The pattern of maxillofacial fractures associated with rollover accidents: A 7-year retrospective study

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2023-10-25 DOI:10.1111/edt.12900

Amir Yari, Mahboube Hasheminasab, Paniz Fasih, Atieh Nouralishahi, S. Marjan Arianezhad

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Abstract

Background/Aim

This study aimed to assess the incidence and pattern of maxillofacial fractures and related demographic data in the victims of rollover crashes.

Patients and Methods

This retrospective study was based on medical records of patients who sustained maxillofacial injuries following rollover accidents. Investigated data included age, gender, accident date and time, accident cause, seat belt usage, airbag deployment, road type, anatomical location of the facial fracture, and treatment approach.

Results

Among the 147 patients who met the inclusion criteria, the most prevalent age groups were 20–30 (36.7%) and 30–40 (32.7%) years, with a mean age of 33.6 ± 9.7 years. The male-to-female ratio was 6:1. Most crashes occurred in March, August, and July. These accidents involved 69.4% light vehicles and 39.6% heavy vehicles. The leading causes of rollover crashes were speeding (58.5%) followed by distracted driving (21.1%) and traffic rule violations (13.6%). The most prevalent injuries were fractures of the maxillary sinus wall (40.8%), nasal bones (39.5%), zygomaticomaxillary complex (36.1%), and the mandible (32.6%). Surgical intervention was necessary for 44.2% of patients, while 12.9% of cases underwent close reduction, and 42.9% did not require any surgical intervention. The occurrence of nasal bone fractures was significantly lower in cases where seat belts were worn and zygomatic arch fractures were less frequent in incidents with airbag deployment.

Conclusions

In rollover crashes, the midface is the most vulnerable anatomical location. Utilization of seat belts and airbag deployment has the potential to prevent nasal bone and zygomatic arch fractures.

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颌面部骨折与翻车事故的相关模式：一项7年回顾性研究。

背景/目的：本研究旨在评估翻车事故受害者颌面部骨折的发生率和模式以及相关的人口统计数据。患者和方法：这项回顾性研究基于翻车事故后颌面部受伤患者的医疗记录。调查数据包括年龄、性别、事故日期和时间、事故原因、安全带使用、安全气囊展开、道路类型、面部骨折的解剖位置和治疗方法。结果：在符合纳入标准的147名患者中，最常见的年龄组为20-30岁（36.7%）和30-40岁（32.7%），平均年龄为33.6岁 ± 9.7 年。男女比例为6:1。大多数撞车事故发生在3月、8月和7月。这些事故涉及69.4%的轻型车辆和39.6%的重型车辆。翻车事故的主要原因是超速（58.5%），其次是分心驾驶（21.1%）和违反交通规则（13.6%）。最常见的损伤是上颌窦壁骨折（40.8%）、鼻骨骨折（39.5%）、颧骨-上颌复合体骨折（36.1%）和下颌骨骨折（32.6%）。44.2%的患者需要手术干预，12.9%的病例进行了闭合复位，42.9%的病例不需要任何手术干预。在系安全带的情况下，鼻骨骨折的发生率显著降低，在安全气囊展开的情况下颧骨弓骨折的发生频率较低。结论：在翻车事故中，面中部是最脆弱的解剖部位。使用安全带和安全气囊展开有可能预防鼻骨和颧骨弓骨折。

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

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.