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Mao J, Li X, Cao K, Xue J, Wang M, Yan D, Zhou Z. Epidemiology of maxillofacial fractures in northwest China: an 11-year retrospective study of 2240 patients. BMC Oral Health 2023; 23:313. [PMID: 37221520 DOI: 10.1186/s12903-023-03006-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 05/02/2023] [Indexed: 05/25/2023] Open
Abstract
BACKGROUND The aim of this study was to determine the epidemiological pattern of maxillofacial fractures in northwestern China by retrospectively analysing the demographics, aetiologies, concomitant injuries, fracture sites, and management. METHODS A 10-year retrospective analysis of 2240 patients with maxillofacial fractures admitted to the General Hospital of Ningxia Medical University was conducted. The extracted data included sex, age, aetiology, fracture site, concomitant injuries, time of treatment, therapeutic approaches and complications. Statistical analyses were performed, including descriptive analysis and the chi-square test. Logistic regression was used to determine the impact factors of maxillofacial fractures and concomitant injuries. P values < 0.05 were considered statistically significant. RESULTS The age of the included patients ranged from 1 to 85 years, and the mean age was 35.88 ± 15.69 years. The male-to-female ratio was 3.9:1. The most frequent aetiology of maxillofacial fractures was road traffic accidents (RTAs) (56.3%), and the most common fracture sites were the anterior wall of the maxillary sinus, arcus zygomaticus and mandibular body. A total of 1147 patients (51.2%) were affected by concomitant injuries, with craniocerebral injury being the most common. Logistic regression analyses revealed increased risks of mid-facial fractures in elderly individuals (odds ratio (OR) = 1.029, P < 0.001) and females (OR = 0.719, P = 0.005). Younger patients had a higher risk of mandibular fractures (OR = 0.973, P < 0.001). RTAs increased the risk for mid-facial fractures and high falls increased the risk for mandibular fractures. CONCLUSIONS The maxillofacial fracture pattern is correlated with sex, age and aetiology. Patients were mainly young and middle-aged males, and the main cause of injury was RTAs, mostly causing compound fractures. Medical staff must be systematically educated to comprehensively examine patients with injuries resulting from RTAs. The management of patients with fractures requires thorough consideration of the patient's age, aetiology, fracture site, and concomitant injuries.
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Affiliation(s)
- Jingjing Mao
- Ningxia Medical University, No. 1160, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China
| | - Xiaojie Li
- Department of Dental and Endodontic Diseases, General Hospital of Ningxia Medical University, No. 804, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China
| | - Kun Cao
- Department of Oral and Maxillofacial Surgery, General Hospital of Ningxia Medical University, No. 804, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China
| | - Jiawen Xue
- Ningxia Medical University, No. 1160, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China
| | - Min Wang
- Department of Stomatology, The Eighth People's Hospital of Jinan, No. 68, Xin Xing Road, Jinan, 271100, Shandong, P.R. China
| | - Di Yan
- Institute of Medical Sciences, General Hospital of Ningxia Medical University, No. 804, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China
| | - Zhongwei Zhou
- Department of Oral and Maxillofacial Surgery, General Hospital of Ningxia Medical University, No. 804, Sheng Li South Road, Yinchuan, 750004, Ningxia, P.R. China.
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World Oral and Maxillofacial Trauma (WORMAT) project: A multicenter prospective analysis of epidemiology and patterns of maxillofacial trauma around the world. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022; 123:e849-e857. [PMID: 35545192 DOI: 10.1016/j.jormas.2022.05.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Accepted: 05/04/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND/AIM The World Oral Maxillofacial Trauma (WORMAT) project was performed to analyze the causes and characteristics of maxillofacial fractures managed in 14 maxillofacial surgery divisions over a 1-year period. METHODS The following data were collected: age, sex, cause and mechanism of maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score (FISS), associated injury, day of trauma, timing and type of treatment, and length of hospitalization. Statistical analyses were performed using SPSS software. RESULTS Between 30 September 2019 and 4 October 2020, 2,387 patients (1,825 males and 562 females [ratio 3.2:1], 47.6% aged 20-39 years [mean age 37.2 years, median 33.0 years]) were hospitalised. The main cause of maxillofacial fracture was road traffic accidents (RTA), which were statistically associated with male adults as like as assault, sport, and work (p<0,05). Half of the fractures involved the middle third of the face, statistically associated with fall and assault (p<0.05). Trauma in multiple locations was significantly associated with longer hospital stay (p<0.05). The mean length of hospitalization was 3.9 days (95% Confidence Interval 3.7-4.2). CONCLUSIONS This prospective, multicenter epidemiological study confirmed that young adult males were the ones most commonly affected by maxillofacial fracture. RTAs and assaults are statistically associated with the adult population, while falls are associated with females and older population.
