Systematic Review and Meta-analysis of the Pattern, Distribution, Etiology and Treatment of Maxillofacial Injuries from Different Geopolitical Zones in Nigeria.

IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2026-10-01 Epub Date: 2024-06-19 DOI:10.1007/s12663-024-02262-w

Ezekiel T Adebayo, Benjamin Fomete, Uchenna P Egbunah, Timothy O Aladelusi, Adegbayi A Adekunle, Wasiu L Adeyemo

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引用次数: 0

Abstract

Purpose: This study aimed to provide a nationwide survey of maxillofacial injuries pattern, distribution, etiology and treatment based on Nigeria's geopolitical zones.

Methods: This systematic review and meta-analysis included all cross-sectional, cohort, case-control and randomized controlled studies published between 2004 and 2019 (16 years). Comparisons were made between different age groups, gender, site of maxillofacial injury, associated injuries, and treatment across geopolitical zones in Nigeria: southwest(SW), south-south (SS), southeast (SE), northwest (NW), north central (NC) and northeast (NE). Proportion meta-analysis using the generic inverse variance method, risk ratio effect measure, and random-effects model was conducted.

Results: A total of 35 studies including 4472 patients from four geopolitical zones across Nigeria (SW, SS, SE and NW) were included in this review. Age range was 0.3-90 years. Highest male-to-female ratio reported was 30:1. Road traffic crash (RTC) was the major risk factor for maxillofacial injuries (3.10, 95% CI 2.34-4.10), and motorcycle crash was second (0.44; 95% CI 0.29-0.66). Other aetiologic factors were assault (0.28; 95% CI 0.19-0.40), fall (0.06; 95% CI, 0.03-0.11), sports injuries (0.03; 95% CI 0.02-0.05) and others (0.04; 95% CI 0.02-0.09).

Conclusions and relevance: RTC, motorcycle crash and assault constituted the most important factors for maxillofacial injuries in Nigeria. The result of this study highlights the importance of improved road safety measures and maintenance of law and order.

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尼日利亚不同地缘政治区域颌面部损伤的模式、分布、病因和治疗的系统回顾和荟萃分析。

目的：本研究旨在根据尼日利亚的地缘政治区域，在全国范围内调查颌面部损伤的类型、分布、病因和治疗。方法：本系统综述和荟萃分析包括2004年至2019年（16年）发表的所有横断面、队列、病例对照和随机对照研究。比较了尼日利亚不同年龄组、性别、颌面部损伤部位、相关损伤和不同地缘政治区域的治疗情况：西南（SW）、南南（SS）、东南（SE）、西北（NW）、中北部（NC）和东北（NE）。采用通用反方差法、风险比效应测度和随机效应模型进行比例荟萃分析。结果：本综述共纳入35项研究，包括来自尼日利亚四个地缘政治区域（SW、SS、SE和NW）的4472名患者。年龄范围0.3-90岁。据报道，男女比例最高为30:1。道路交通碰撞（RTC）是颌面部损伤的主要危险因素（3.10,95% CI 2.34 ~ 4.10），其次是摩托车碰撞（0.44,95% CI 0.29 ~ 0.66）。其他病因为攻击（0.28;95% CI 0.19-0.40）、跌倒（0.06;95% CI 0.03-0.11）、运动损伤（0.03;95% CI 0.02-0.05）和其他（0.04;95% CI 0.02-0.09）。结论及意义：RTC、摩托车碰撞和袭击是尼日利亚颌面部损伤的最重要因素。这项研究的结果突出了改善道路安全措施和维持法律和秩序的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.