Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Fracture patterns in the maxillofacial region: a four-year retrospective study

  • Park, Kyung-Pil (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Lim, Seong-Un (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Kim, Jeong-Hwan (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Chun, Won-Bae (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Shin, Dong-Whan (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Kim, Jun-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Lee, Ho (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center)
  • Received : 2015.09.06
  • Accepted : 2015.11.05
  • Published : 2015.12.31
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Abstract

Objectives: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.

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References

  1. Miloro M, Ghali GE, Larsen PE, Waite P. Peterson's principles of oral and maxillofacial surgery. 3rd ed. Shelton: People's Medical Publishing House-USA; 2012.
  2. Kim HG, Son YH, Chung IK. Facial bone fracture patients visiting Pusan national university hospital in Busan and Yangsan: trends and risks. Maxillofac Plast Reconstr Surg 2014;36:140-5. https://doi.org/10.14402/jkamprs.2014.36.4.140
  3. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31:51-61. https://doi.org/10.1016/S1010-5182(02)00168-3
  4. Girotto JA, MacKenzie E, Fowler C, Redett R, Robertson B, Manson PN. Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg 2001;108:312-27. https://doi.org/10.1097/00006534-200108000-00005
  5. Motamedi MH. An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 2003;61:61-4.
  6. Down KE, Boot DA, Gorman DF. Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Maxillofac Surg 1995;24:409-12. https://doi.org/10.1016/S0901-5027(05)80469-2
  7. Haug RH, Prather J, Indresano AT. 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
  8. Morris C, Bebeau NP, Brockhoff H, Tandon R, Tiwana P. Mandibular fractures: an analysis of the epidemiology and patterns of injury in 4,143 fractures. J Oral Maxillofac Surg 2015;73:951.e1-12.
  9. Greathouse ST, Adkinson JM, Garza R 3rd, Gilstrap J, Miller NF, Eid SM, et al. Impact of injury mechanisms on patterns and management of facial fractures. J Craniofac Surg 2015;26:1529-33. https://doi.org/10.1097/SCS.0000000000001805
  10. Al Ahmed HE, Jaber MA, Abu Fanas SH, Karas M. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:166-70. https://doi.org/10.1016/j.tripleo.2004.01.020
  11. Jeon EG, Jung DY, Lee JS, Seol GJ, Choi SY, Paeng JY, et al. Maxillofacial trauma trends at a tertiary care hospital: a retrospective study. Maxillofac Plast Reconstr Surg 2014;36:253-8. https://doi.org/10.14402/jkamprs.2014.36.6.253
  12. Lee JH, Mun GH, Bang SI. A clinical & statistical analysis of the facial bone fractures: 7 years survey. J Korean Soc Plast Reconstr Surg 1998;25:1046-52.
  13. Kwon HJ, Han J, Kim JH, Jung HY, Kim JY, Yoon SH, et al. Clinical epidemiologic study of facial bone fractures in Daegu. J Korean Soc Plast Reconstr Surg 2007;34:365-70.
  14. Schultz RC. One thousand consecutive cases of major facial injury. Rev Surg 1970;27:394-410.
  15. 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
  16. Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:28-34. https://doi.org/10.1016/j.tripleo.2005.07.023
  17. Fonseca RJ, Marciani RD, Turvey TA, Carlson ER, Braun TW. Oral and maxillofacial surgery: trauma, surgical pathology, temporomandibular disorders. 2nd ed. St. Louis: Elsevier Saunders; 2009.
  18. Iida S, Kogo M, Sugiura 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
  19. James RB, Fredrickson C, Kent JN. Prospective study of mandibular fractures. J Oral Surg 1981;39:275-81.
  20. 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
  21. Ugboko VI, Odusanya SA, Fagade OO. Maxillofacial fractures in a semi-urban Nigerian teaching hospital. A review of 442 cases. Int J Oral Maxillofac Surg 1998;27:286-9. https://doi.org/10.1016/S0901-5027(05)80616-2
  22. Ellis E 3rd, 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
  23. Fonseca RJ, Walker RV. Oral and maxillofacial trauma. 3rd ed. St. Louis: Elsevier Saunders; 2005.
  24. Kelly DE, Harrigan WF. A survey of facial fractures: Bellevue Hospital, 1948-1974. J Oral Surg 1975;33:146-9.
  25. Torgersen S, Tornes K. Maxillofacial fractures in a Norwegian district. Int J Oral Maxillofac Surg 1992;21:335-8. https://doi.org/10.1016/S0901-5027(05)80756-8

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