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Maxillofacial Injuries in Women: A Retrospective Study of 10 Years

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Abstract

Introduction

Diversities exists in incidence, etiology and epidemiology of facial fractures among male and female individuals due to various reasons. Many of the epidemiological studies published during the millennium have shown male predilection. This study was carried to evaluate the etiology, patterns and distribution of facial fractures among different age groups in women.

Materials and Methods

This Retrospective epidemiological study dealt with a total of 302 women with 422 fractures in maxillofacial region during a period of June 1st 2005 to May 31st 2015 at Mamata Dental College and Hospital, Khammam, Telangana, India.

Results

Mean age of incidence was 31.58 years, mandibular fractures were highest (44.07 %) followed by zygomaticomaxillary complex injuries (ZMC) (20.37 %). Road traffic accidents (RTA) injuries (53.7 %) were highest, followed by assault (23.9 %) and other causes. Highest number (33.8 %) of fractures were sustained in the 3rd decade and least (0.7 %) in the 8th decade of life. Among soft tissue injuries most commonly seen were lacerations (51 %).

Conclusion

Results of this study suggest that there is an increase in the number of maxillofacial injuries in women, representing changes in the society, exposing women to similar conditions like men and increased number of working women. This study helps to identify trauma burden, assess the awareness of current preventive measures, women protection laws, for instituting new guidelines for prevention and planning health care services for women.

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References

  1. Hayter JP, Ward AJ, Smith EJ (1991) Maxillofacial trauma in severely injured patients. Br J Oral Maxillofac Surg 29:370–373

    Article  CAS  PubMed  Google Scholar 

  2. Down KE, Boot DA, Gorman DF (1995) Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Maxillofac Surg 24:409–412

    Article  CAS  PubMed  Google Scholar 

  3. Goodisson D, MacFarlane M, Snape L, Darwish B (2004) Head injury and associated maxillofacial injuries. N Z Med J (Online) 117(1201):U1045

    Google Scholar 

  4. Gandhi S, Ranganathan LK, Solanki M, Mathew GC, Singh I, Bither S (2011) Pattern of maxillofacial fractures at a tertiary hospital in northern India: a 4- year retrospective study of 718 patients. Dent Traumatol 27:257–262

    Article  PubMed  Google Scholar 

  5. Girotto JA, MacKenzie E, Fowler C, Redett R, Robertson B, Manson PN (2001) Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg 108(2):312–327

    Article  CAS  PubMed  Google Scholar 

  6. Lee KH, Snaper L, Steenberg LJ, Worthington J (2007) Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. Anz J Surg 77:695–698

    Article  PubMed  Google Scholar 

  7. Kumar GBA, Dhupar V, Akkara F, Kumar SP (2015) Patterns of maxillofacial fractures in Goa. J Maxillofac Oral Surg 14(2):138–141

    Article  PubMed  Google Scholar 

  8. Agnihotri A, Galfat D, Agnihotri D (2014) Incidence and pattern of maxillofacial trauma due to road traffic accidents: a prospective study. J Maxillofac Oral Surg 13(2):184–188

    Article  PubMed  Google Scholar 

  9. Kadkhodaie MH (2006) Three-year review of facial fractures at a teaching hospital in northern Iran. Br J Oral Maxillofac Surg 44:229–231

    Article  CAS  PubMed  Google Scholar 

  10. Subhashraj K, Nandakumar N, Ravindran C (2007) Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg 45:637–639

    Article  CAS  PubMed  Google Scholar 

  11. Heise LL, Ellsberg M, Gottemoeller M (1999) Ending violence against women. Baltimore, MD, Johns Hopkins University School of Public Health, Center for Communications Programs, Population Reports, Series L, No. 11

  12. Telfer MR, Jones GM, Shepherd JP (1991) Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977–1987). Br J Oral Maxillofac Surg 29:250–255

    Article  CAS  PubMed  Google Scholar 

  13. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21,067 injuries. J Cranio Maxillofac Surg 31:51–61

    Article  Google Scholar 

  14. Zachariades N, Koumoura F, Konsolaki-Agouridaki E (1990) Facial trauma in women resulting from violence by men. J Oral Maxillofac Surg 48:1250–1253

    Article  CAS  PubMed  Google Scholar 

  15. Arosarena OA, Fritsch TA, Hsueh Y, Aynehchi B, Haug R (2009) Maxillofacial injuries and violence against women. Arch Facial Plast Surg 11:48–52

    Article  PubMed  Google Scholar 

  16. Gerber B, Ahmad N, Parmar S (2009) Trends in maxillofacial injuries in women, 2000–2004. Br J Oral Maxillofac Surg 47:374–377

    Article  CAS  PubMed  Google Scholar 

  17. Roccia F et al (2010) Characteristics of maxillofacial trauma in females. A retrospective analysis of 367 patients. J Cranio Maxillofac Surg 38:314–319

    Article  Google Scholar 

  18. Kloss FR, Tuli T, Hächl O, Laimer K, Jank S, Stempfl K, Rasse M, Gassner R (2007) The impact of ageing on cranio-maxillofacial trauma e a comparative investigation. Int J Oral Maxillofac Surg 36:1158–1163

