Title: Pattern of Maxillofacial Injuries in University Hospital of Bhubaneswar: A Retrospective Study

Authors: Dr Kiran Kumar. M, Dr Arka.Kanti.Dey, Dr K.N.V Sudhakar, Dr Rajat Mohanty, Dr Mohan Raju . P, Dr Arnab Mandal

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.186

Abstract

Background:Trauma can be designated as the most common cause for injuries to maxillofacial region and it may lead to fracture of bone, soft tissues injuries and even both in some instances. Identification of the cause of trauma provides the insights on the behavioural pattern of the individuals which differ from country to country. It also assist us preventive approach to reduce the incidence of maxillofacial injuries.

Aim: To evaluate the demographic data of the patients with maxillofacial trauma and to assess the major risk factors and prevention strategies to reduce maxillofacial fractures.

Material and Methods: A 5 years cross-sectional retrospective study was conducted by the case records of the patients reported at Kalinga Institute of Medical & Dental College & hospital in Bhubaneswar. A total 494 patient records were evaluated for various demographic, etiological factors, type and location of injury, alcohol involvement, treatment done,daily and monthly variation of injury.

Results:Majority of the maxillofacial injuries occurred in male than in female. Third decade being the most common age group for occurrence of maxillofacial fractures.78.9% of cases occurred due to RTA. 40% of cases were reported in rainy season and the least in the winter season. Influence of alcohol is very high (74.89%) in occurrence of maxillofacial fractures.

Conclusion:Maxillofacial fractures are one of the common injuries during trauma by any cause.Identification of the risk factors for the cause of trauma may give us a clue to prevent maxillofacial injuries.

Keywords: Maxillofacial, Mandibular, Trauma, Road Traffic accidents.

References

1.   1.      Telfer MR, Jones GM, Shepherd JP: Trends in the aetiology ofmaxillofacial fractures in the United Kingdom (1977-1987). Br JOral MaxillofacSurg 29:250, 1991

2.      Olasoji HO, Tahir A, Arotiba GT: Changing picture of facial fractures in northern Nigeria. Br J Oral MaxillofacSurg 40:140,2002

3.      Gassner R, Tuli T, Hachl O, et al:Cranio-maxillofacial trauma: A 10-year review of 9543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51, 2003

4.      Ugboko VI, Olasoji HO, Ajike SO, et al: Facial injuries caused by animals in northern Nigeria. Br J OralMaxillofacSurg 40:433, 2002

5.      Tu AH, Girotto JA, Singh N, et al: Facial fractures from dog bite injuries. PlastReconstrSurg 109:1259, 2002

6.      Khan AA: A retrospective study of injuries to the maxillofacial skeleton in Harare, Zimbabwe. Br J Oral MaxillofacSurg 26: 435, 1988

7.      Bhubaneswar (Bhubaneswar Town) City Census 2011 data http://www.census2011-.co.in/census/city/270-bhubaneswar.html

8.      Road Accidents in India Report by GOI ,MINISTRY OF ROAD TRANSPORT & HIGHWAYSTRANSPORT RESEARCH WING 2015 (www.morth.nic.in).

9.      Wade CV, Hoffman GR, Brennan PA: Falls in elderly people that result in facial injuries. Br J Oral MaxillofacSurg 42:138, 2004

10.  Al-Khateeb T, Abdullah FM. Craniomaxi-llofacial injuries in the United Arab Emirates: a retrospective study. Journal of oral and maxillofacial surgery. 2007 Jun 30;65(6):1094-101.

11.  Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head & Face Medicine. 2005 Oct 4;1(1):7.

12.  Rajanikanth K. The pattern of maxillofacial fractures in central India AUnicentric retrospective study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS).;1(13):28-31.

13.  Maraoka M, Nakai Y: Twenty years of statistics and observation of facial bone fracture. ActaOtolaryngolSuppl 538:261, 1988

14.  Fasola AO, Nyako EA, Obiechina AE, et al: Trends in the characteristics of maxillofacial fractures in Nigeria. J Oral MaxillofacSurg 61:1140, 2003

15.  Jha N, Srinivasa DK, Roy G, et al: Injury pattern among road traffic accident cases: A study from south India. Indian J CommunMed XXVIII:2, 2003

16.  Bataineh AB: Etiology and incidence of maxillofacial fractures in the north of Jordan. OralSurg Oral Med Oral Pathol Oral RadiolEndod 86:31, 1998

