common maxillofacial fractures in our study. The monthly distribution peaked in the summer (July and August, 30.4%) and in October (13.1%). In conclusion, this study confirms the close correlation between the incidence and etiology of facial fractures and the geographical, cultural, and socioeconomic features of a population. The data obtained provide important information for the design of future plans for injury prevention and for education of citizens.

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