A Multicentric Prospective Study on Maxillofacial Trauma Due to Road Traffic Accidents: The World Oral and Maxillofacial Trauma Project

被引：5

作者：

Romeo, Irene ^{[1
]}

Roccia, Fabio ^{[1
]}

Aladelusi, Timothy ^{[2
]}

Rae, Euan ^{[3
]}

Laverick, Sean ^{[3
]}

Ganasouli, Dimitra ^{[4
]}

Zanakis, Stelios N. ^{[4
]}

de Oliveira Gorla, Luis Fernando ^{[5
,6
]}

Pereira-Filho, Valfrido Antonio ^{[5
,6
]}

Gallafassi, Daniel

Faverani, Leonardo Perez

Alalawy, Haider ^{[7
]}

Kamel, Mohammed ^{[7
]}

Samieirad, Sahand ^{[8
]}

Jaisani, Mehul Raiesh ^{[9
]}

Rahman, Sajjad Abdur ^{[10
]}

Rahman, Tabishur ^{[10
]}

Goetzinger, Maximilian ^{[11
]}

Bottini, Gian Battista ^{[11
]}

Carlaw, Kirsten ^{[12
,13
]}

Aquilina, Peter ^{[12
,13
]}

Duran-Valles, Francesc

Bescos, Coro

Hassanein, Ahmed Gaber ^{[14
]}

机构：

[1] Univ Turin, Div Maxillofacial Surg, Citta Salute & Sci, Turin, Italy

[2] Univ Ibadan, Coll Med, Dept Oral & Maxillofacial Surg, Ibadan, Nigeria

[3] Univ Dundee, Dept Oral & Maxillofacial Surg, Dundee, Scotland

[4] Hippocrat Gen Hosp, Dept Oral & Maxillofacial Surg, Athens, Greece

[5] UNESP Sao Paulo State Univ, Araraquara Dent Sch, Dept Diag & Surg, Sao Paulo, Brazil

[6] Sao Paulo State Univ, UNESP, Div Oral & Maxillofacial Surg, Dept Diag & Surg, Aractuba, Brazil

[7] Gazi Alhariri Hosp, Dept Oral & Maxillofacial Surg, Baghdad, Iraq

[8] Mashhad Univ Med Sci, Oral & Maxillofacial Dis Res Ctr, Mashhad, Razavi Khorasan, Iran

[9] Dept Oral & Maxillofacial Surg, Dharan, Nepal

[10] Aligarh Muslim Univ, Dept Oral & Maxillofacial Surg, Aligarh, Uttar Pradesh, India

[11] Paracelsus Med Univ, Dept Oral & Maxillofacial Surg, Salzburg, Austria

[12] Nepean Hosp, Dept Plast Reconstruct & Maxillofacial Surg, Sydney, NSW, Australia

[13] Hosp Univ Vall DHebron, Dept Oral & Maxillofacial Surg, Bacelona, Spain

[14] Sohag Univ, Fac Med, Gen Surg Dept, Maxillofacial Surg Unit, Sohag, Egypt

来源：

JOURNAL OF CRANIOFACIAL SURGERY | 2022年 / 33卷 / 04期

关键词：

Epidemiology; maxillofacial fractures; multicenter; prospective; road traffic accidents; MOTOR-VEHICLE ACCIDENTS; FACIAL FRACTURES; RETROSPECTIVE ANALYSIS; SEAT-BELT; INJURIES; ETIOLOGY; PATTERN; TRENDS; HELMET; CITY;

D O I：

10.1097/SCS.0000000000008440

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The purpose of this prospective multicenter study was to analyze the epidemiology, patterns, and management of maxillofacial fractures due to road traffic accidents (RTAs) worldwide. Between Monday September 30, 2019 and Sunday October 4, 2020,1066 patients with RTAs related fractures were admitted to 14 maxillofacial surgery departments. The following data were analyzed: age, gender, mechanism of injury, alcohol or drug abuse at the time of trauma, maxillofacial fracture site, facial injury severity scale (FISS) score, associated injuries, day and month of trauma, time of treatment, type of treatment and length of hospital stay. Data were analyzed using bivaried and multivaried statistical analysis. Eight hundred seventy patients were male, and 196 were female. The most common mechanism of injury was motorcycle accidents (48%). More than half of the patients had fractures of the middle third of the maxillofacial skeleton. In total, 59% of the study sample underwent open reduction internal fixation. The median facial injury severity scale (3 points) and the medial hospital stay (3 days) were significantly lower in patients with seatbelts and helmet (P < 0.001). This first prospective, multicenter epidemiological study shows that motorcycle accidents are the leading cause of RTAs related fractures, mostly in young males. Particularly in Australia and Europe, the incidence of RTAs was significantly lower. Moreover, this study found that the severity of maxillofacial lesions was significantly higher in patients without safety devices, with consequent longer hospital stay demonstrating the efficacy of road safety policies in preventing maxillofacial injury.

引用

页码：1057 / 1062

页数：6

共 45 条

[1] Application of a facial injury severity scale in craniomaxillofacial trauma [J].