scholarly journals MAXILLOFACIAL FRACTURES

2016 ◽  
Vol 23 (12) ◽  
pp. 1541-1545
Author(s):  
Suneel Kumar Punjabi ◽  
Altaf Ahmed Talpur ◽  
Abdul Rauf Memon ◽  
Miss` Priya

Background: The incidence of maxillofacial fractures is greater in Pakistan.This research has the crucial aim of achieve and indexing maxillofacial injuries in poly traumapatients. Objectives: To assess the concomitant injuries with maxillofacial trauma. StudyDesign: Descriptive case series. Setting: The department of Emergency and Oral & MaxillofacialSurgery, Liaquat University of Medical and Health Sciences, Jamshoro. Period: Jan 2014 to Dec2015. Methods: Total 489 patients of both genders, aged ≥20 years were included. Results:more injuries 359 (73.40%) occurs among the age of 20-39 years. The mainly documentedetiologic factor for injury was RTA with 69.38%, followed by assault (16.76%), fall (11.04%)and sports injury was (2.87%). With respect to related injuries, a sum of 48 patients introducedhead injuries and other concomitant injuries. The most common fracture noted was mandible296 (60.53) followed by maxillary fractures 191 (39%), Zygomatic bone complex fractures 65(13.29%), Naso-orabital ethmoid fractures was 44 (8.99%), majority of patients 186 (38.0%)were arrived in morning time followed by 176 (35.9%) in evening, 88 (17.9%) in afternoon and 39(7.9%) in night, regarding the day’s most patients came on first working day that was Saturday142 (29.0%). Regarding hospital mortality, 11 (2.2%) people died within less than two days afteradmittance. Conclusion: The results of this study may support the oral surgeons to rule outother injuries at the time of primary survey and may have a key role in awareness of individualsin prevention of road traffic accidents.

2019 ◽  
Vol 6 (2) ◽  
pp. 88
Author(s):  
RaedS Almanea ◽  
Nasser Alasseri ◽  
MohammedS Algarni ◽  
SaudS Alajmi ◽  
WaleedS Jeleudan ◽  
...  

2021 ◽  
Author(s):  
Lusine V. Aleksanyan ◽  
Anna Yu Poghosyan ◽  
Martin S. Misakyan ◽  
Armen M. Minasyan ◽  
Aren Yu Bablumyan ◽  
...  

Abstract Background: The aim of this study was to perform a retrospective analysis of the prevalence, etiologies, and types of maxillofacial injuries (MFI) and sites of maxillofacial fractures (MFF) and their management in Yerevan, Armenia.Methods: A retrospective cross-sectional study was conducted. Data including age, sex, date of referral, mode of injury, etiology, radiology records and treatment methods were extracted. Study outcomes were measured using percentages, means, standard deviations and tests of proportions. P <.05 was considered significant.Results: A total of 204 patients had a mean age of 36.26 ±1.08 years (156 males and 48 females), and a total of 259 MFIs were recorded between 2017 and 2020. Interpersonal violence (IV) was found to be the most common etiology of MFFs in this study (42.1%), followed by road traffic accidents (RTAs) (27.9%) and falls (18.6%). The nasal bone was the most common injury site (47.5%), followed by the mandible (31.4%) and zygomatic complex (11.7%). The most common fracture site was the mandibular angle (37.9%), followed by the symphysis/parasymphysis (28.1%) and body (12.6%). The majority of MFFs were treated by open reduction and internal fixation.Conclusion: Interpersonal violence, followed by RTAs and falls, was the most common cause of MFIs. The nasal bone was the most common injury site, followed by the mandible and zygomatic complex. Social education with the objective of reducing aggression and interpersonal conflict should be improved, and appropriate RTA prevention strategies should be strengthened and implemented.


2017 ◽  
Vol 6 (1) ◽  
pp. 1386
Author(s):  
Kamran Bokhari Syed

<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>


2020 ◽  
Vol 28 (1) ◽  
pp. 10-16
Author(s):  
Satadal Mondal ◽  
Indranil Sen ◽  
Rabi Hembrom ◽  
Swagato Roy ◽  
Rupam Sinha ◽  
...  