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Bojino A, Roccia F, Carlaw K, Aquilina P, Rae E, Laverick S, Romeo I, Iocca O, Copelli C, Sobrero F, Segura-Pallerès I, Ganasouli D, Zanakis SN, de Oliveira Gorla LF, Pereira-Filho VA, Gallafassi D, Perez Faverani L, Alalawy H, Kamel M, Samieirad S, Jaisani MR, Rahman SA, Rahman T, Aladelusi T, Hassanein AG, Duran-Valles F, Bescos C, Goetzinger M, Bottini GB. A multicentric prospective analysis of maxillofacial trauma in the elderly population. Dent Traumatol 2022; 38:185-195. [PMID: 35150461 DOI: 10.1111/edt.12736] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 01/24/2022] [Accepted: 01/27/2022] [Indexed: 01/11/2023]
Abstract
BACKGROUND/AIMS The growth of the global elderly population will lead to an increase in traumatic injuries in this group, including those affecting the maxillofacial area, with a heavier load on health systems. The aim of this multicentric prospective study was to understand and evaluate the incidences, causes and patterns of oral and maxillofacial injuries in patients aged over 60 years admitted to 14 maxillofacial surgical departments around the world. METHODS The following data were collected: gender, cause and mechanism of maxillofacial fracture, alcohol and drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment and length of hospitalization. Statistical analyses were performed using non-parametric and association tests, as well as linear regression. RESULTS Between 30 September 2019 and 4 October 2020, 348 out of 2387 patients (14.6%), 197 men and 151 women (ratio 1.3:1; mean age 72.7 years), were hospitalized. The main causes of the maxillofacial fractures were falls (66.4%), followed by road traffic accidents (21.5%) and assaults (5.2%). Of the 472 maxillofacial fractures, 69.7% were in the middle third of the face, 28% in the lower third and 2.3% in the upper third. Patients with middle third fractures were on average 4.2 years older than patients with lower third fractures (95% CI 1.2-7.2). Statistical analysis showed that women were more involved in fall-related trauma compared with males (p < .001). It was also shown that road traffic accidents cause more fractures in the lower third (p < .001) and in the middle third-lower third complex compared with upper third (p < .001). CONCLUSIONS Maxillofacial fractures in the elderly were more frequent in European and Australian centres and affected men slightly more than women. Falls were the leading cause of fractures, especially among women. The middle third of the face was most often affected, and conservative treatment was the most common choice for the management of such patients.
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Affiliation(s)
- Alessandro Bojino
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Fabio Roccia
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Kirsten Carlaw
- Department Plastic, Reconstructive and Maxillofacial Surgery, Nepean Hospital, Sydney, New South Wales, Australia
| | - Peter Aquilina
- Department Plastic, Reconstructive and Maxillofacial Surgery, Nepean Hospital, Sydney, New South Wales, Australia
| | - Euan Rae
- Department Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK
| | - Sean Laverick
- Department Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK
| | - Irene Romeo
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Oreste Iocca
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Chiara Copelli
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Federica Sobrero
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Ignasi Segura-Pallerès
- Division of Maxillofacial Surgery, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Dimitra Ganasouli
- Department Oral and Maxillofacial Surgery, Hippokration General Hospital, Athens, Greece
| | - Stelios N Zanakis
- Department Oral and Maxillofacial Surgery, Hippokration General Hospital, Athens, Greece
| | | | | | - Daniel Gallafassi
- Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, São Paulo State University, UNESP, Araçatuba, São Paulo, Brazil
| | - Leonardo Perez Faverani
- Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, São Paulo State University, UNESP, Araçatuba, São Paulo, Brazil
| | - Haider Alalawy
- Department Oral and Maxillofacial Surgery, Gazi Alhariri Hospital, Medical City, Baghdad, Iraq
| | - Mohammed Kamel
- Department Oral and Maxillofacial Surgery, Gazi Alhariri Hospital, Medical City, Baghdad, Iraq
| | - Sahand Samieirad
- Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mehul Rajesh Jaisani
- Department Oral and Maxillofacial Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
| | - Sajjad Abdur Rahman
- Department Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India
| | - Tabishur Rahman
- Department Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India
| | - Timothy Aladelusi
- Department Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Ahmed Gaber Hassanein
- Maxillofacial Surgery Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Francesc Duran-Valles
- Department Oral and Maxillofacial Surgery, Hospital Universitario Vall D'Hebron, Barcelona, Spain
| | - Coro Bescos
- Department Oral and Maxillofacial Surgery, Hospital Universitario Vall D'Hebron, Barcelona, Spain
| | - Maximilian Goetzinger
- Department Oral and Maxillofacial Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria
| | - Gian Battista Bottini
- Department Oral and Maxillofacial Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria
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Kim R, Shokri T, Wang W, Ducic Y. Facial Protection to Prevent Facial Trauma and Allow for Optimal Protection after Facial Fracture Repair. Facial Plast Surg 2021; 37:781-789. [PMID: 33525032 DOI: 10.1055/s-0041-1723006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Facial skeletal fractures continue to affect humankind, and many methods to alleviate and prevent the injuries outright have been sought after. Prevention is desired, but the implementation and general compliance may contribute to missed opportunities to decrease the burden of facial skeletal trauma. In this article, we explore the preventative as well as postoperative options for the protection of the facial skeleton.
