A 5-year comprehensive evaluation of maxillofacial injuries in polytrauma patients at a tertiary hospital – an epidemiological study

Authors

  • Pradeep Muralidhar Department of Dentistry & Maxillofacial Surgery, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India; PhD Scholar, Saveetha University, Chennai, India
  • Vinod Bandela Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia https://orcid.org/0000-0002-5228-7133
  • Abdul Ahad Ghaffar Khan Department of Oral & Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Saudi Arabia
  • Shahi Jahan Shah Department of Oral & Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Saudi Arabia
  • Abosofyan Salih Atta Elfadeel Department of Oral & Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Saudi Arabia
  • Ram B Basany Department of Prosthodontics, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India
  • Devi Singh Amgoth Maxillofacial Surgeon, Government General Hospital, Nizamabad, Telangana, India
  • Shilpa Param Dental Surgeon, Apollo Hospitals, Hyderabad, Telangana, India

DOI:

https://doi.org/10.2340/aos.v83.40250

Keywords:

Polytrauma, maxillofacial injuries, facial fractures, accidents, maxillofacial surgeon

Abstract

Objectives: To report and analyze the pattern of maxillofacial injuries in trauma victims and to define the role of a maxillofacial surgeon in an emergency trauma care team.

Materials and methods: Trauma patients reported and reporting to the casualty of a tertiaryhospital with facial injuries and other suspected concomitant injuries in the body were included in this study. The complete medical and radiographic records of each patient were reviewed and data was collected in a standard proforma in this 5-year clinical study (3 year of retrospective and 2 year of prospective study). The complete data related to the facial injuries and associated systemic trauma was recorded and statistical analysis conducted.

Results: A total of 18,369 patients with trauma were admitted to the hospital from May 2018 to April 2023. Out of these, 11,277 (61.4%) were males and 7,092 (38.6%) were females. Seventy percent of the reported cases with trauma were in the age group of 14–40 years. The incidence of trauma during the monsoon season was highest (n = 7,927, 43%). The commonest etiological factor leading to trauma was road traffic accident (n = 4,510, 40%). Among facial injuries, the mandibular fractures (n = 1,821, 41%) were predominant.

Conclusions: The management of polytrauma patients should be undertaken by a team of specialists which should include a maxillofacial surgeon as facial injuries were common. This data is essential in developing and assessing the preventative strategies aimed at decreasing the frequency of facial and other injuries.

Downloads

Download data is not yet available.

References

Subhashraj K, Ramkumar S, Ravindran C. Pattern of mandibular fractures in Chennai, India. Br J Oral Maxillofac Surg. 2008;46(2):126–127. https://doi.org/10.1016/j.bjoms.2006.10.004 DOI: https://doi.org/10.1016/j.bjoms.2006.10.004

Hachi O, Tuli T, Schwabegger A, et al. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg. 2002;31(1):90–93. https://doi.org/10.1054/ijom.2001.0166 DOI: https://doi.org/10.1054/ijom.2001.0166

Gassner R, Tuli T, Hachi O, et al. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg. 2004;62(4):399–407. https://doi.org/10.1016/j.joms.2003.05.013 DOI: https://doi.org/10.1016/j.joms.2003.05.013

Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(1):28–34. https://doi.org/10.1016/j.tripleo.2005.07.023 DOI: https://doi.org/10.1016/j.tripleo.2005.07.023

Down KE, Boot DA, Gonnan DF. Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int Oral Maxillofac Surg. 1995;24(6):409–12. https://doi.org/10.1016/S0901-5027(05)80469-2 DOI: https://doi.org/10.1016/S0901-5027(05)80469-2

Iida S, Hassfeld S, Reuther T, et al. Maxillofacial fractures resulting from falls. J Craniomaxillofac Surg. 2003;31(5):278–283. https://doi.org/10.1016/S1010-5182(03)00069-6 DOI: https://doi.org/10.1016/S1010-5182(03)00069-6

Salentijn E, Van den Bergh B, Forouzanfar T. Etiology and incidence of maxillofacial trauma in Amsterdam, a retrospective analysis of 579 patients. Int J Oral Maxillofac Surg. 2011;40(10):1026. https://doi.org/10.1016/j.ijom.2011.07.012 DOI: https://doi.org/10.1016/j.ijom.2011.07.012

Busuito MJ, Smith DJ, Robson MC. Mandibular fractures in an urban trauma center. J Trauma. 1986;26(9):826–9. https://doi.org/10.1097/00005373-198609000-00008 DOI: https://doi.org/10.1097/00005373-198609000-00008

Oikarinen K, Ignatius E, Kauppi H, et al. Mandibular fractures in Northern Finland in the 1980s: a 10-year study. Br J Oral Maxillofac Surg. 1993;31(1):23–27. https://doi.org/10.1016/0266-4356(93)90092-B DOI: https://doi.org/10.1016/0266-4356(93)90092-B

