Multicenter epidemiological study of maxillofacial trauma: a one-year retrospective-descriptive assessment of 1356 cases in a Colombian metropolitan region.
Abstract
Background: This retrospective study was conducted to identify the epidemiological profile and treatment modalities linked to the maxillofacial trauma (MFT) managed in the Maxillofacial Surgery Departments of seven hospital centers in Antioquia, Colombia. Material and Methods: Clinical records with specific attention to sociodemographic characteristics, mechanisms of injury, type of MFT, location of injuries, and treatment modalities of MFT were collected from January to December 2017. Descriptive analyses using Pearson's chi-square tests were performed. Results: A total of 1356 records were retrieved. Males were significantly more affected, with a male-to-female ratio of 3.85:1. The most susceptible age group involved was young adults (18 to 40 years). A low percentage of alcohol (9.3%) and drugs consumption (2.5%) was recorded. Most common causes of MFT were road traffic accidents (RTA), falls, and interpersonal violence (IPV). Most injuries involved both soft and hard tissues, followed by hard tissues and isolated open soft tissue injuries. Among fractures, the middle third was the most commonly affected site and the utmost method of treatment was open reduction and internal fixation. Conclusion: Within the limitations of the evidence available, this study has demonstrated that the gender, age stratum, and etiological factors, such as RTA, falls, and IPV, but no alcohol and/or psychoactive substances' consumption, may have a significant influence on the prevalence, patterns, and treatment modalities of MFT in this sample population.
References
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[36]. Ochoa O, Restrepo D, Salas Zapata C, Sierra GM, Torres de Galvis Y. Relationship Between the History of Abuse in the Childhood and Abusive Behaviour Towards Children. Itagüí, Colombia, 2012-2013. Rev Colomb Psiquiatr (Engl Ed). 2019 Jan-Mar;48(1):17-25. English, Spanish. doi: 10.1016/j.rcp.2017.05.014.
[37]. Skar AS, Sherr L, Macedo A, Tetzchner SV, Fostervold KI. Evaluation of Parenting Interventions to Prevent Violence Against Children in Colombia: A Randomized Controlled Trial. J Interpers Violence. 2021 Jan;36(1-2):NP1098-NP1126. doi: 10.1177/0886260517736881
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[2]. Gandhi S, Ranganathan LK, Solanki M, Mathew GC, Singh I, Bither S. Pattern of maxillofacial fractures at a tertiary hospital in northern India: a 4-year retrospective study of 718 patients. Dent Traumatol. 2011 Aug;27(4):257-62. doi: 10.1111/j.1600-9657.2011.00996.x.
[3]. Al-Dajani M, Quiñonez C, Macpherson AK, Clokie C, Azarpazhooh A. Epidemiology of maxillofacial injuries in Ontario, Canada. J Oral Maxillofac Surg. 2015;73(4):693.e1-9. doi: 10.1016/j.joms.2014.12.001.
[4]. Carvalho TB, Cancian LR, Marques CG, Piatto VB, Maniglia JV, Molina FD. Six years of facial trauma care: an epidemiological analysis of 355 cases. Braz J Otorhinolaryngol. 2010;76(5):565-74.
[5]. Erdmann D, Price K, Reed S, Follmar KE, Levin LS, Marcus JR. A financial analysis of operative facial fracture management. Plast Reconstr Surg. 2008 Apr;121(4):1323-1327. doi: 10.1097/01.prs.0000304603.19047.0b.
[6]. Goodisson D, MacFarlane M, Snape L, Darwish B. Head injury and associated maxillofacial injuries. N Z Med J. 2004 Sep 10;117(1201):U1045. PMID: 15476005.
[7]. Shahim FN, Cameron P, McNeil JJ. Maxillofacial trauma in major trauma patients. Aust Dent J. 2006 Sep;51(3):225-30. doi: 10.1111/j.1834-7819.2006.tb00433.x.
[8]. Lee CW, Foo QC, Wong LV, Leung YY. An overview of maxillofacial trauma in oral and maxillofacial tertiary trauma centre, Queen Elizabeth Hospital, Kota Kinabalu, Sabah. Craniomaxillofac Trauma Reconstr. 2017;10(1):16-21.
[9]. Kostakis G, Stathopoulos P, Dais P, Gkinis G, Igoumenakis D, Mezitis M, Rallis G. An epidemiologic analysis of 1,142 maxillofacial fractures and concomitant injuries. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Nov;114(5 Suppl):S69-73. doi: 10.1016/j.tripleo.2011.08.029.
[10]. Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T. Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg. 2014 Dec;52(10):901-6. doi: 10.1016/j.bjoms.2014.08.007.