    Article  CAS  PubMed  Google Scholar 

  19. Royan SJ, Hamid AL, Kovilpillai FJ, Junid NZ, Mustafa WMW (2008) A prospective study on elderly patients with facial fractures in developing country. Gerontology 25:124–128

    Google Scholar 

  20. Gadre KS, Halli R, Joshi S, Ramanojam S, Gadre PK, Kunchur R (2013) Incidence and pattern of cranio-maxillofacial injuries: a 22 year retrospective analysis of cases operated at major trauma hospitals/centres in Pune, India. J Maxillofac Oral Surg 12(4):372–378

    Article  PubMed  PubMed Central  Google Scholar 

  21. Pandey S, Roychoudhury A, Bhutia O, Singhal M, Sagar S, Pandey RM (2015) Study of the pattern of maxillofacial fractures seen at a tertiary care hospital in north India. J Maxillofac Oral Surg 14(1):32–39

    Article  PubMed  Google Scholar 

  22. Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P (2005) Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol 21:14–19

    Article  PubMed  Google Scholar 

  23. Usha M, Ravindran V, Soumithran CS, Nair KSR (2014) The impact of mandatory helmet law on the outcome of maxillo facial trauma: a comparative study in Kerala. J Maxillofac Oral Surg 13(2):176–183

    Article  CAS  PubMed  Google Scholar 

  24. Perciaccante VJ, Ochs FA, Dodson TB (1999) Head, neck, and facial injuries as markers of domestic violence in women. J Oral Maxillofac Surg 57:760–762

    Article  CAS  PubMed  Google Scholar 

  25. Thorn JJ, Møgeltoft M, Hansen PK (1986) Incidence and aetiological pattern of jaw fractures in Greenland. Int J Oral Maxillofac Surg 15(4):372–379

    Article  CAS  PubMed  Google Scholar 

  26. Hussain K, Wijetunge DB, Grubnic S, Jackson IT (1994) A comprehensive analysis of craniofacial trauma. J Trauma 36:34–47

    Article  CAS  PubMed  Google Scholar 

  27. Huang V, Moore C, Bohrer P, Thaller SR (1998) Maxillofacial injuries in women. Ann Plast Surg 41:482–484

    Article  CAS  PubMed  Google Scholar 

  28. Wymann NME, Hölzle A, Zachariou Z, Iizuka T (2008) Pediatric craniofacial trauma. J Oral Maxillofac Surg 66:58–64

    Article  Google Scholar 

  29. Gerbino G, Roccia F, De Gioanni PP, Berrone S (1999) Maxillofacial trauma in the elderly. J Oral Maxillofac Surg 57:777–782

    Article  CAS  PubMed  Google Scholar 

  30. Ravioli M (2003) Sport e attivita` fisiche. Indagine multiscopo sulle famiglie. I cittadini e il tempo libero, Anno 2000. [Chapter 5.1] Roma: ISTAT, p 53e55

  31. Zimmermann CE, Troulis MJ, Kaban LB (2005) Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 34:823–833

    Article  CAS  PubMed  Google Scholar 

  32. Vyas RM, Dickinson BP, Wasson KL, Roostaeian J, Bradley JP (2008) Pediatric facial fractures: current national incidence, distribution, and health care resource use. J Craniofac Surg 19:339–349

    Article  PubMed  Google Scholar 

  33. Adebayo ET, Ajike OS, Adekeye EO (2003) Analysis of the pattern of maxillofacial fractures in Kaduna, Nigeria. Br J Oral Maxillofac Surg 41(6):396–400

    Article  CAS  PubMed  Google Scholar 

  34. Marker P, Nielsen A, Bastian HL (2000) Fractures of the mandibular condyle. Part 1: patterns of distribution of types and causes of fractures in 348 patients. Br J Oral Maxillofac Surg 38(5):417–421

    Article  CAS  PubMed  Google Scholar 

  35. Ellis E III, Moos KF, El-Attar A (1985) Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol 59(2):120–129

    Article  PubMed  Google Scholar 

  36. Ogundare BO, Bonnick A, Bayley N (2003) Pattern of mandibular fractures in an urban major trauma center. J Oral Maxillofac Surg 61(6):713–718

    Article  PubMed  Google Scholar 

  37. Obuekwe ON, Ojo MA, Akpata O, Etetafia M (2003) Maxillofacial trauma due to road traffic accidents in Benin City, Nigeria: a prospective study. Ann Afr Med 2(2):58–63

    Google Scholar 

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Correspondence to Sudhir Ramisetty.

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The authors declares that they have no conflicts of interest.

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Informed consent was obtained from all individual participants included in the study.

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Ramisetty, S., Gaddipati, R., Vura, N. et al. Maxillofacial Injuries in Women: A Retrospective Study of 10 Years. J. Maxillofac. Oral Surg. 16, 438–444 (2017). https://doi.org/10.1007/s12663-016-0954-y

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  • DOI: https://doi.org/10.1007/s12663-016-0954-y

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