Introduction The aetiology of maxillofacial fractures is greatly influenced by geographic location, socioeconomic status of the cohort, and the period of investigation. The aim of this study is to analyze and identify characteristics of maxillo-facial fractures that took place in and around Midnapore- Kharagpore city of West Bengal and who presented to a peripheral medical college hospital during a period of 1 year. Materials and Methods    A detailed database analysis was performed based on data collected from the patients of Road Traffic Accidents (RTA) with sustained facial trauma admitted to General Surgery and Otorhinolaryngology ward of a peripheral medical college hospital. Detailed clinical examination as well as radiological data was collected. Results The highest frequency of maxillo-facial injury due to RTA was among the young adults 18-40 years. Most common type of injury encountered is abrasion (44%) followed by bruise and closed fracture. Mandible is the most common bone to get fractured and most common type of Le fort type is Type II. Significant number of patients having RTA were young adults under the influence of alcohol riding in two-wheeler . ConclusionWith the increasing incidence of RTA awareness must be created concerning safety rules and more policies need to be addressed.


2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694708
Author(s):  
Utsav Singh Gurung ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Shubhamoy Mondal ◽  
Amit Gaur

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.


Author(s):  
Vladimir Vladimirovich Maslyakov ◽  
Yurii Evlampievich Barachevskii ◽  
Ol'ga Nikolaevna Pavlova ◽  
Dmitrii Aleksandrovich Polikarpov ◽  
Aleksandr Vladimirovich Pimenov ◽  
...  

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.


2017 ◽  
Vol 8 (1) ◽  
pp. 49-54
Author(s):  
Meera Thinakaran ◽  
S Mohanavalli ◽  
G Sree V Bala

ABSTRACT Introduction Trauma remains to be a leading cause of maxillofacial injury globally. Motorized two wheelers (MTWs) are the main cause of (73%) maxillofacial injuries in the road traffic accidents; in several studies, the right side of maxillofacial injuries was reported as the common side of injury than left side. In our previous study, the percentage of the right side injuries was higher than the left side. Aim The aim of this study is to evaluate the influencing factors of the maxillofacial injury by MTWs and to find the association between the side maxillofacial injuries and the handedness of drivers. Materials and methods Clusters sampling method was used; 20 clusters were selected in Chennai. Motorized twowheeler drivers were selected. Data collected by prepared questionnaires’ were statistically analyzed. Data included the demographic details, type of vehicle, engine capacity, average driving speed, years of driving, regular usage of the helmet, type, mode and frequency of accident, management, influence of alcohol, and use of the helmet at the time of injury. The side of the facial injury and handedness of drivers were recorded. Results From the total of 721 participants, 75.7% were males, 24.3% were females; 46.74% were in the age of 18 to 25; mean age is 29.45. Bikes were 55.9%, scooter 38.2%, moped 8.3%; 59.9% are geared; 50.5% were 80 to 100 cc vehicles types and 37% were 110 to 150 cc types; 62% of male's average speed is 80 km/hour; 53% of female's average speed is less than 40 km/hour. Only 18.06% had used at the time of injury. 39.4% of females had accidents, males had 59.3% (p < 0.0001). Two-wheeler vs two-wheeler accidents were 24.8%; two-wheeler vs four wheeler were 19%; by pedestrians crossing 18.7%; by animal crossing was 16.5%; skid two wheeler 20%. A total of 30.02% were under the influence of alcohol. Right-side injuries were 44.5%; left side 25.9% (p < 0.0001), while 96.9% were right-handers. Conclusion Right-side injuries were common in MTW skid and fall. Speed, type of vehicle, handedness, influence of alcohol, use of helmet, mode of injury, all are the determining factors for pattern and severity of injury. Helmet usage would definitely minimize the head injury to some extent. How to cite this article Mohanavalli S, Thinakaran M, Bala GSV. Evaluation of Influencing Factors and commonly Involving Side in Maxillofacial Injuries in Road Traffic Accidents by Motorized Two Wheelers: A Cross-sectional Study. World J Dent 2017;8(1):49-54.


2020 ◽  
Vol 6 (2) ◽  
pp. 266-269
Author(s):  
Jayashree M Padmaraj ◽  
◽  
Anupama C Shetgar ◽  
Darshini L Mallkarjunaswamy ◽  
Divya Ramanna ◽  
...  

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