TY - JOUR
T1 - A multicentric, prospective study on oral and maxillofacial trauma in the female population around the world
AU - Romeo, Irene
AU - Sobrero, Federica
AU - Roccia, Fabio
AU - Dolan, Sean
AU - Laverick, Sean
AU - Carlaw, Kirsten
AU - Aquilina, Peter
AU - Bojino, Alessandro
AU - Ramieri, Guglielmo
AU - Duran-Valles, Francesc
AU - Bescos, Coro
AU - Segura-Pallerès, Ignasi
AU - Ganasouli, Dimitra
AU - Zanakis, Stelios N.
AU - de Oliveira Gorla, Luis Fernando
AU - Pereira-Filho, Valfrido Antonio
AU - Gallafassi, Daniel
AU - Perez Faverani, Leonardo
AU - Alalawy, Haider
AU - Kamel, Mohammed
AU - Samieirad, Sahand
AU - Jaisani, Mehul Raiesh
AU - Rahman, Sajjad Abdur
AU - Rahman, Tabishur
AU - Aladelusi, Timothy
AU - Hassanein, Ahmed Gaber
AU - Goetzinger, Maximilian
AU - Bottini, Gian Battista
N1 - © 2022 The Authors. Dental Traumatology published by John Wiley & Sons Ltd.
PY - 2022/6
Y1 - 2022/6
N2 - Background/Aims: Approximately 20% of patients with maxillofacial trauma are women, but few articles have analysed this. The aim of this multicentric, prospective, epidemiological study was to analyse the characteristics of maxillofacial fractures in the female population managed in 14 maxillofacial surgery departments on five continents over a 1-year period.Methods: The following data were collected: age (0–18, 19–64, or ≥65 years), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment, and length of hospitalization.Results: Between 30 September 2019 and 4 October 2020, 562 of 2387 patients hospitalized with maxillofacial trauma were females (24%; M: F ratio, 3.2:1) aged between 1 and 96 years (median age, 37 years). Most fractures occurred in patients aged 20–39 years. The main causes were falls (43% [median age, 60.5 years]), which were more common in Australian, European and American units (p <.001). They were followed by road traffic accidents (35% [median age, 29.5 years]). Assaults (15% [median age, 31.5 years]) were statistically associated with alcohol and/or drug abuse (p <.001). Of all patients, 39% underwent open reduction and internal fixation, 36% did not receive surgical treatment, and 25% underwent closed reduction.Conclusion: Falls were the main cause of maxillofacial injury in the female population in countries with ageing populations, while road traffic accidents were the main cause in African and some Asian centres, especially in patients ≤65 years. Assaults remain a significant cause of trauma, primarily in patients aged 19–64 years, and they are related to alcohol use.
AB - Background/Aims: Approximately 20% of patients with maxillofacial trauma are women, but few articles have analysed this. The aim of this multicentric, prospective, epidemiological study was to analyse the characteristics of maxillofacial fractures in the female population managed in 14 maxillofacial surgery departments on five continents over a 1-year period.Methods: The following data were collected: age (0–18, 19–64, or ≥65 years), cause and mechanism of the maxillofacial fracture, alcohol and/or drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment, and length of hospitalization.Results: Between 30 September 2019 and 4 October 2020, 562 of 2387 patients hospitalized with maxillofacial trauma were females (24%; M: F ratio, 3.2:1) aged between 1 and 96 years (median age, 37 years). Most fractures occurred in patients aged 20–39 years. The main causes were falls (43% [median age, 60.5 years]), which were more common in Australian, European and American units (p <.001). They were followed by road traffic accidents (35% [median age, 29.5 years]). Assaults (15% [median age, 31.5 years]) were statistically associated with alcohol and/or drug abuse (p <.001). Of all patients, 39% underwent open reduction and internal fixation, 36% did not receive surgical treatment, and 25% underwent closed reduction.Conclusion: Falls were the main cause of maxillofacial injury in the female population in countries with ageing populations, while road traffic accidents were the main cause in African and some Asian centres, especially in patients ≤65 years. Assaults remain a significant cause of trauma, primarily in patients aged 19–64 years, and they are related to alcohol use.
KW - epidemiology
KW - female
KW - maxillofacial fractures
KW - multicentric
KW - prospective study
UR - http://www.scopus.com/inward/record.url?scp=85127587062&partnerID=8YFLogxK
U2 - 10.1111/edt.12750
DO - 10.1111/edt.12750
M3 - Article
C2 - 35390219
SN - 1600-4469
VL - 38
SP - 196
EP - 205
JO - Dental Traumatology
JF - Dental Traumatology
IS - 3
ER -