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.

scholarly journals Pattern of Maxillofacial fracture in Western and Central Nepal: An experience in 3 tertiary level health institutions

2015 ◽  
Vol 10 (3) ◽  
pp. 8-13
Author(s):  
S Subedi ◽  
B Shrestha ◽  
RB Adhikari
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Medical Sciences ◽  
Safety Measures ◽  
Young Males ◽  
Central Nepal ◽  
Maxillofacial Fractures ◽  
Health Institutions

BACKGROUND: There are only few studies regarding the pattern and causes of maxillofacial fractures till date in Nepal and no such study in western and central Nepalese population has been conducted. The purpose of this study, therefore, was to describe the causes and the pattern of maxillofacial fractures in western and central part of Nepal over the period of 5 years.MATERIAL AND METHODS A retrospective analysis of maxillofacial fractures was conducted on 328 patients who were treated in the department of maxillofacial surgery. Data was extracted and analyzed based on age, sex, cause of injury and anatomic location.RESULT Young males of 3rd decade of life most commonly sustained the maxillofacial trauma. The commonest site involved was the zygomatic complex (42%) when only mid face fractures was considered and parasymphysis (32%) when only mandible was considered.The most common cause of injuries was road traffic accidents (289 patients; 88.1%) followed by interpersonal violence (25 patients; 7.6 %) and falls accounting for 4.2% of the all injuries. CONCLUSION The findings of this study suggest the need for expansion of the motorway network, ensuring compliance of strict traffic rules and regulations, replacing old vehicles without safety measures and implement school education in alcohol abuse.Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3, 8-13

scholarly journals Epidemiology of Maxillofacial Injuries in “Heratsi” No 1 University Hospital in Yerevan, Armenia: A Retrospective Study

2021 ◽  
Author(s):  
Lusine V. Aleksanyan ◽  
Anna Yu Poghosyan ◽  
Martin S. Misakyan ◽  
Armen M. Minasyan ◽  
Aren Yu Bablumyan ◽  
...  
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Nasal Bone ◽  
Fracture Site ◽  
University Hospital ◽  
Maxillofacial Injuries ◽  
Cross Sectional ◽  
Injury Site ◽  
Maxillofacial Fractures

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.

scholarly journals EPIDEMIOLOGY OF MAXILLOFACIAL INJURIES IN "HERATSI" №1 UNIVERSITY HOSPITAL IN YEREVAN, ARMENIA: A RETROSPECTIVE STUDY

2021 ◽  
Author(s):  
Lusine Aleksanyan ◽  
Anna Poghosyan ◽  
Martin Misakyan ◽  
Armen Minasyan ◽  
Aren Bablumyan ◽  
...  
Keyword(s):  
Interpersonal Violence ◽  
Road Traffic ◽  
Maxillofacial Surgery ◽  
Nasal Bone ◽  
Fracture Site ◽  
University Hospital ◽  
Maxillofacial Injuries ◽  
Cross Sectional ◽  
Injury Site ◽  
Maxillofacial Fractures

Objective: 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 the Department of ENT and Maxillofacial Surgery of "Heratsi" No. 1 University Hospital in Yerevan, Armenia. Material and 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 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.

scholarly journals Maxillofacial Trauma in Central Karnataka, India: An Outcome of 95 Cases in a Regional Trauma Care Centre

2012 ◽  
Vol 5 (4) ◽  
pp. 197-204 ◽  
Author(s):  
Rajay A. D. Kamath ◽  
Shiva Bharani ◽  
Reshma Hammannavar ◽  
Sumit P. Ingle ◽  
Ankit G. Shah
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Trauma ◽  
Concomitant Injuries ◽  
Female Ratio ◽  
Early Return ◽  
Maxillofacial Fractures ◽  
Jaw Fractures ◽  
Age Range

Materials and Methods A 6-year retrospective analysis of 111 patients treated for maxillofacial fractures in Davangere, Karnataka from January 2004 to December 2009 was performed. Variables like age, gender, occupation, type of fracture and mechanism of injury, concomitant injury, mode of treatment, and complications were recorded and assessed. Results Men between 21 and 30 years were mostly affected (male-to-female ratio = 10:1; age range = 17.60 years; mean 31.7±9.8 [standard deviation]). Most fractures were caused by road traffic accidents (RTAs; 74.7%), followed by interpersonal violence (IPV; 15.8%), falls (4.2%), industrial hazards and animal attacks (2.1% each), and self-inflicted injury (1.1%). Forty-two cases were isolated zygomaticomaxillary complex (ZMC) fractures. The total number of facial fractures documented was 316, of which 222 were purely related to the ZMC; however, 11 were confined only to the midface. Fifty-three cases had concomitant lower jaw fractures, totaling 83. Ophthalmic injuries occurred in 30.52% of cases. Ninety-two cases were treated with open reduction and internal fixation (ORIF), and three cases were managed conservatively. The complication rate observed was 25.26%. Conclusion RTA continues to be the chief etiological factor in maxillofacial injury with males being affected predominantly. IPV and falls next contribute significantly to the incidence of such injuries. Concomitant injuries, however, require prompt recognition and appropriate management. ORIF still remains the mainstay of treatment; however, fixation devices are constantly being improved upon in an attempt to reduce immobilization time thereby facilitating early return to function with minimal morbidity. Nevertheless, future advances in maxillofacial trauma diagnosis and management are likely to reduce associated morbidity.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India

