Etiology and incidence facial fractures in children and adults

Jair Cortez Montovani, Lígia Maria Pirani de Campos, Vinícius Rodrigues Silva de Moraes, Fabricio Dominici Ferreira, Emanuel Araújo Nogueira

Brazilian Journal of Otorhinolaryngology · 2006 · 105 citations · 23 references

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TL;DR

Facial trauma incidence has risen over the past four decades, largely driven by automobile accidents and urban violence. The authors aimed to evaluate demographic and injury characteristics of facial trauma patients, including gender, age, occupation, origin, fracture type, and cause. They conducted a retrospective cohort study of 513 patients from hospital registers to assess these variables. The study found that facial trauma mainly affects young white men (average age 29), with the jaw most frequently fractured (35%), and automobile accidents (28.3%) being the leading cause, followed by aggression (21%) and falls (19.5%), while 82.5 % of patients had a single fracture.

Abstract

Facial trauma has presented an increasing occurrence in the last four decades, due especially to the growth of accidents with automobiles as well as to the urban violence. Both of which continue being the main cause of such traumas.To evaluate the features of the population victim of facial trauma as to gender, age, occupation, origin, type of fracture and its cause.retrospective clinical with transversal cohort.Retrospective study consulting hospital registers of 513 patients victims of the facial trauma.There was a higher incidence of facial trauma on men (84,9%), white (82,7) and with an average age of 29. Regarding occupation, the trauma was mostly occurred to students (16,6%) and Masons (11,2%). The jaw was the most affected place (35%), followed by zygoma (24%) and by the nose (23%), though most patients presented a single facial fracture (82,5%). Among the causes, accidents with automobiles (28,3%), aggression (21%) and accidental fall s (19,5%) were the most common.Accidents with automobiles continue being the main cause of facial trauma, especially of multiple fractures due to the great transmission of kinetic energy.

References

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