Frequency of concomitant injuries in maxillofacial trauma in a tertiary health care centre in India: A 5-year retrospective study

IF 1.8 4区医学 Q2 ORTHOPEDICS

Chinese Journal of Traumatology Pub Date : 2025-05-01 DOI:10.1016/j.cjtee.2024.03.008

Saubhik Dasukil, Shiwangi Verma, Ashok Kumar Jena, Mounabati Mohapatra

{"title":"Frequency of concomitant injuries in maxillofacial trauma in a tertiary health care centre in India: A 5-year retrospective study","authors":"Saubhik Dasukil, Shiwangi Verma, Ashok Kumar Jena, Mounabati Mohapatra","doi":"10.1016/j.cjtee.2024.03.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Road traffic accidents (RTA), assaults, falls, and sports-related injuries are the leading causes of maxillofacial trauma. Due to quite different geographical environment and fast urbanization, the use of various protective equipment is restricted in India. Thus, compared to other countries, there might be a significant difference in the pattern and frequency of associated injuries among subjects with maxillofacial trauma. The present study was conducted to identify the causes and pattern of various maxillofacial fractures and the frequency of other related injuries among subjects with maxillofacial trauma.</div></div><div><h3>Methods</h3><div>This is a cross-sectional retrospective study recording 2617 subjects with maxillofacial trauma from October 2017 to October 2022. The patient demographics, causes of trauma, types of maxillofacial injury, and associated soft and hard tissue injuries were recorded. The types of maxillofacial and associated injuries were diagnosed from details of clinical examinations and the interpretation of various radiographs available in the file. The associated injuries were divided into head injury, other bony injuries, and soft tissue and vital structure injuries. Descriptive statistics and the test of proportion were used. A <em>p</em> value < 0.05 was considered as a level of significance.</div></div><div><h3>Results</h3><div>The maxillofacial injuries were significantly common in patients aged 16 – 45 years (66.7%) than in patients aged ≤ 15 and > 46 years (33.3%) (<em>p</em> < 0.001). The RTA was the most common cause of maxillofacial injury (<em>n</em> = 2139, 81.7%), followed by fall (<em>n</em> = 206, 7.9%), other causes of injury (<em>n</em> = 178, 6.8%), and assaults (<em>n</em> = 94, 3.6%). The maxillofacial injury by 2-wheel vehicle accidents was significantly higher than that by 4-wheel vehicle and other vehicle accidents (<em>p</em> < 0.001). There was a significant correlation between alcohol and RTA (<em>p</em> < 0.001). The head injury (<em>n</em> = 931, 61.1%) was the most common associated injury, followed by soft tissue and vital structures injuries (<em>n</em> = 328, 21.5%) and other bone injuries (<em>n</em> = 264, 17.3%).</div></div><div><h3>Discussion</h3><div>Head injury was the most common associated injury followed by soft tissue and vital structures and bone injuries among subjects with maxillofacial trauma. Clavicle fracture and injury to the lower extremities were the most common hard and soft tissue-associated injuries.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"28 3","pages":"Pages 216-219"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Traumatology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S100812752400035X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

Road traffic accidents (RTA), assaults, falls, and sports-related injuries are the leading causes of maxillofacial trauma. Due to quite different geographical environment and fast urbanization, the use of various protective equipment is restricted in India. Thus, compared to other countries, there might be a significant difference in the pattern and frequency of associated injuries among subjects with maxillofacial trauma. The present study was conducted to identify the causes and pattern of various maxillofacial fractures and the frequency of other related injuries among subjects with maxillofacial trauma.

Methods

This is a cross-sectional retrospective study recording 2617 subjects with maxillofacial trauma from October 2017 to October 2022. The patient demographics, causes of trauma, types of maxillofacial injury, and associated soft and hard tissue injuries were recorded. The types of maxillofacial and associated injuries were diagnosed from details of clinical examinations and the interpretation of various radiographs available in the file. The associated injuries were divided into head injury, other bony injuries, and soft tissue and vital structure injuries. Descriptive statistics and the test of proportion were used. A p value < 0.05 was considered as a level of significance.

Results

The maxillofacial injuries were significantly common in patients aged 16 – 45 years (66.7%) than in patients aged ≤ 15 and > 46 years (33.3%) (p < 0.001). The RTA was the most common cause of maxillofacial injury (n = 2139, 81.7%), followed by fall (n = 206, 7.9%), other causes of injury (n = 178, 6.8%), and assaults (n = 94, 3.6%). The maxillofacial injury by 2-wheel vehicle accidents was significantly higher than that by 4-wheel vehicle and other vehicle accidents (p < 0.001). There was a significant correlation between alcohol and RTA (p < 0.001). The head injury (n = 931, 61.1%) was the most common associated injury, followed by soft tissue and vital structures injuries (n = 328, 21.5%) and other bone injuries (n = 264, 17.3%).

Discussion

Head injury was the most common associated injury followed by soft tissue and vital structures and bone injuries among subjects with maxillofacial trauma. Clavicle fracture and injury to the lower extremities were the most common hard and soft tissue-associated injuries.

查看原文本刊更多论文

印度一家三级医疗保健中心的颌面部创伤并发症发生率：五年回顾性研究

目的：交通事故、攻击、跌倒和运动相关伤害是导致颌面部创伤的主要原因。由于不同的地理环境和快速的城市化，各种防护装备的使用在印度受到限制。因此，与其他国家相比，颌面部创伤患者的相关损伤模式和频率可能存在显著差异。本研究旨在探讨颌面部外伤患者发生各种骨折的原因和类型，以及发生其他相关损伤的频率。方法对2017年10月至2022年10月2617例颌面部外伤患者进行横断面回顾性研究。记录患者的人口统计资料、创伤原因、颌面部损伤类型以及相关的软硬组织损伤。颌面部及相关损伤的类型是根据临床检查的细节和文件中各种x线片的解释来诊断的。相关损伤分为头部损伤、其他骨损伤、软组织及重要结构损伤。采用描述性统计和比例检验。A p值<；0.05为显著性水平。结果16 ~ 45岁患者颌面部损伤发生率（66.7%）明显高于≤15岁和≤15岁患者；46岁（33.3%）(p <；0.001)。RTA是颌面部最常见的损伤原因（2139例，81.7%），其次是跌倒（206例，7.9%）、其他损伤原因（178例，6.8%）和攻击（94例，3.6%）。2轮机动车造成的颌面部损伤显著高于4轮机动车及其他机动车造成的颌面部损伤(p <；0.001)。酒精与RTA之间存在显著相关性(p <；0.001)。最常见的相关损伤为头部损伤（931例，61.1%），其次为软组织及重要结构损伤（328例，21.5%）和其他骨骼损伤（264例，17.3%）。在颌面部外伤患者中，头部损伤是最常见的相关损伤，其次是软组织和重要结构以及骨损伤。锁骨骨折和下肢损伤是最常见的软硬组织相关损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Chinese Journal of Traumatology ORTHOPEDICS-

CiteScore

3.80

自引率

4.80%

发文量

1707

审稿时长

28 weeks

期刊介绍： Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.