Hussain K, Wijetunge DB, Grubnic S, et al. A comprehensive analysis of craniofacial trauma. J Trauma. 1999;36(1):34–47. https://doi.org/10.1097/00005373-199401000-00006 DOI: https://doi.org/10.1097/00005373-199401000-00006

Haug RH, Prather J, Indresano T. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg. 1990;48(9):926–32. https://doi.org/10.1016/0278-2391(90)90004-L DOI: https://doi.org/10.1016/0278-2391(90)90004-L

Girotto JA, Gruss J. Facial fracture in children. Curr Ther Plastic Surg. 2006;2006:257–264. https://doi.org/10.1016/B978-0-7216-0000-0.50038-4 DOI: https://doi.org/10.1016/B978-0-7216-0000-0.50038-4

Wishart C. Aspects of plastic surgery. Maxillofacial Injuries. British Med J. 1974;3:513–16. https://doi.org/10.1136/bmj.3.5929.513 DOI: https://doi.org/10.1136/bmj.3.5929.513

Fridrich KL, Pena-Velasco G, Olson RAJ. Changing trends with mandibular fractures. J Oral Maxillofac Surg. 1992;50(6):586–9. https://doi.org/10.1016/0278-2391(92)90438-6 DOI: https://doi.org/10.1016/0278-2391(92)90438-6

Boffano P, Kommers SC, Karagozoglu KH, et al. Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg. 2014;52(10):901–6. https://doi.org/10.1016/j.bjoms.2014.08.007 DOI: https://doi.org/10.1016/j.bjoms.2014.08.007

Shwetha KM, Pushpanjali K. Prevalence of maxillofacial injuries by motorized two wheeler road traffic accidents in Bangalore city. Dent Traumatol. 2009;25(6):599–604. https://doi.org/10.1111/j.1600-9657.2009.00832.x DOI: https://doi.org/10.1111/j.1600-9657.2009.00832.x

Tiwari R, Ganveer G. Injury pattern among non-fatal road traffic accident cases: a cross-sectional study in Central India. Indian J Med Sci. 2005;59(1):9–12. https://doi.org/10.4103/0019-5359.13812 DOI: https://doi.org/10.4103/0019-5359.13812

Qudah MA, Bataineh AB. A retrospective study of selected oral and maxillofacial fractures in a group of Jordanian children. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2002;94(3):310–4. https://doi.org/10.1067/moe.2002.127406 DOI: https://doi.org/10.1067/moe.2002.127406

Ahmed HEA, Jaber MA, Fanas SHA, et al. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2004;98(2):166–170. https://doi.org/10.1016/j.tripleo.2004.01.020 DOI: https://doi.org/10.1016/j.tripleo.2004.01.020

Al-Khateeb T, Abdullah FM. Craniomaxillofacial injuries in the United Arab Emirates: a retrospective study. J Oral Maxillofac Surg. 2007;65(6):1094–101. https://doi.org/10.1016/j.joms.2006.09.013 DOI: https://doi.org/10.1016/j.joms.2006.09.013

EggenspergerWymann NM, Holzle A, Zachariou Z, et al. Pediatric craniofacial trauma. J Oral Maxillofac Surg. 2008;66(1):58–64. https://doi.org/10.1016/j.joms.2007.04.023 DOI: https://doi.org/10.1016/j.joms.2007.04.023

Hogg NJV, Stewart TC, Armstrong JEA, et al. Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997. J Trauma. 2000; 49(3):425–432. https://doi.org/10.1097/00005373-200009000-00007 DOI: https://doi.org/10.1097/00005373-200009000-00007

Boffano P, Roccia F, Zavattero E, et al. European maxillofacial trauma (EURMAT) project: a multicentre and prospective study. J Cranio-maxillofac Surg. 2015;43(1):62–70. https://doi.org/10.1016/j.jcms.2014.10.011 DOI: https://doi.org/10.1016/j.jcms.2014.10.011

Ellis III E, Moos KF, El-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985;59(2):120–9. https://doi.org/10.1016/0030-4220(85)90002-7 DOI: https://doi.org/10.1016/0030-4220(85)90002-7

Fasola AO, Nyako EA, Obiechina AE, et al. Trends in the characteristics of maxillofacial fractures in Nigeria. J Oral Maxillofac Surg. 2003;61(10):1140–43. https://doi.org/10.1016/S0278-2391(03)00671-2 DOI: https://doi.org/10.1016/S0278-2391(03)00671-2

Brucoli M, Boffano P, Broccardo E, et al. The “European zygomatic fracture” research project: the epidemiological results from a multicenter European collaboration. J Craniomaxillofac Surg. 2019;47(4):616–21. https://doi.org/10.1016/j.jcms.2019.01.026 DOI: https://doi.org/10.1016/j.jcms.2019.01.026

Published

2024-04-10