scholarly journals Evaluation of Influencing Factors and commonly Involving Side in Maxillofacial Injuries in Road Traffic Accidents by Motorized Two Wheelers: A Cross-sectional Study

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.

2018 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Bayapa Reddy N. ◽  
Shakeer Kahn P. ◽  
Surendra Babu D. ◽  
Khadervali N. ◽  
Chandrasekhar C. ◽  
...  

2019 ◽  
Vol 12 (4) ◽  
pp. 284-290
Author(s):  
Zeeshan Arif ◽  
B. R. Rajanikanth ◽  
Kavitha Prasad

Road traffic accidents are the leading cause of death among the Indian population. Motorcycle accidents are the most prominent type of injuries among road traffic accidents in India. In this prospective cross-sectional study, all the patients attending three centers in north Bangalore, with facial injuries occurring from a motorcycle accident, were included. The subjects were analyzed for the type of collision, helmet use, type of helmet use, and fastening status of the helmets. A total of 311 motorcyclists were included in this study for a period of 18 months (December 2015 to June 2017). There were 79.7% males and 20.3% females. The most prominent age group was 21 to 30 years. The percentage of riders sustaining facial injuries was significantly more in the non-helmeted group. The most common injuries in open face helmets were in the middle and lower third of the face, whereas in closed face helmets it was in the middle third of the face. The numbers of injuries were significantly higher in the nonfastened helmet group as compared with fastened helmet group. Helmet fixation is an important characteristic along with helmet type for the better effectiveness and safety of the helmets for the motorcyclists.


2015 ◽  
Vol 30 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Adam R. Aluisio ◽  
Annelies De Wulf ◽  
Ambert Louis ◽  
Christina Bloem

AbstractIntroductionMore than 90% of traumatic morbidity and mortality occurs in low- and middle-income countries (LMIC). Haiti is the poorest country in the Western Hemisphere and lacks contemporary statistics on the epidemiology of traumatic injuries. This study aimed to characterize the burden of traumatic injuries among emergency department patients in the Northeast region of Haiti.MethodsData were collected from the emergency departments of all public hospitals in the Northeast region of Haiti, which included the Fort Liberté, Ouanaminthe, and Trou du Nord sites. All patients presenting for emergent care of traumatic injuries were included. Data were obtained via review of emergency department registries and patient records from October 1, 2013 through November 30, 2013. Data on demographics, mechanisms of trauma, and anatomical regions of injury were gathered using a standardized tool and analyzed using descriptive statistics. Temporal analysis of injury frequency was explored using regression modeling.ResultsData from 383 patient encounters were accrued. Ouanaminthe Hospital treated the majority of emergent injuries (59.3%), followed by Fort Liberté (30.3%) and Trou du Nord (10.4%). The median age in years was 23 with 23.1% of patients being less than 15 years of age. Road traffic accidents (RTAs) and interpersonal violence accounted for 65.8% and 30.1% of all traumatic mechanisms, respectively. Extremity trauma was the most frequently observed anatomical region of injury (38.9%), followed by head and neck (30.3%) and facial (19.1%) injuries. Trauma due to RTA resulted in a single injury (83.8%) to either an extremity or the head and neck regions most frequently. A minority of patients had medical record documentation (37.9%). Blood pressure, respiratory rate, and mental status were documented in 19.3%, 4.1%, and 0.0% of records, respectively. There were 6.3 injuries/day during the data collection period with no correlation between the frequency of emergent trauma cases and day of the week (R^2=0.01).ConclusionsTraumatic injuries are a common emergent presentation in the Northeast region of Haiti with characteristics similar to other LMIC. Documentation and associated data to adequately characterize the burden of disease in this region are lacking. Road traffic accidents are the predominate mechanism of injury, suggesting that interventions addressing prevention and treatment of this common occurrence may provide public health benefits in this setting.AluisioAR,De WulfA,LouisA,BloemC.Epidemiology of traumatic injuries in the Northeast region of Haiti: a cross-sectional study.Prehosp Disaster Med.2015;30(6):599–605.


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