Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

Etiology and Patterns of Maxillofacial Fractures in 518 patients in Korea

  • Chung, Il-Hyuk (Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Lee, Eun-Kyung (Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Yoo, Chung-Kyu (Department of Dentistry/Oral and Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Park, Chang-Joo (Department of Dentistry/Oral and Maxillofacial Surgery, Medical College, Hanyang University) ;
  • Song, Seung-Il (Department of Dentistry/Oral and Maxillofacial Surgery, Medical College, Ajou University) ;
  • Hwang, Kyung-Gyun (Department of Dentistry/Oral and Maxillofacial Surgery, Medical College, Hanyang University)
  • Published : 2008.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Different patterns in the causes of maxillofacial injury are thought to correlate with socioeconomic status and regional environment. This study investigated maxillofacial fractures in order to analyze maxillofacial trauma characteristics and the relationship between the causes and injury patterns in Korea. Material and methods: A total of 518 patients with maxillofacial fractures who were treated at the Seoul National University Boramae Hospital between 1996 and 2004 were retrospectively analyzed. Data were obtained from the patients' medical records and radiographs. The male to female ratio in the patient group was 2.78:1, and the mean age was 32.3 years. Results: Midfacial fractures were the most common location of injury (46.1%). The most common etiologic factor was an activity associated with daily life (42.6%) including falls, stumbling, and collisions. The second most common cause was assault (32.4%), followed by traffic accidents (13.7%). In the case of midfacial fractures and mandibular fractures, assault was the most common etiologic factor, whereas in the case of alveolar bone fractures, activities associated with daily life were the most common cause. With regard to age groups, assault was the most common cause for patients between 10 and 39 years old and an activity associated with daily life was the most common cause in those under 10 years and over 40 years. Conclusions: This study concluded that activities associated with daily life and assault causes a large proportion of Korean maxillofacial injuries and that preventive measures should be implemented in order to minimize these risks.

Keywords

References

  1. Telfer MR, Jones GM, Shepherd JP: Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977-1987). Br J Oral Maxillofac Surg 1991;29:250-5 https://doi.org/10.1016/0266-4356(91)90192-8
  2. Haug RH, Prather J, Indresano T: An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990;48:926-32 https://doi.org/10.1016/0278-2391(90)90004-L
  3. Van Beek GJ, Merkx CA: Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 1999;28:424-8 https://doi.org/10.1016/S0901-5027(99)80055-1
  4. Gassner R, Tuli T, Hachl O, Rudisch A, Uimer H: Craniomaxillofacial trauma: 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 2003;31:51-61 https://doi.org/10.1016/S1010-5182(02)00168-3
  5. Ida S, Kogo M, Suguira T, Mima T, Matsuya T: Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 2001;30:286-90 https://doi.org/10.1054/ijom.2001.0056
  6. Van Hoof RF, Merkx CA, Stekelenburg EC: The different patterns of fractures of the facial skeleton in four European countries. Int J Oral Surg 1977;6:3-11 https://doi.org/10.1016/S0300-9785(77)80066-5
  7. Ellis E. El-Attar A, Moos KF: An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg 1985;43:417-28 https://doi.org/10.1016/S0278-2391(85)80049-5
  8. Ellis E. Moos KF, El-Attar A: A ten year analysis of mandibular fractures. An analysis of 2137 cases. Oral Surg 1985;59:120-9 https://doi.org/10.1016/0030-4220(85)90002-7
  9. Brook IM, Wood N: Aetiology and incidence of facial fractures in adults. Int J Oral Maxillofac Surg 1983;12:293-8
  10. Scherer M, Sulliven WG, Smith DJ, Philips LG, Robson MC: Analysis of 1423 facial fractures in 788 patients at an urban trauma center. J Trauma 1989;29:388-90 https://doi.org/10.1097/00005373-198903000-00020
  11. Starkhammer H, Olofsson J: Facial fractures; a review of 922 cases with special reference to incidence and aetiology. Clin Otolaryngol 1982;7:405-9 https://doi.org/10.1111/j.1365-2273.1982.tb01404.x
  12. Iida S, Matsuya T: Paediatric maxillofacial fractures: their aetiological characters and fracture patterns. J Craniomaxillofac Surg 2002;30:237-41 https://doi.org/10.1054/jcms.2002.0295
  13. Haug RH, Foss J: Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Path Oral Radiol Endod 2000;90:126-34 https://doi.org/10.1067/moe.2000.107974
  14. Oji C: Fracture of the facial skeleton in children: a review of patients under age of 11years. J Craniomaxillofac Surg 1998;26:322-5 https://doi.org/10.1016/S1010-5182(98)80062-0
  15. Anderson L, Hultin M, Nordenram A, Ramstrom G: Jaw fractures in the county of Stockholm (1978-1980) (1) General survey. Int J Oral Maxillofac Surg 1984;13:194-9
  16. Voss R: The etiology of jaw fractures in Norwegian patients. J Maxillofac Surg 1982;10:146-8 https://doi.org/10.1016/S0301-0503(82)80031-3
  17. Afzelius LE, Rosen C: Facial fractures. A review of 368 cases. Int J Oral Surg 1980;9:25-32 https://doi.org/10.1016/S0300-9785(80)80003-2
  18. Brook IM, Wood N: Aetiology and incidence of facial fractures in adults. Int J Oral Surg 1983;12:293-8 https://doi.org/10.1016/S0300-9785(83)80016-7
  19. Booth PW, Schendel SA, Hausamen JE: Maxillofacial surgery. 1st ed. London: Churchill Livingstone, 1999; 93-8
  20. Cho BO, Lee YC, Nam JH, Kim TY, Koh BJ: The clinical study of maxillofacial bone fractures. J Kor Maxillofac Plast Reconstr Surg 1989;11:32-40
  21. Jang HS, You JY, Kim YK, Yang BE: A clinical study on mandibular fracture. J Kor Maxillofac Plast Reconstr Surg 1997;19:181-9
  22. Olson RA, Fonseca RJ, Zeiter DL, Osbon DB: Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg 1982;40:23-8 https://doi.org/10.1016/S0278-2391(82)80011-6
  23. Lindquist C, Sorsa S, Hyprkas T, Santavirta S: Maxillofacial fractures sustained in bicycle accidents. Int J Oral Maxillofac Surg 1986;15:12-8 https://doi.org/10.1016/S0300-9785(86)80005-9