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Affiliation(s)
- Roderick Kim
- Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
| | - Tom Shokri
- Department of Otolaryngology, Pennsylvania State University, Hershey, Pennsylvania
| | - Weitao Wang
- Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
| | - Yadranko Ducic
- Department of Facial Plastics, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
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Aita TG, Pereira Stabile CL, Dezan Garbelini CC, Vitti Stabile GA. Can a Facial Injury Severity Scale Be Used to Predict the Need for Surgical Intervention and Time of Hospitalization? J Oral Maxillofac Surg 2018; 76:1280.e1-1280.e8. [DOI: 10.1016/j.joms.2018.02.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Revised: 02/04/2018] [Accepted: 02/06/2018] [Indexed: 10/18/2022]
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Ugolini A, Parodi GB, Casali C, Silvestrini-Biavati A, Giacinti F. Work-related traumatic dental injuries: Prevalence, characteristics and risk factors. Dent Traumatol 2017; 34:36-40. [DOI: 10.1111/edt.12376] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Alessandro Ugolini
- INAIL-National Institute for Insurance against Work Accidents - Direzione Regionale Liguria; Genoa Italy
- Department of Orthodontics; University Of Genoa; Genoa Italy
| | | | - Claudia Casali
- INAIL-National Institute for Insurance against Work Accidents - Direzione Regionale Liguria; Genoa Italy
| | | | - Flavio Giacinti
- INAIL-National Institute for Insurance against Work Accidents - Direzione Regionale Liguria; Genoa Italy
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Maxillofacial Traumas in Farmers Caused by Farm Animals, Agricultural Vehicles, and Materials. J Craniofac Surg 2016; 27:e401-6. [PMID: 27228372 DOI: 10.1097/scs.0000000000002674] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE It has been aimed at evaluating the relationship of maxillofacial fractures in farmers, which are caused due to traumas while working in farms, with trauma etiologies, maxillofacial fracture areas, age, sex, and seasonal variables. METHODS Among the farmers who have come to our emergency service unit as a result of maxillofacial trauma between 2010 and 2012, 146 patients have been analyzed retrospectively. The patients' demographic findings, trauma etiologies, seasonal variables of trauma, and maxillofacial fracture area distribution have been analyzed. RESULTS Patients' age varies between 12 and 80 and 87 of them are female (59.59%), while 59 are male (40.41%). The subjects' etiological distribution is as follows: 47.5% is traumas caused by cattle among the farm animals; 15.75% is traumas caused by the blows of agricultural tools; 12.33% is traumas caused by tractor accidents; 9.59% is traumas caused by falling from haystacks; 7.53% is traumas caused by falling from agricultural vehicles, and 6.85% is traumas caused by horse kicks. When trauma etiology, age, sex, seasonal distribution, and the maxillofacial fractures were analyzed, statistically significant results have been determined. CONCLUSIONS Although the number of maxillofacial traumas is considerably high in farmers due to farm animals, agricultural devices, and agricultural tools, while these traumas can cause functional and aesthetically minor fractures on the face, they can cause important and serious fractures as well. While knowing the mechanism of etiological fractures and accidents in different study groups can be guiding in the speedy diagnosis and treatment of possible fractures, it can also be helpful in taking precautions against traumas in these groups as well.