[11]. Farias IPSE, Bernardino ÍM, Nóbrega LMD, Grempel RG, D'Avila S. MAXILLOFACIAL TRAUMA, ETIOLOGY AND PROFILE OF PATIENTS: AN EXPLORATORY STUDY. Acta Ortop Bras. 2017 Nov-Dec;25(6):258-261. doi: 10.1590/1413-785220172506152670
[12]. Lee K. Global trends in maxillofacial fractures. Craniomaxillofac Trauma Reconstr. 2012 Dec;5(4):213-22. doi: 10.1055/s-0032-1322535.
[13]. Ramli R, Rahman NA, Rahman RA, Hussaini HM, Hamid AL. A retrospective study of oral and maxillofacial injuries in Seremban Hospital, Malaysia. Dent Traumatol. 2011 Apr;27(2):122-6. doi: 10.1111/j.1600-9657.2010.00968.x.
[14]. Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-Junior S. Facial Fractures: Large Epidemiologic Survey in Northern Brazil Reveals Some Unique Characteristics. J Oral Maxillofac Surg. 2016;74(12):2480.e1-2480.e12. doi:10.1016/j.joms.2016.08.015.
[15]. Abosadegh MM, Saddki N, Al-Tayar B, Rahman SA. Epidemiology of Maxillofacial Fractures at a Teaching Hospital in Malaysia: A Retrospective Study. Biomed Res Int. 2019 Feb 13;2019:9024763. doi: 10.1155/2019/9024763.
[16]. Leles JL, dos Santos EJ, Jorge FD, da Silva ET, Leles CR. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample. J Appl Oral Sci. 2010 Jan-Feb;18(1):23-9. doi: 10.1590/s1678-77572010000100006.
[17]. Mijiti A, Ling W, Tuerdi M, Maimaiti A, Tuerxun J, Tao YZ, Saimaiti A, Moming A. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: A 5-year retrospective study. J Craniomaxillofac Surg. 2014 Apr;42(3):227-33. doi: 10.1016/j.jcms.2013.05.005
[18]. Castillo C, Da Silva J, Monsueto S. Objectives of sustainable development and youth employment in Colombia. Sustainability. 2020;12:991.
[19]. Singh JK, Lateef M, Khan MA, Khan T. Clinical study of maxillofacial trauma in Kashmir. Indian J Otolaryngol Head Neck Surg. 2005 Jan;57(1):24-7. doi: 10.1007/BF02907621.
[20]. Brucoli M, Boffano P, Romeo I, Corio C, Benech A, Ruslin M, Forouzanfar T, Starch-Jensen T, Rodríguez-Santamarta T, de Vicente JC, Snäll J, Thorén H, Aničić B, Konstantinovic VS, Pechalova P, Pavlov N, Daskalov H, Doykova I, Kelemith K, Tamme T, Kopchak A, Shumynskyi I, Corre P, Bertin H, Goguet Q, Anquetil M, Louvrier A, Meyer C, Dovšak T, Vozlič D, Birk A, Tarle M, Dediol E. Epidemiology of maxillofacial trauma in the elderly: A European multicenter study. J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):330-338. doi: 10.1016/j.jormas.2019.09.002
[21]. Laverick S, Patel N, Jones DC. Maxillofacial trauma and the role of alcohol. Br J Oral Maxillofac Surg. 2008 Oct;46(7):542-6. doi: 10.1016/j.bjoms.2008.01.021.
[22]. van Hout WM, Van Cann EM, Abbink JH, Koole R. An epidemiological study of maxillofacial fractures requiring surgical treatment at a tertiary trauma centre between 2005 and 2010. Br J Oral Maxillofac Surg. 2013 Jul;51(5):416-20. doi: 10.1016/j.bjoms.2012.11.002.
[23]. Al-Bokhamseen M, Salma R, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series. Saudi Dent J. 2019 Jan;31(1):129-136. doi: 10.1016/j.sdentj.2018.10.001
[24]. Alqahtani F, Bishawi K, Jaber M. Analysis of the pattern of maxillofacial injuries in Saudi Arabia: A systematic review. Saudi Dent J. 2020 Feb;32(2):61-67. doi: 10.1016/j.sdentj.2019.08.008.
[25]. Ruslin M, Brucoli M, Boffano P, Benech A, Dediol E, Uglešić V, Kovačič Ž, Vesnaver A, Konstantinović VS, Petrović M, Stephens J, Kanzaria A, Bhatti N, Holmes S, Pechalova PF, Bakardjiev AG, Malanchuk VA, Kopchak AV, Galteland P, Mjøen E, Skjelbred P, Bertin H, Corre P, Løes S, Lekven N, Laverick S, Gordon P, Tamme T, Akermann S, Karagozoglu KH, Kommers SC, de Visscher JG, Forouzanfar T. Motor vehicle accidents-related maxillofacial injuries: a multicentre and prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(3):199-204.
[26]. Samieirad S, Aboutorabzade MR, Tohidi E, Shaban B, Khalife H, Hashemipour MA, Salami HR. Maxillofacial fracture epidemiology and treatment plans in the Northeast of Iran: A retrospective study. Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22(5):e616-e624. doi: 10.4317/medoral.21809.