2017 ◽  
Vol 3 (4) ◽  
pp. 878
Author(s):  
Basheer N. K. ◽  
Jaya C. ◽  
Sabir V. T.
Keyword(s):  
Traffic Accidents ◽  
Surgical Intervention ◽  
Road Traffic ◽  
Treatment Options ◽  
Cost Benefit ◽  
Minor Bleeding ◽  
Older Individuals ◽  
Bleeding Point ◽  
Common Causes ◽  
Nasal Bleed

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Epistaxis is the most common otorhinolaryngological emergency worldwide. Minor bleeding episodes occur more frequently in children and adolescents, whereas severe bleed requiring otolaryngologic intervention often occur in older individuals. Treatment options can be conservative or surgical, the selection of which should be made considering the parameters: efficiency, complications, and cost-benefit. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This was a prospective study done in 131 patients with epistaxis, in the Department of ENT, Government Medical College, Trivandrum, with the aim to determine the etiology and the outcome of the conservative and surgical management.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The most common causes of epistaxis were trauma and hypertension. The age incidence increased after forty years and majority had unilateral, anterior nasal, mild-moderate bleed. 79% of the cases were managed by conservative measures as opposed to only 21% who required surgical intervention. Success rate of anterior nasal pack and cauterisation of bleeding point was nearly 84%. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Majority of cases of epistaxis can be successfully managed by conservative measures and surgical intervention may not be necessary in most cases. Cauterization of bleeding point is the best conservative method which can be offered to the patient though anterior nasal packing still remains the most preferred method to control the bleed. The most common causes of epistaxis being trauma and hypertension, reducing road traffic accidents and lifestyle illness can reduce the incidence of nasal bleed.</span></p>

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 Ensuring Operators-Drivers Transport of Agricultural Machinery Safety in the Context of Sustainable Development

2014 ◽  
Vol 3 (1) ◽  
pp. 30-32
Author(s):  
Marina Ovcharenko ◽  
Andrey Ovcharenko ◽  
Elena Ovchinnikova ◽  
Alexey Arefiev
Keyword(s):  
Experimental Data ◽  
Reaction Time ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Agricultural Machinery ◽  
Work Shift ◽  
Common Causes ◽  
The Russian Federation ◽  
The Common

Abstract The number and severity of road traffic accidents in the Russian Federation is not reduced from year to year. It is established that one of the common causes of traffic accidents is sleep at the wheel, it is especially typical for operators-drivers of transport agricultural machinery. According to the experimental data were derived mathematical dependences of operator reaction time of the driver at the beginning and end of the work shift by his age, which proved that with increasing age operator reaction time in an emergency increases

scholarly journals Epidemiological Analysis of Maxillofacial Injuries in Road Traffic Accidents: A Peripheral Hospital Based Study

2020 ◽  
Vol 28 (1) ◽  
pp. 10-16
Author(s):  
Satadal Mondal ◽  
Indranil Sen ◽  
Rabi Hembrom ◽  
Swagato Roy ◽  
Rupam Sinha ◽  
...  
Keyword(s):  
Young Adults ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Common Type ◽  
Medical College Hospital ◽  
Road Traffic Accidents ◽  
College Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Maxillofacial Fractures

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.

scholarly journals Novel Classification of Posttraumatic Ear Deformities and its Surgical Management

2020 ◽  
Vol 53 (02) ◽  
pp. 280-286
Author(s):  
Umesh Kumar ◽  
P. Jain
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Skin Flap ◽  
Costal Cartilage ◽  
Ear Deformity ◽  
Common Causes ◽  
The Common ◽  
Split Skin ◽  
Surrounding Skin

Abstract Background Classification of posttraumatic ear deformities and its reconstruction is an uphill task for a reconstructive surgeon as they present in various combinations. In our study, we have described ear deformity as per a new classification and reconstructed the ear accordingly. Method Posttraumatic ear deformity was described under the following four headings: (a) zone of defect, (b) size of defect, (c) missing components, and (d) condition of surrounding skin. Twenty-six posttraumatic ear deformities were operated using postauricular skin flap (14), temporoparietal fascial (TPF) flaps (8), preauricular skin flap (1), intralesional excision (2), and primary closure with chondrocutaneous advancement in one patient. Costal cartilage was used for reconstruction of framework wherever required. Framework elevation was done 4 to 6 months postoperatively. Results Posttraumatic ear deformity was more common in males. Bite injury and road traffic accidents were the common causes. Zones I, II and III were most frequently involved. Four patients complained about size, contour, and projection of reconstructed ear. Three patients were not satisfied by the appearance of junction between reconstructed and residual ear. Four patients in whom the reconstruction was done with TPF, costal cartilage, and thin (SSG) split skin grafts complained of hyperpigmentation of reconstructed ear. Conclusion Classification of posttraumatic ear deformity and its reconstruction is a surgical challenge. Unscarred postauricular skin and TPF flaps are the workhorse flaps for reconstruction of acquired ear deformities. Our classification helps in describing the defect, documenting it, planning reconstruction, and aiding in assessing postoperative outcomes.

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