17.  Bamjee Y, Lownie JF, Cleaton-Jones PE, et al: Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral MaxillofacSurg 34:298, 1996

18.  Davison SP, Clifton MS, Davison NM, et al: Pediatric mandibular fractures. Arch Facial PlastSurg 3:185, 2001

19.  Ellis III E, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2137 cases. Oral Surg Oral Med Oral Pathol 1985;59:120–9

20.  Fridrich KL, Pena-Velasco G, Oslon RA. Changing trends with mandibular fractures: a review of 1067 cases. J Oral MaxillofacSurg 1992;50:586–9

21.  Hussain K, Wijetunge DB, Grubnic S, Jackson IT. A comprehensive of analysis of craniofacial trauma. J Trauma 1994;36:34–47.

22.  Olasoji HO, Tahir A, Arotiba GT. Changing pictures of facial fractures in northern Nigeria. Br J Oral Maxillofac Surg. 2002 Apr;40(2):140–3.

23.  Obuekwe ON, Ojo MA, Akpata O, Etetafia M. Maxillofacial trauma due to road traffic accidents in Benin City, Nigeria: a prospective study. Ann Afri Med 2003;2:58– 63

24.  Ugboko VI, OdunsanySA,Ogunbodede EO. Maxillofacial fractures in children and analysis of 52 Nigerian cases. Paediatr Dent J 1998;8:31-35.

25.  Odai ED, Obuekwe ON. Is there any difference in the treatment outcome of maxillofacial fractures following use of rigid or semi-rigid osteosynthesis? J of Med Biomed Res 2013;12:120-128.

26.  Abiodun A, Atinuke A, Osuagwu Y. Computerised tomography assessment of cranial and mid-facial fractures in patients following road traffic accident in South-west Nigeria. Ann Afr Med 2013;11:131-138.

27.  Lee KH, Snape L, Steenberg LJ, Worthington J. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg 2007;77:695-8

28.  Lee KH, Snape L. Role of alcohol in maxillofacial fractures. N Z Med J 2008;121:15-23.

29.  O’Meara C, Witherspoon R, Hapangama N, Hyam DM. Mandible fracture severity may be increased by alcohol and interpersonal violence. Aust Dent J 2011;56:166-70.

30.  Schaftenaar E, Bastiaens GJ, Simon EN, Merkx MA. Presentation and management of maxillofacial trauma in Dar es Salaam, Tanzania. East Afr Med J 2009;86:254-258.

31.  Kubilius R, Keizeris T. Epidemiology of mandibular fractures treated at Kaunas University of Medicine Hospital, Lithuania. Stomatolo 2009;11:73-76.

32.  Banks P, Brown A. Fractures of the facial skeleton. 1st ed. Oxford: Wright. 2001; 1-155.

33.  Pradip KG. Synopsis of Oral and Maxillofacial Surgery,(An Update Overview). Jaypee Brothers Medical Publishers. 2006 ed., 164-181.

34.  Rashid A, Eyeson J, Haider D, van Gijn D, Fan K. Incidence and patterns of mandibular fractures during a 5-year period in a London teaching hospital. Br J Oral MaxillofacSurg 2013;51:794-8.

35.  Zix JA, Schaller B, Lieger O, Saulacic N, Thorén H, Iizuka T. Incidence, aetiology and pattern of mandibular fractures in central Switzerland. Swiss Med Wkly 2011 27;141:w13207 .

36.  Personal communication. Iowa Depart-ment of Transportation, Office of Driver Safety and Improvement, Des Moines, IA, October 199

37.  Rajib Khadka, Nitesh Kr. Chaurasia . Four years prospective study of the maxillofacial trauma at a tertiary center in WesternNepal. Journal of Orofacial Sciences  Vol. 6• Issue 2• July 2014.

38.  Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P. Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol 2005;21:14-9.

39.  Chrcanovic BR, Freire-Maia B, Souza LN, Araújo VO, Abreu MH. Facial fractures: A 1-year retrospective study in a hospital in Belo Horizonte. Braz Oral Res 2004;18:322-8.

Corresponding Author

Dr Arka.Kanti.Dey

Department of Oral and Maxillofacial Surgery

Kalinga Institute of Dental Sciences (KIDS), Campus-5, KIIT University, Patia, Bhubaneswar-751024, Odisha

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.. Contact number- +919438220110