title: A retrospective analysis of maxillofacial trauma in shiraz, iran: a 6-year- study of 768 patients (2004-2010).
abstract: BACKGROUND
  Information about the etiology and incidence of maxillofacial trauma is important for prevention and appropriate treatments of such injuries.
  
  
  OBJECTIVE
  The purpose of this retrospective study was to conduct an analysis of maxillofacial injuries transferred and/or referred to the department of maxillofacial Surgery at Chamran emergency hospital, Shiraz, over a 6-year period with special reference to age, gender, occupation, date, type, site, etiology and clinical management.
  
  
  METHODS
  The data for this study were collected and reviewed retrospectively from the records and radiographs of 768 patients who were treated for maxillofacial trauma in the department of maxillofacial surgery at the Shiraz Chamran Emergency Hospital, Iran, between 2004 and 2010.
  
  
  RESULTS
  A total of 730 of the subjects were the patients with fractures of the facial skeleton. The mean age was 26.6± 12.6 years, ranging from 2 to 81 years. Traffic accident was the most frequent etiological factor of maxillofacial fractures irrespective of gender (69.9% for men and 54.2% for women), whereas the second most frequent cause of injuries was falling down (9.8% for men and 21.5% for women) .The other etiologies were assaults (5.2%), sport related injuries (1.3%) and firearm injuries (1%). Regarding the head injuries in patients with maxillofacial fractures, brain contusion was seen in 227(29.6%) patients and 13.5% of patients had lacerations in the facial soft tissue. The monthly distribution peaked in October, with 81 cases (10.5%), which would be for the reason that schools open in this month. The next highest incidence was in December, with 80 cases (10.4%), probably because of the changing weather's effect on road traffic.
  
  
  CONCLUSIONS
  Isolated mandibular fracture due to the road traffic accident was the most common type of maxillofacial injuries in the city of Shiraz.
authors.affiliation: Dept. of Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: Hr
authors.initials: H
authors.lastname: Arabion
authors.affiliation: Dept. of Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: R
authors.initials: R
authors.lastname: Tabrizi
authors.affiliation: Dept. of Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: E
authors.initials: E
authors.lastname: Aliabadi
authors.affiliation: Dept. of Maxillofacial Surgery, Hamedan University of Medical Science, Hamedan, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Gholami
authors.affiliation: Postgraduate student Dept. of Maxillofacial Surgery, Shiraz University of Medical Science, Shiraz, Iran.
authors.forename: K
authors.initials: K
authors.lastname: Zarei
keywords: Facial; Fracture; Mandible; Maxilla; Trauma
references.citation: Am J Otolaryngol. 2004 Sep-Oct;25(5):301-7
references.pmid: 15334392
references.citation: Int Dent J. 1996 Jun;46(3):171-3
references.pmid: 8886871
references.citation: Dent Traumatol. 2004 Oct;20(5):241-5
references.pmid: 15355381
references.citation: J Trauma. 1989 Mar;29(3):388-90
references.pmid: 2648018
references.citation: Br J Oral Maxillofac Surg. 2003 Dec;41(6):396-400
references.pmid: 14614869
references.citation: J Ayub Med Coll Abbottabad. 2003 Apr-Jun;15(2):8-11
references.pmid: 14552239
references.citation: Injury. 2001 Jun;32(5):353-6
references.pmid: 11382418
references.citation: Br J Oral Maxillofac Surg. 1999 Apr;37(2):106-9
references.pmid: 10371311
references.citation: Swed Dent J. 1991;15(6):285-9
references.pmid: 1817355
references.citation: Mund Kiefer Gesichtschir. 1999 May;3(3):152-7
references.pmid: 10414114
references.citation: J Oral Maxillofac Surg. 2002 Oct;60(10):1114-25
references.pmid: 12378483
references.citation: J Oral Maxillofac Surg. 2000 Feb;58(2):207-15
references.pmid: 10670601
references.citation: Head Face Med. 2005 Oct 04;1:7
references.pmid: 16270942
references.citation: Br J Oral Maxillofac Surg. 1988 Oct;26(5):435-9
references.pmid: 3191094
references.citation: Plast Reconstr Surg. 2001 Aug;108(2):312-27
references.pmid: 11496168
references.citation: Acta Otolaryngol Suppl. 1998;538:261-5
references.pmid: 9879432
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Sep;94(3):310-4
references.pmid: 12324784
references.citation: Br J Oral Maxillofac Surg. 1986 Feb;24(1):31-9
references.pmid: 2936381
references.citation: J Craniomaxillofac Surg. 1990 Aug;18(6):251-4
references.pmid: 2212022
references.citation: Br Dent J. 1991 Apr 20;170(8):300-2
references.pmid: 2036278
references.citation: J Craniomaxillofac Surg. 2004 Oct;32(5):308-13
references.pmid: 15458673
references.citation: Afr J Med Med Sci. 1996 Dec;25(4):385-7
references.pmid: 9532313
references.citation: J Craniomaxillofac Surg. 2004 Feb;32(1):28-34
references.pmid: 14729047
references.citation: Int J Oral Maxillofac Surg. 2001 Aug;30(4):291-5
references.pmid: 11518350
references.citation: Br J Oral Maxillofac Surg. 1988 Oct;26(5):353-63
references.pmid: 3191086
references.citation: Br J Oral Maxillofac Surg. 1996 Aug;34(4):298-302
references.pmid: 8866064
references.citation: Br J Oral Maxillofac Surg. 1991 Oct;29(5):291-301
references.pmid: 1742258
references.citation: Int J Oral Maxillofac Surg. 2001 Aug;30(4):286-90
references.pmid: 11518349
references.citation: J Oral Maxillofac Surg. 2001 Nov;59(11):1277-83; discussion 1283-4
references.pmid: 11688025
references.citation: J Oral Maxillofac Surg. 2003 Jan;61(1):61-4
references.pmid: 12524610
references.citation: J Craniomaxillofac Surg. 2003 Feb;31(1):51-61
references.pmid: 12553928
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jul;86(1):31-5
references.pmid: 9690242
references.citation: Br J Oral Surg. 1981 Dec;19(4):300-4
references.pmid: 6946832
references.citation: J Oral Maxillofac Surg. 2003 Jun;61(6):713-8
references.pmid: 12796884
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):166-70
references.pmid: 15316543
references.citation: J Oral Maxillofac Surg. 1999 Sep;57(9):1068-73
references.pmid: 10484107
references.citation: J Oral Maxillofac Surg. 2003 Oct;61(10):1140-3
references.pmid: 14586847
references.citation: Ann Emerg Med. 1988 Jan;17(1):6-9
references.pmid: 3337417
references.citation: Br J Oral Maxillofac Surg. 1991 Aug;29(4):250-5
references.pmid: 1911673