Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 4, pp 438–444 | Cite as

Maxillofacial Injuries in Women: A Retrospective Study of 10 Years

  • Sudhir Ramisetty
  • Rajasekhar Gaddipati
  • Nandagopal Vura
  • Satheesh Pokala
  • Sheetal Kapse
Research Paper



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.


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 %).


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.


Facial fractures Road traffic accidents Assault Women 


Compliance with Ethical Standards

Conflict of interest

The authors declares that they have no conflicts of interest.

Informed Consent

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


  1. 1.
    Hayter JP, Ward AJ, Smith EJ (1991) Maxillofacial trauma in severely injured patients. Br J Oral Maxillofac Surg 29:370–373CrossRefPubMedGoogle Scholar
  2. 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 24:409–412CrossRefPubMedGoogle Scholar
  3. 3.
    Goodisson D, MacFarlane M, Snape L, Darwish B (2004) Head injury and associated maxillofacial injuries. N Z Med J (Online) 117(1201):U1045Google Scholar
  4. 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 27:257–262CrossRefPubMedGoogle Scholar
  5. 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):312–327CrossRefPubMedGoogle Scholar
  6. 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 77:695–698CrossRefPubMedGoogle Scholar
  7. 7.
    Kumar GBA, Dhupar V, Akkara F, Kumar SP (2015) Patterns of maxillofacial fractures in Goa. J Maxillofac Oral Surg 14(2):138–141CrossRefPubMedGoogle Scholar
  8. 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):184–188CrossRefPubMedGoogle Scholar
  9. 9.
    Kadkhodaie MH (2006) Three-year review of facial fractures at a teaching hospital in northern Iran. Br J Oral Maxillofac Surg 44:229–231CrossRefPubMedGoogle Scholar
  10. 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 45:637–639CrossRefPubMedGoogle Scholar
  11. 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. 11Google Scholar
  12. 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 29:250–255CrossRefPubMedGoogle Scholar
  13. 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 31:51–61CrossRefGoogle Scholar
  14. 14.
    Zachariades N, Koumoura F, Konsolaki-Agouridaki E (1990) Facial trauma in women resulting from violence by men. J Oral Maxillofac Surg 48:1250–1253CrossRefPubMedGoogle Scholar
  15. 15.
    Arosarena OA, Fritsch TA, Hsueh Y, Aynehchi B, Haug R (2009) Maxillofacial injuries and violence against women. Arch Facial Plast Surg 11:48–52CrossRefPubMedGoogle Scholar
  16. 16.
    Gerber B, Ahmad N, Parmar S (2009) Trends in maxillofacial injuries in women, 2000–2004. Br J Oral Maxillofac Surg 47:374–377CrossRefPubMedGoogle Scholar
  17. 17.
    Roccia F et al (2010) Characteristics of maxillofacial trauma in females. A retrospective analysis of 367 patients. J Cranio Maxillofac Surg 38:314–319CrossRefGoogle Scholar
  18. 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 36:1158–1163CrossRefPubMedGoogle Scholar
  19. 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 25:124–128Google Scholar
  20. 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):372–378CrossRefPubMedPubMedCentralGoogle Scholar
  21. 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):32–39CrossRefPubMedGoogle Scholar
  22. 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 21:14–19CrossRefPubMedGoogle Scholar
  23. 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):176–183CrossRefPubMedGoogle Scholar
  24. 24.
    Perciaccante VJ, Ochs FA, Dodson TB (1999) Head, neck, and facial injuries as markers of domestic violence in women. J Oral Maxillofac Surg 57:760–762CrossRefPubMedGoogle Scholar
  25. 25.
    Thorn JJ, Møgeltoft M, Hansen PK (1986) Incidence and aetiological pattern of jaw fractures in Greenland. Int J Oral Maxillofac Surg 15(4):372–379CrossRefPubMedGoogle Scholar
  26. 26.
    Hussain K, Wijetunge DB, Grubnic S, Jackson IT (1994) A comprehensive analysis of craniofacial trauma. J Trauma 36:34–47CrossRefPubMedGoogle Scholar
  27. 27.
    Huang V, Moore C, Bohrer P, Thaller SR (1998) Maxillofacial injuries in women. Ann Plast Surg 41:482–484CrossRefPubMedGoogle Scholar
  28. 28.
    Wymann NME, Hölzle A, Zachariou Z, Iizuka T (2008) Pediatric craniofacial trauma. J Oral Maxillofac Surg 66:58–64CrossRefGoogle Scholar
  29. 29.
    Gerbino G, Roccia F, De Gioanni PP, Berrone S (1999) Maxillofacial trauma in the elderly. J Oral Maxillofac Surg 57:777–782CrossRefPubMedGoogle Scholar
  30. 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 53e55Google Scholar
  31. 31.
    Zimmermann CE, Troulis MJ, Kaban LB (2005) Pediatric facial fractures: recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 34:823–833CrossRefPubMedGoogle Scholar
  32. 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 19:339–349CrossRefPubMedGoogle Scholar
  33. 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):396–400CrossRefPubMedGoogle Scholar
  34. 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):417–421CrossRefPubMedGoogle Scholar
  35. 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):120–129CrossRefPubMedGoogle Scholar
  36. 36.
    Ogundare BO, Bonnick A, Bayley N (2003) Pattern of mandibular fractures in an urban major trauma center. J Oral Maxillofac Surg 61(6):713–718CrossRefPubMedGoogle Scholar
  37. 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):58–63Google Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Sudhir Ramisetty
    • 1
  • Rajasekhar Gaddipati
    • 1
  • Nandagopal Vura
    • 1
  • Satheesh Pokala
    • 1
  • Sheetal Kapse
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryMamata Dental College and HospitalKhammamIndia

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