Abstract
BackgroundFor proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures.MethodsThis retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated.ResultsThis study analyzed 2708 fracture lesions of 2076 patients, among whom males aged 10 to 39 years were the most numerous. The number of patients was significantly higher in the middle of a month. The most common fractures were a nasal bone fracture. The most common causes of fracture were ground accidents and personal assault, which tended to frequently cause more nasal bone fracture than other fractures. Traffic accidents and high falls tended to cause zygomatic arch and maxillary wall fractures more frequently. Postoperative complications—observed in 126 patients—had a significant relationship with the end of a month, mandible or panfacial fracture, and traffic accidents.ConclusionsThe present findings on long-term craniofacial fracture trends should be considered by clinicians dealing with fractures and could be useful for policy decisions.
Highlights
For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends
The present findings indicated that a greater emergency room workforce is necessary during the middle 10 days of a month
Nasal bone fractures had a greater relationship with sports than with other causes of fracture; it is necessary to protect the nasal area during sports activities
Summary
For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. Craniofacial fractures due to trauma cause functional and esthetic problems and may threaten the airway maintenance in severe cases. They can result in permanent functional and esthetic damage, depending on the outcome of treatment. Such damage affects social activities and may result in economic and psychological problems [1, 2]. To enable efficient first aid and achieve desirable recovery from craniofacial injury, it is necessary to analyze the patterns and causes of craniofacial fracture and establish appropriate guidelines based on the findings.
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