[27]. McGoldrick DM, Fragoso-Iñiguez M, Lawrence T, McMillan K. Maxillofacial injuries in patients with major trauma. Br J Oral Maxillofac Surg. 2018 Jul;56(6):496-500. doi: 10.1016/j.bjoms.2018.04.001.
[28]. Ferreira MC, Batista AM, Ferreira Fde O, Ramos-Jorge ML, Marques LS. Pattern of oral-maxillofacial trauma stemming from interpersonal physical violence and determinant factors. Dent Traumatol. 2014 Feb;30(1):15-21. doi: 10.1111/edt.12047.
[29]. Dávila-Cervantes CA, Agudelo-Botero M, Gómez-Dantés H. Trends and differences in homicide mortality in Colombia and Mexico, 1990-2016: Two Realities, One Problem. J Interpers Violence. 2021 Sep;36(17-18):7962-7977. doi: 10.1177/0886260519847775.
[30]. Rallis G, Stathopoulos P, Igoumenakis D, Krasadakis C, Mourouzis C, Mezitis M. Treating maxillofacial trauma for over half a century: how can we interpret the changing patterns in etiology and management? Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(6):614-8.
[31]. Elhammali N, Bremerich A, Rustemeyer J. Demographical and clinical aspects of sports-related maxillofacial and skull base fractures in hospitalized patients. Int J Oral Maxillofac Surg. 2010 Sep;39(9):857-62. doi: 10.1016/j.ijom.2010.04.006.
[32]. Bither S, Mahindra U, Halli R, Kini Y. Incidence and pattern of mandibular fractures in rural population: a review of 324 patients at a tertiary hospital in Loni, Maharashtra, India. Dent Traumatol. 2008 Aug;24(4):468-70. doi: 10.1111/j.1600-9657.2008.00606.x.
[33]. Cakabay T, Gokdogan O, Bezgin SÜ, Kocyigit M. Maxillofacial traumas in farmers caused by farm animals, agricultural vehicles, and materials. J Craniofac Surg. 2016;27(4):e401-6.
[34]. Júnior SM, Santos SE, Kluppel LE, Asprino L, Moreira RW, de Moraes M. A comparison of motorcycle and bicycle accidents in oral and maxillofacial trauma. J Oral Maxillofac Surg. 2012 Mar;70(3):577-83. doi: 10.1016/j.joms.2011.03.035.
[35]. Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head Face Med. 2005 Oct 4;1:7. doi: 10.1186/1746-160X-1-7.
[36]. Ochoa O, Restrepo D, Salas Zapata C, Sierra GM, Torres de Galvis Y. Relationship Between the History of Abuse in the Childhood and Abusive Behaviour Towards Children. Itagüí, Colombia, 2012-2013. Rev Colomb Psiquiatr (Engl Ed). 2019 Jan-Mar;48(1):17-25. English, Spanish. doi: 10.1016/j.rcp.2017.05.014.
[37]. Skar AS, Sherr L, Macedo A, Tetzchner SV, Fostervold KI. Evaluation of Parenting Interventions to Prevent Violence Against Children in Colombia: A Randomized Controlled Trial. J Interpers Violence. 2021 Jan;36(1-2):NP1098-NP1126. doi: 10.1177/0886260517736881
[38]. Subhashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg. 2007 Dec;45(8):637-9. doi: 10.1016/j.bjoms.2007.03.012.
[39]. Kieser J, Stephenson S, Liston PN, Tong DC, Langley JD. Serious facial fractures in New Zealand from 1979 to 1998. Int J Oral Maxillofac Surg. 2002;31(2):206-9. doi: 10.1054/ijom.2002.0208.
[40]. Bakardjiev A, Pechalova P. Maxillofacial fractures in Southern Bulgaria - a retrospective study of 1706 cases. J Craniomaxillofac Surg. 2007 Apr;35(3):147-50. doi: 10.1016/j.jcms.2007.01.005
[41]. Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017 Apr 24;26:218. doi: 10.11604/pamj.2017.26.218.11621.
[42]. Lieger O, Zix J, Kruse A, Iizuka T. Dental injuries in association with facial fractures. J Oral Maxillofac Surg. 2009 Aug;67(8):1680-4. doi: 10.1016/j.joms.2009.03.052.
[43]. Lee KH, Snape L, Steenberg LJ, Worthington J. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg. 2007 Aug;77(8):695-8. doi: 10.1111/j.1445-2197.2007.04189.x.
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Published
2021-10-31
How to Cite
LOZANO-PÉREZ, Jessica et al.
Multicenter epidemiological study of maxillofacial trauma: a one-year retrospective-descriptive assessment of 1356 cases in a Colombian metropolitan region..
Journal of Oral Research, [S.l.], v. 10, n. 5, p. 1-14, oct. 2021.
ISSN 0719-2479.
Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2021.061>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.17126/joralres.2021.061.
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