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Cillo JE, Holmes TM. Interpersonal Violence Is Associated With Increased Severity of Geriatric Facial Trauma. J Oral Maxillofac Surg 2016; 74:1023.e1-7. [PMID: 26850874 DOI: 10.1016/j.joms.2016.01.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 01/04/2016] [Accepted: 01/04/2016] [Indexed: 11/26/2022]
Abstract
PURPOSE The geriatric population is rapidly increasing in number with increased demand on health care resources including those spent on the treatment of maxillofacial trauma. The purpose of this analysis was to investigate the independent and cumulative associations between potential risk factors (age, gender, mechanism of injury, drug use, and alcohol use) for and the severity of geriatric facial trauma. METHODS This was a cross-sectional analysis of secondary data of geriatric (individuals aged ≥65 years) facial trauma using the Allegheny General Hospital Trauma Registry database. Data were collected for diagnosis codes that reflected facial trauma (International Classification of Diseases, Ninth Revision codes 802.0 to 802.9, 800.1 to 801.9, and 803.0 to 804.9) and specific mechanisms of injury (E810 to E819, motor vehicle traffic accidents; E880 to E888, accidental falls; and E960 to E969, injury purposely inflicted by other persons). The Facial Injury Severity Scale (FISS) is a validated measurement that was used to determine the severity of the facial trauma and calculated through analysis of the abstracted data obtained from the trauma registry and patient records. Pearson correlations, 2-way independent t test, 1-way analysis of variance, and multiple linear regression were used to test hypotheses for independent and cumulative associations between the risk factors for and the severity of geriatric facial trauma. Statistical significance was set at the P < .05 level. RESULTS The sample was composed of 229 patients with a mean age of 72.3 ± 4.5 years. A statistically significant association between mechanism of injury and the severity of geriatric facial trauma (P = .019) was found. Specifically, interpersonal violence (assault) was associated with the greatest facial trauma severity (FISS score, 4.2) when compared with motor vehicle collisions (FISS score, 2.2; P = .011) and falls (FISS score, 2.4; P = .016). CONCLUSIONS Interpersonal violence (assault) is associated with increased severity of geriatric facial trauma compared with other risk factors.
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Affiliation(s)
- Joseph E Cillo
- Assistant Professor and Program Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA.
| | - Talmage M Holmes
- Faculty, College of Health Sciences, Walden University, Minneapolis, MN
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Industrial maxillofacial injuries in the United Kingdom. Br J Oral Maxillofac Surg 2015; 53:926-31. [DOI: 10.1016/j.bjoms.2015.07.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 07/16/2015] [Indexed: 10/23/2022]
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Zhou HH, Liu Q, Yang RT, Li Z, Li ZB. Maxillofacial Fractures in Women and Men: A 10-Year Retrospective Study. J Oral Maxillofac Surg 2015; 73:2181-8. [PMID: 26296597 DOI: 10.1016/j.joms.2015.07.022] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Revised: 07/28/2015] [Accepted: 07/28/2015] [Indexed: 11/26/2022]
Abstract
PURPOSE The purpose of this study was to evaluate and compare the demographic characteristics of maxillofacial fractures between women and men in China. PATIENTS AND METHODS The sample was composed of all patients who sustained maxillofacial fractures during a 10-year period (2000 through 2009). Incidences, age distributions, etiologies, fracture patterns, associated injuries, and occupation distributions were recorded and analyzed. Data analysis included the χ(2) test, the Fisher exact test, and the t test. A P value less than .05 was considered significant. RESULTS There were 1,131 patients (881 male and 250 female) who sustained maxillofacial fractures, with a male-to-female ratio of 3.5:1. Male patients sustained injuries most frequently during the autumn (P = .048), whereas female patients sustained more maxillofacial injuries during the summer (P = .006). Men sustained motorcycle (P = .023) and assault-related accidents (P = .036) more frequently than women, whereas women were more frequently injured in bicycle-related accidents (P < .001) or falling while at ground level (P = .001) than men. Women presented more frequently with condylar fracture than men (P = .028), whereas men were more prone to symphysis fractures than women (P = .037). For drivers, only men were involved (P = .001). Male workers sustained maxillofacial fractures more frequently than female workers (P < .001). Female children, students, and company staff were more prone to maxillofacial fractures than their male counterparts (P = .010, P = .004, and P = .044 respectively). CONCLUSIONS The demographic characteristics of maxillofacial fractures in female patients considerably differ from those in male patients.
