back to 2012, vol. 18, b. 2

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2012, vol. 18, book 2
Subject Collection: Oral and Dental Medicine
Pages: 153 - 154
DOI: 10.5272/jimab.2012182.153
Published online: 22 February 2012

J of IMAB 2012; 18(2):153-154
A RETROSPECTIVE ANALYSIS OF FACIAL FRACTURE ETIOLOGIES.
Martin Rubiev, Elitsa Deliverska
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria

ABSTRACT:
Purpose: Assessment of mechanism of injury and type and location of the facial injury.
Material and Methods: The medical records of 276 patients with 216 facial fractures were retrospectively analyzed. Fracture patterns were classified based on the presence or absence of fractures of the orbit, zygoma, maxilla, mandible and nose.
Results: The most common etiology of trauma was assault (42.6%) followed by car accident (23.1%), fall (16.2%), sports (5%), occupational (2%), and gunshot wound (0.9%) (fig. 1). The most common fracture type was mandible fractures (31.1%), followed by nasal bone fracture (29.3%) (fig. 2). Car accident was found to be a significant predictor of panfacial fractures or associated injury, as was GSW. Sports injuries were a significant predictor of isolated upper midface fractures, and assault was a significant predictor for isolated mandible and nasal bones fractures. Car accident and GSW each were found to lead to significantly higher severity of injury than assault, fall, and sports.
Conclusion:
The results confirm intuitive aspects of the etiology of facial fractures that have been anecdotally supported in the past .

Key words: etiologies of trauma, mechanism of trauma, facial fracture.

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Please cite this article as: Rubiev M, Deliverska E. A Retrospective Analysis of Facial Fracture Etiologies. J of IMAB. 2012; 18(2):153-154. doi:10.5272/jimab.2012182.153

REFERENCES:
1. Erdmann D. Follmar KE. Debruijn M. Bruno AD. Jung SH. Edelman D, et al. A retrospective analysis of facial fracture etiologies. Ann Plast Surg. 2008 Apr;60(4):398-403. [PubMed] [CrossRef]
2. Ferreira PC. Amarante JM. Silva PN. Rodrigues JM. Choupina MP. Silva AC, et al. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg. 2005 May;115(6):1500-8. [PubMed] [CrossRef]
3. Gwinn C. McClane GE. Shanel-Hogan KA. Strack GB. Domestic violence: no place for a smile. J Calif Dent Assoc. 2004 May;32(5):399-409. [PubMed]
4. Hachl O. Tuli T. Schwabegger A. Gassner R. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg. 2002 Feb;31(1):90-3. [PubMed] [CrossRef]
5. Hendler TJ. Sutherland SE. Domestic violence and its relation to dentistry: a call for change in Canadian dental practice. J Can Dent Assoc. 2007 Sep;73(7):617. [PubMed]
6. Holmes PJ. Koehler J. McGwin G Jr. Rue LW 3rd. Frequency of maxillofacial injuries in all-terrain vehicle collisions. J Oral Maxillofac Surg. 2004 Jun;62(6):697-701. [PubMed] [CrossRef]
7. Ugboko VI. Odusanya SA. Fagade OO. Maxillofacial fractures in a semi-urban Nigerian teaching hospital, A review of 442 cases. Int J Oral Maxillofac Surg. 1998 Aug;27(4):286-9. [PubMed]

Accepted for publication: 26 November 2011
Issue published online: 22 February 2012

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