Journal of Maxillofacial and Oral Surgery

, Volume 12, Issue 3, pp 307–311 | Cite as

Pattern and Prevalence of Maxillofacial Fractures in Rural Children of Central Maharashtra, India. A Retrospective Study

  • Sourabh Ramesh Joshi
  • Harish Saluja
  • Gowri Swaminatham Pendyala
  • Shantanu Chaudhari
  • Uma Mahindra
  • Yogesh Kini
Original Paper


The aim of this study was to review the pattern and prevalence of maxillofacial fractures occurring in rural children, at Rural Dental College and Hospital, Loni, Central Maharashtra, India. A retrospective analysis of patient records and radiographs was conducted during the 5 year period between January 2005 and December 2010. Data were identified and analysed based on age group, gender and anatomic site. During the 5 year period, 156 patients with 163 maxillofacial fractures were reviewed, males formed 70 % and females formed 30 % of studied population with the peak incidence rate occurring in 10–12-year old age group. The most common fracture site in maxilla was dentoalveolar component (70 %) and in mandible common fracture site was condyle (40.9 %). Of the fractures, 43 % were from accidental fall, 24.3 % from assaults, 16 % from road traffic accidents, 13.5 % from sporting injuries and 3.2 % from other causes such as animal injuries. Our results exhibit that accidental falls were the leading cause of maxillofacial fractures, and males were three times more affected than females. There is variation of incidence and pattern of maxillofacial injuries from region to region.


Dentoalveolar trauma Children Etiology 


Conflict of interest



  1. 1.
    Brook IM, Wood N (1983) Aetiology and incidence of facial fractures in adults. Int J Oral Surg 12:293–298PubMedCrossRefGoogle Scholar
  2. 2.
    Tefler MR, Jones GM, Shepherd JP (1991) Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977–1987). Br J Oral Maxillofac Surg 29:250–255CrossRefGoogle Scholar
  3. 3.
    Adi M, Ogden GR, Chisholm DM (1990) An analysis of mandibular fractures in Dundee, Scotland (1977–1985). Br J Oral Maxillofac Surg 28:194–199PubMedCrossRefGoogle Scholar
  4. 4.
    Andersson L, Hultin M, Nordenram A, Ramstrom G (1984) Jaw fractures in county of Stockholm (1978–1980)(I). General Survey. Int J Oral Surg 13:194–199PubMedCrossRefGoogle Scholar
  5. 5.
    Hill CM, Crosher RF, Carroll MJ, Mason DA (1984) Facial fractures: the result of a prospective four year study. J Maxillofac Surg 12:267–270PubMedCrossRefGoogle Scholar
  6. 6.
    Voss R (1982) The aetiology of jaw fractures in Norwegian patients. J Maxillofac Surg 10:146–148PubMedCrossRefGoogle Scholar
  7. 7.
    Trope M (1995) Clinical management of an avulsed tooth. Dent Clin North Am 39:93–112PubMedGoogle Scholar
  8. 8.
    Afzelius LE, Rosen C (1980) Facial fractures: a review of 368 cases. Int J Oral Surg 9:25–32PubMedCrossRefGoogle Scholar
  9. 9.
    Haug RH, Foss J (2000) Maxillofacial injuries in pediatric patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:126–134PubMedCrossRefGoogle Scholar
  10. 10.
    Jaber MA, Porter SR (1997) Maxillofacial injuries in 209 Libyan children under 13 years of age. Int J Pediatr Dent 7:39–40CrossRefGoogle Scholar
  11. 11.
    Thoren H, Lizuka T, Hallikainen D, Lindqvist C (1992) Different patterns of mandibular fractures in children. An analysis of 220 fractures in 157 patients. J Craniomaxillofac Surg 20:292–296PubMedCrossRefGoogle Scholar
  12. 12.
    Zerfowski M, Bremerich A (1998) Facial trauma in children and adolescents. Clin Oral Invest 2:120–124CrossRefGoogle Scholar
  13. 13.
    Oji C (1998) Fractures of facial skeleton in children: a survey of patients under the age of 11 years. J Craniomaxillofac Surg 26:322–325PubMedCrossRefGoogle Scholar
  14. 14.
    Lallier M, Bouchard S, St-Vil D, Dupont J, Tucci M (1999) Falls from heights among children: a retrospective review. J Pediatr Surg 34:1060–1063PubMedCrossRefGoogle Scholar
  15. 15.
    Infante Cossio P, Espin Galvez F, Gutieerrez Perez JL, Garcia Peria A, Hernandez Guisado JM (1994) Mandibular fractures in children. A retrospective study of 99 fractures in 59 patients. Int J Oral Maxillofac Surg 23:329–331PubMedCrossRefGoogle Scholar
  16. 16.
    Bamjee Y, Lownie JF, Cleaton-Jones PE, Lownie MA (1996) Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral Maxillofac Surg 34:298–302PubMedCrossRefGoogle Scholar
  17. 17.
    Tanaka N, Uchide N, Suzuki K, Tashiro T, Tomitsuka K, Kimijima Y (1993) Maxillofacial fractures in children. J Cranimaxillofac Surg 21:289–293CrossRefGoogle Scholar
  18. 18.
    Census of India (2011) Registrar General and Census Commissioner 14: New Delhi, IndiaGoogle Scholar
  19. 19.
    Le Fort R (1901) Etude experimentale sur les fractures de la machorie superieure. Rev Chir 23:208Google Scholar
  20. 20.
    Killey HC (1988) Killey fractures. In: Banks P (ed). Fractures of mandible, 3rd edn. Wright, LondonGoogle Scholar
  21. 21.
    Singh DJ, Barlett SP (2004) Pediatric craniofacial fractures: long term consequences. Clin Plastic Surg 31:18–499CrossRefGoogle Scholar
  22. 22.
    Ferriera P, Marques M, Pinho C, Rodrigues J, Reis J, Amrante J (2004) Midfacial fractures in children and adolescents: a review of 492 cases. Br J Oral Maxillofac Surg 42:501–505Google Scholar
  23. 23.
    McGraw BL, Cole RR (1990) Pediatric maxillofacial trauma. Arch Otolaryngol Head Neck Surg 116:41–45PubMedCrossRefGoogle Scholar
  24. 24.
    Posnick JC (1994) Craniomaxillofacial fractures in children. Oral Maxillofac Surg Clinic North Am 6:169–185Google Scholar

Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2012

Authors and Affiliations

  • Sourabh Ramesh Joshi
    • 1
  • Harish Saluja
    • 2
  • Gowri Swaminatham Pendyala
    • 3
  • Shantanu Chaudhari
    • 1
  • Uma Mahindra
    • 2
  • Yogesh Kini
    • 2
  1. 1.Department of PedodonticsRural Dental CollegeMaharashtraIndia
  2. 2.Department of Oral & Maxillofacial SurgeryRural Dental CollegeMaharashtraIndia
  3. 3.Department of PeriodonticsRural Dental CollegeMaharashtraIndia

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