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Affiliation(s)
- Hai-Hua Zhou
- Resident, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology and the Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | - Qi Liu
- Resident, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology and the Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | - Rong-Tao Yang
- Resident, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology and the Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | - Zhi Li
- Associate Professor, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology and the Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | - Zu-Bing Li
- Professor, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology and the Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.
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Ogura I, Sasaki Y, Kaneda T. Multidetector computed tomography of maxillofacial fractures. JAPANESE DENTAL SCIENCE REVIEW 2014. [DOI: 10.1016/j.jdsr.2014.05.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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Roccia F, Boffano P, Bianchi FA, Gerbino G. Maxillofacial injuries due to work-related accidents in the North West of Italy. Oral Maxillofac Surg 2013; 17:181-186. [PMID: 22868983 DOI: 10.1007/s10006-012-0336-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Accepted: 07/16/2012] [Indexed: 06/01/2023]
Abstract
INTRODUCTION The aim of this study was to assess the incidence and patterns of work-related maxillofacial injuries, identifying worker categories with a high risk of injury. MATERIAL AND METHODS From a systematic computer-assisted database that has continuously recorded patients hospitalized with maxillofacial fractures, only patients with work-related injuries were considered. Occupation, mechanism of injury, and demographic and clinical data were analyzed. RESULTS Work-related facial injuries represented the fifth most common cause of injury, with a percentage of 6.3 %. Maxillofacial fractures were most often seen in construction workers (37.9 %). The middle third was involved in 67 % of the cases; the mandible was the most frequently injured site. CONCLUSIONS Work-related maxillofacial trauma is rare, but it is often complex and challenging as Facial Injury Severity Scale values show. In agreement with the few published reports, construction workers, together with farm and forestry workers, are at the highest risk of injuries, mainly because of struck by a thrown, projected, or falling object.
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Affiliation(s)
- Fabio Roccia
- Division of Maxillofacial Surgery, Head & Neck Department, San Giovanni Battista Hospital, University of Turin, Corso A.M. Dogliotti 14, 10126, Torino, Italy.
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Toriumi M, Nagasao T, Itamiya T, Shimizu Y, Yasudo H, Sakamoto Y, Ogata H, Kishi K. 3-D analysis of dislocation in zygoma fractures. J Craniomaxillofac Surg 2013; 42:397-402. [PMID: 23891273 DOI: 10.1016/j.jcms.2013.06.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2012] [Revised: 06/02/2013] [Accepted: 06/03/2013] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE When fractured, zygomas rotate and dislocate. The present study quantitatively elucidates the pattern of the rotation. METHODS 50 patients with tri-pod-type zygoma fractures were involved in this study. After defining a 3-dimensional coordinate system--consisting of the M-L axis (the axis directed from the medial to lateral side of the skull), I-S axis (directed from the inferior to superior side), and P-A axis (directed from the posterior to anterior side), the degree with which the fractured zygomas rotated around each of these axes was measured using 3-dimensional graphic software. Thereafter, the tendency of the rotation was compared between the three rotational axes. RESULTS Rotation around the I-S axis was the most frequent with a 96% incidence, followed by a substantial margin by rotation around the M-L axis with a 26% incidence; rotation around the P-A axis was rare, with an incidence of 10%. Furthermore, the degree of P-A axis rotation was minor compared to I-S and M-L axis rotations. CONCLUSION The main factor of zygoma dislocation in zygoma fracture is rotation around the I-S axis. This finding is helpful for effective performance to reposition fractured zygomas.
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Affiliation(s)
- Masahiro Toriumi
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
| | - Tomohisa Nagasao
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.
