Abstract
Purpose: Epidemiological studies exhibit regional variation patterns as the result of local demographic and socioeconomic factors. This study assessed the epidemiology of maxillofacial fractures treated at a trauma center in Southern Brazil to identify the importance of motorcycle and bicycle crashes. Methods: The records of 2261 patients admitted between April 2003 and March 2013 were reviewed. Results: The male-to-female ratio was 5.6:1. The peak incidence occurred in the third decade of life. Bicycle and motorcycle crashes accounted for 20% of all reported etiologies. Mandibular and orbitozygomatic complex fractures were most prevalent. The most common treatments were open reduction with rigid internal fixation and conservative therapy. Overall, 1248 patients (55.9% of recorded admissions) had a length of stay of 7 days or less. Conclusion: Countrywide prevention projects and the use of alternative transportation should be encouraged.
Highlights
Over time, trauma has been an extraordinarily important public health issue worldwide, as it remains to the present
This study was approved by the Pontifícia Universidade Católica do Rio Grande do Sul Research Ethics Committee and conducted at Hospital Cristo Redentor, a trauma center located in Porto Alegre, state of Rio Grande do Sul, Brazil, and affiliated with the Brazilian Ministry of Health
The affected bones were stratified as mandible, maxilla, orbitozygomatic complex (OZC), naso-orbital-ethmoid complex (NOE), nasal bones, and frontal bone
Summary
Trauma has been an extraordinarily important public health issue worldwide, as it remains to the present Within this context, oral and maxillofacial injuries are among the most prevalent types of trauma seen in the emergency medicine setting, whether alone or combined with injury of other body systems and structures. Continuous collection of data on oral and maxillofacial fractures becomes an important aspect of the development and assessment of measures designed to prevent such injuries [2,3]. This is possible by prospective and retrospective gathering of information on facial trauma, by means of a detailed registry, and by periodic review of data on facial injury [4]
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