Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update.
BACKGROUND
Maxillofacial fractures occur in a significant proportion worldwide and can occur as an isolated injury or in combination with other severe injuries including cranial, spinal, and upper and lower body injuries requiring prompt diagnosis with possible emergency interventions. The epidemiology of facial fractures varies with regard to injury type, severity, and cause and depends on the population studied. Hence, understanding of these factors can aid in establishing clinical and research priorities for effective treatment and prevention of these injuries.


METHODS
In this present retrospective study, we provide a comprehensive overview regarding cranio-maxillofacial trauma on 3611 patients to assist the clinician in assessment and management of this unique highly specialized area of traumatology. A preformed pro forma was used to analyze the medical records of patients treated for facial trauma in The Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Chennai. The distribution according to age, gender, etiology, type of injury, time interval between accident and treatment, loss of consciousness, facial bones involved, pattern of fracture lines, treatment offered, and postoperative complications were recorded and evaluated.


RESULTS
We inferred male patients sustained more injuries mostly in the third decade of age. Road traffic accidents were the most common cause of injury. Mandible was the most commonly fractured bone in the facial skeleton. Soft tissue injuries occurred more in road traffic accidents and upper lip was the commonest site of injury.


CONCLUSIONS
Our study provides insights into the epidemiology of facial injuries and associated factors and can be useful not only in developing prevention strategies but also for grading the existing legal regulations and also for framing a more effective treatment protocol.
OMFS, Meenakhi Ammal Dental College, Alapakkam Road, Chennai, Tamil Nadu, 600095, India.
P
P
Manodh
OMFS, Meenakhi Ammal Dental College, Alapakkam Road, Chennai, Tamil Nadu, 600095, India.
D
D
Prabhu Shankar
OMFS, Meenakhi Ammal Dental College, Alapakkam Road, Chennai, Tamil Nadu, 600095, India.
Devadoss
D
Pradeep
OMFS, Meenakhi Ammal Dental College, Alapakkam Road, Chennai, Tamil Nadu, 600095, India.
Rajan
R
Santhosh
OMFS, Meenakhi Ammal Dental College, Alapakkam Road, Chennai, Tamil Nadu, 600095, India. maparna925@gmail.com.
Aparna
A
Murugan
D000063:Accidents, Traffic; D000328:Adult; D005147:Facial Bones / Q000293:injuries / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D015994:Incidence; D008297:Male; D008337:Mandibular Fractures / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D008440:Maxillary Fractures / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D008446:Maxillofacial Injuries / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D012887:Skull Fractures / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology* / Q000601:surgery; D017695:Soft Tissue Injuries / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery
Etiology; Maxillofacial trauma; Retrospective analysis
J Ayub Med Coll Abbottabad. 2009 Apr-Jun;21(2):110-2
20524484
J Oral Maxillofac Surg. 2008 Jan;66(1):58-64
18083416
Br J Oral Maxillofac Surg. 2009 Jul;47(5):374-7
19019508
Aust Dent J. 2006 Sep;51(3):225-30
17037888
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):166-70
15316543
J Craniomaxillofac Surg. 2010 Jun;38(4):314-9
19892561
J Oral Maxillofac Surg. 2009 Jun;67(6):1251-5
19446212
J Maxillofac Oral Surg. 2012 Jun;11(2):177-81
23730065
J Oral Maxillofac Surg. 2006 Jan;64(1):63-7
16360858
Br J Oral Maxillofac Surg. 2008 Jun;46(4):293-6
18177983
Int J Oral Maxillofac Surg. 2007 Sep;36(9):797-801
17630250
Head Face Med. 2006 Aug 28;2:27
16938135
J Oral Maxillofac Surg. 2004 Apr;62(4):399-407
15085503
Ear Nose Throat J. 2000 Aug;79(8):632-4, 636, 638
10969474
J Oral Maxillofac Surg. 1997 Jun;55(6):585-92
9191640
Indian J Med Sci. 2004 Mar;58(3):109-14
15051905
Int J Oral Surg. 1980 Aug;9(4):259-66
6780474
Int J Oral Maxillofac Surg. 2001 Aug;30(4):286-90
11518349
J Craniomaxillofac Surg. 2003 Feb;31(1):51-61
12553928
Aust Dent J. 2001 Dec;46(4):284-8
11838876
Indian J Dent Res. 2008 Oct-Dec;19(4):304-8
19075432
J Craniomaxillofac Surg. 2004 Oct;32(5):308-13
15458673
J Oral Maxillofac Surg. 1990 Dec;48(12):1250-3
2231142
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Oct;92 (4):370-6
11598569
Swiss Med Wkly. 2011 May 27;141:w13207
21618147
Gerodontology. 2012 Jun;29(2):e147-9
21883419
J Emerg Trauma Shock. 2009 May;2(2):89-94
19561967
J Craniomaxillofac Surg. 2013 Oct;41(7):637-43
23332470