| | - Tomoki Itamiya
- Design Faculty, Tokyo University of Technology, Tokyo, Japan
| | - Yusuke Shimizu
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
| | - Hiroki Yasudo
- Department of Pediatrics, Tokyo University, Tokyo, Japan
| | - Yoshiaki Sakamoto
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
| | - Hisao Ogata
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
| | - Kazuo Kishi
- Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
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Medial canthopexy of old unrepaired naso-orbito-ethmoidal (noe) traumatic telecanthus. J Craniomaxillofac Surg 2013; 42:106-12. [PMID: 23731578 DOI: 10.1016/j.jcms.2013.03.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2012] [Revised: 03/20/2013] [Accepted: 03/21/2013] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Traumatic telecanthus resulting from injuries to the naso-orbito-ethmoidal (NOE) complex is a difficult deformity to treat and involves both esthetic and functional aspects. Delayed or inadequate primary treatment often results in scarring and secondary deformities that are severe and make them extremely problematic to correct. The intricate anatomy of this area makes NOE injuries one of the most challenging areas of facial reconstruction. Several techniques were described to reconstruct the medial canthal tendon (MCT) and repair the telecanthus deformity. Transnasal wiring remains the gold standard. However, the procedure is technically difficult. It necessitates wide exposure sufficient to allow transverse passage of wires through bony fenestrations deep within the orbit, and involves dissection of the contralateral orbit. AIM This study proposes a minor modification to simplify transnasal-wiring technique in the difficult cases presenting with telecanthus following unrepaired NOE fractures. PATIENTS & METHODS The study included 13 patients (11 males and 2 females) presenting with telecanthus, at least six months after sustaining NOE fractures. Transnasal canthopexy was the fundamental step in reconstruction. Two wires held independently the anterior and posterior limbs of the MCT to ensure an adequate grip. They were delivered in a single pass through a single hole instead of two to avoid weakening of the thin lacrimal bones. The wires were then secured to a titanium mesh fixed to the contralateral medial orbital rim to guarantee a stable fixation. RESULTS The technique restored the normal canthal position along the lacrimal crest. Good functional and esthetic results are reported based on the measurement of pre- and postoperative intercanthal & canthal-midline distances over a period of 2-years, with an average follow-up period of 12 months. CONCLUSION The results reveal the simplicity and reliability of this technique in restoring palpebral shape and intercanthal distance without any recoded functional complications throughout the follow-up.
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Manor E, Joshua BZ, Levy J, Brennan PA, Bodner L. Pathological fracture of the mandible in a paediatric patient with congenital insensitivity to pain with anhidrosis (CIPA). J Craniomaxillofac Surg 2013; 41:e39-41. [PMID: 22858419 DOI: 10.1016/j.jcms.2012.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2012] [Revised: 07/03/2012] [Accepted: 07/03/2012] [Indexed: 11/16/2022] Open
Affiliation(s)
- Esther Manor
- Institute of Human Genetics, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University of Negev, Beer Sheva, Israel
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Yamamoto K, Matsusue Y, Horita S, Murakami K, Ueyama Y, Sugiura T, Kirita T. Maxillofacial fractures of pedestrians injured in a motor vehicle accident. Craniomaxillofac Trauma Reconstr 2013; 6:37-42. [PMID: 24436734 DOI: 10.1055/s-0033-1333881] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Accepted: 07/22/2012] [Indexed: 10/27/2022] Open
Abstract
Maxillofacial fractures of pedestrians injured in a motor vehicle accident were retrospectively analyzed. The patients were 38 males and 26 females, and their age was distributed almost evenly from 1 to 91 years old (average 45.9 ± 24.8 years old). Motor vehicle collisions were with an automobile in 46 patients (71.9%), a motorcycle in 17 (26.6%), and a train in 1 (1.6%). The midface was involved in 32 patients (50.0%), the mandible in 19 (29.7%), and both the mandible and the midface in 13 (20.3%). Fractures were frequently observed in the zygoma and alveolus in the midface and in the condyle, symphysis, and body in the mandible. The facial injury severity scale (FISS) rating ranged from 1 to 9 (average 2.30 ± 1.79). Injuries to other sites of the body occurred in 29 patients (45.3%). Observation was most frequently chosen in 26 patients (40.6%), followed by open reduction and internal fixation (ORIF) in 18 (28.1%), and maxillomandibular fixation (MMF) in 8 (12.5%). The FISS rating was higher in patients treated with ORIF and MMF. Injuries to other sites of the body were observed at a higher rate in patients who collided with an automobile and were also treated by ORIF.
