Causes and incidence of maxillofacial injuries in India: 12-year retrospective study of 4437 patients in a tertiary hospital in Gujarat

被引:30
作者
Hu Weihsin [1 ]
Thadani, Sandeep [2 ]
Agrawal, Mohit [3 ]
Tailor, Suket [3 ]
Sood, Ramita [1 ]
Langalia, Akshay [4 ]
Patel, Twinkle [5 ]
机构
[1] Ahmedabad Municipal Dent Coll & Hosp, Dept Oral & Maxillofacial Surg, Ahmadabad, Gujarat, India
[2] Ind Hosp, Smile Train Cleft Lip & Palate Project, Ahmadabad, Gujarat, India
[3] Govt Dent Coll & Hosp, Dept Oral & Maxillofacial Surg, Ahmadabad, Gujarat, India
[4] Ahmedabad Municipal Dent Coll & Hosp, Dept Conservat Dent & Endodont, Ahmadabad, Gujarat, India
[5] Govt Dent Coll & Hosp, Ex Intern Dept Oral & Maxillofacial Surg, Ahmadabad, Gujarat, India
关键词
Maxillofacial injuries; middle third fracture; mandible fracture; road traffic accidents (RTA); FRACTURES; NIGERIA; PATTERN;
D O I
10.1016/j.bjoms.2014.07.003
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Maxillofacial injuries are unique because of the anatomical complexity of the area and their associated psychological effects. An understanding of the epidemiology of these injuries is important if we are to develop preventive measures, increase the efficiency and delivery of health services, improve the skills of healthcare providers, and better distribute resources. We retrospectively evaluated data on 4455 patients (aged between 3 and 84 years) who presented with maxillofacial injuries to a tertiary referral hospital in Ahmedabad, India, between 1 January 1999 and 31 January 2010. Of these, 18 needed only rest and medication so 4437 were included. Data included patients'characteristics and the cause of injury. Details on the presentation and severity of injury, associated injuries including head injuries, the influence of alcohol and other drugs, treatment, and outcome, were also included. Around one-third were aged between 21 and 30 years, and the male to female ratio was 5:1. The main causes of injury were road traffic accidents (n = 2347, 53%) and interpersonal violence (n = 1041, 23%). Most road traffic accidents involved two-wheeled vehicles. Alcohol was associated with 11% of injuries. A total of 2546 patients (57%) had mandibular fractures. To reduce the number of injuries we need better road safety laws with stringent enforcement, and the public, particularly those between 15 and 45 years of age, must be educated about road safety. (C) 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:693 / 696
页数:4
相关论文
共 17 条
[1]   The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: A review of 230 cases [J].
Al Ahmed, HE ;
Jaber, MA ;
Abu Fanas, SH ;
Karas, M .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2004, 98 (02) :166-170
[2]   PATTERNS OF INJURY IN HELMETED AND NONHELMETED MOTORCYCLISTS [J].
BACHULIS, BL ;
SANGSTER, W ;
GORRELL, GW ;
LONG, WB .
AMERICAN JOURNAL OF SURGERY, 1988, 155 (05) :708-711
[3]  
Banks P., 1993, KILLEYS FRACTURES MI
[4]  
BANKS P, 1993, KILLEYS FRACTURES MA
[5]  
Chalya Phillipo L, 2011, J Trauma Manag Outcomes, V5, P7, DOI 10.1186/1752-2897-5-7
[6]   Incidence and causes of maxillofacial skeletal injuries at the Mayo Hospital in Lahore, Pakistan [J].
Cheema, SA ;
Amin, F .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2006, 44 (03) :232-234
[7]   Psychological issues in oral and maxillofacial reconstructive surgery [J].
De Sousa, Avinash .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2008, 46 (08) :661-664
[8]   Maxillofacial and associated injuries in severely traumatized patients: Implications of a regional survey [J].
Down, KE ;
Boot, DA ;
Gorman, DF .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1995, 24 (06) :409-412
[9]   Incidence and pattern of maxillofacial fractures in the elderly [J].
Fasola, AO ;
Obiechina, AE ;
Arotiba, JT .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2003, 32 (02) :206-208
[10]   FACIAL TRAUMA IN MOTOR-VEHICLE ACCIDENTS - ETIOLOGIC FACTORS [J].
NAKHGEVANY, KB ;
LIBASSI, M ;
ESPOSITO, B .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1994, 12 (02) :160-163