Maxillofacial Fractures in Women and Men: A 10-Year Retrospective Study

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 chi(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. (C) 2015 American Association of Oral and Maxillofacial Surgeons