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Affiliation(s)
- Kazuhiko Yamamoto
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Yumiko Matsusue
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Satoshi Horita
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Kazuhiro Murakami
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Yoshihiro Ueyama
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Tsutomu Sugiura
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Tadaaki Kirita
- Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan
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Trullás JM, Ballester ML, Bolíbar I, Parellada N, Berástegui E. Frequency and characteristics of occupational dental trauma. Occup Med (Lond) 2012; 63:152-5. [PMID: 23266433 DOI: 10.1093/occmed/kqs214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Dental trauma at the workplace may have important clinical and occupational consequences, but little is known about its profile. AIMS To describe the frequency and characteristics of work-related dental injuries. METHODS For all patients with occupational dental trauma seen at the FREMAP Hospital of Barcelona (Spain) between January 2000 and December 2006, we recorded their characteristics, type of work and nature of the trauma, including cause of the accident, extent of trauma, reason for referral to a dentist, and days of sick leave. RESULTS The frequency of dental trauma was 1.71 per 1000 occupational accidents attended and was related to the worker's occupation. In security services, it was 7.37 per 1000 and 2.01 in transport services. The frequency was similar in both genders. The most common causal mechanisms were direct impact (38%), traffic accidents (29%) and falls at the same level (16%). Causal mechanisms differed according to gender and type of job. Most injuries consisted of dental fracture (54%), and 67% of the patients required referral to a dental surgery. Injuries were limited to the mouth in 52% of cases, 8% of which required sick leave, with a mean duration of 23.0±21.8 days. CONCLUSIONS The frequency of dental trauma in this working population was low and was related to the worker's occupation. Causal mechanisms differed according to gender and type of job. Most dental injuries were severe and required referral to a dental surgery. Frequency of sick leave was low.
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Affiliation(s)
- J M Trullás
- Emergency Department, FREMAP Hospital, Barcelona, Spain.
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Zhou JH, Ren CQ. A preauricular long-corniform approach for open reduction and internal fixation of mandibular condylar fractures. J Craniomaxillofac Surg 2012; 41:359-66. [PMID: 23218871 DOI: 10.1016/j.jcms.2012.10.017] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Revised: 10/16/2012] [Accepted: 10/16/2012] [Indexed: 10/27/2022] Open
Abstract
INTRODUCTION We report functional and clinical outcomes following use of a preauricular long-corniform incision for open reduction and internal fixation (ORIF) of mandibular condylar fractures. MATERIALS AND METHODS Patients with mandibular condylar fractures who underwent ORIF via a 120° preauricular long-corniform incision were included in the study. A total of 78 patients (100 condyles) were included. Follow-up occurred 10 days and 1-6 months after surgery, and included assessments of clinical, functional outcome, complications, and bone fusion. RESULTS There were 38 high neck, 26 low base, and 35 diacapitular condylar fractures. All measures of functional outcome significantly improved over time after surgery regardless of fracture type (all P < 0.001). The vast majority of patients in all fracture type groups had good occlusion (≥ 88.5%), no pain (≥ 89.5%), and anatomical reduction 10 days after surgery (≥ 81.6%). Fracture healing was complete in all patients after 6 months. There were no long-term complications and all patients were satisfied with their postoperative appearance. CONCLUSIONS Our findings suggest that a preauricular long-corniform incision provides a good visual field during surgery, and allows for effective ORIF of mandibular high neck, low base, and diacapitular condylar fractures, with positive outcomes and minimal postoperative complications.
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Affiliation(s)
- Jian-Hong Zhou
- Department of Oral and Maxillofacial Surgery, 180th Hospital of PLA, Quanzhou 362000, Fujian Province, China.
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Ogura I, Kaneda T, Mori S, Sekiya K, Ogawa H, Tsukioka T. Characterization of mandibular fractures using 64-slice multidetector CT. Dentomaxillofac Radiol 2012; 41:392-5. [PMID: 22282503 DOI: 10.1259/dmfr/67127210] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE The aim of this study was to characterize mandibular fracture locations using 64-slice multidetector CT (MDCT). METHODS CT scans of 138 patients with mandibular fractures who underwent 64-slice MDCT were studied. Mandibular fractures were classified into five types: median, paramedian, angle, condylar and coronoid process. Statistical analysis for the relationship between multiple fractures and type of mandibular fractures was performed using χ(2) test with Fisher's exact test. RESULTS The percentage of multiple mandibular fractures was 80.9% median type, 74.3% paramedian type, 52.9% angle type and 60.9% condylar type. The resultant data showed a significant relationship between multiple fractures and the median type (p = 0.000), paramedian type (p = 0.002) and condylar type (p = 0.003). CONCLUSION The results suggest that multiple fractures are related to the type of mandibular fractures.
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Affiliation(s)
- I Ogura
- Department of Radiology, Nihon University School of Dentistry, Matsudo, Chiba, Japan.
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