Skip to main content
Top
Published in: Maxillofacial Plastic and Reconstructive Surgery 1/2018

Open Access 01-12-2018 | Research

Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients

Authors: Ki-Su Jin, Ho Lee, Jun-Bae Sohn, Yoon-Sic Han, Da-Un Jung, Hye-Young Sim, Hee-Sun Kim

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2018

Login to get access

Abstract

Background

For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures.

Methods

This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated.

Results

This study analyzed 2708 fracture lesions of 2076 patients, among whom males aged 10 to 39 years were the most numerous. The number of patients was significantly higher in the middle of a month. The most common fractures were a nasal bone fracture. The most common causes of fracture were ground accidents and personal assault, which tended to frequently cause more nasal bone fracture than other fractures. Traffic accidents and high falls tended to cause zygomatic arch and maxillary wall fractures more frequently. Postoperative complications—observed in 126 patients—had a significant relationship with the end of a month, mandible or panfacial fracture, and traffic accidents.

Conclusions

The present findings on long-term craniofacial fracture trends should be considered by clinicians dealing with fractures and could be useful for policy decisions.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hashim H, Iqbal S (2011) Motorcycle accident is the main cause of maxillofacial injuries in the Penang mainland, Malaysia. Dent Traumatol 27:19–22CrossRef Hashim H, Iqbal S (2011) Motorcycle accident is the main cause of maxillofacial injuries in the Penang mainland, Malaysia. Dent Traumatol 27:19–22CrossRef
2.
go back to reference Miloro M, Ghali G, Larsen P, Waite P (2004) Peterson’s principles of oral and maxillofacial surgery. Shelton, PMPH-USA Miloro M, Ghali G, Larsen P, Waite P (2004) Peterson’s principles of oral and maxillofacial surgery. Shelton, PMPH-USA
3.
go back to reference O’Meara C, Witherspoon R, Hapangama N, Hyam DM (2012) Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 50:36–40CrossRef O’Meara C, Witherspoon R, Hapangama N, Hyam DM (2012) Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 50:36–40CrossRef
4.
go back to reference van Beek GJ, Merkx CA (1999) Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 28:424–428CrossRef van Beek GJ, Merkx CA (1999) Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 28:424–428CrossRef
5.
go back to reference Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51–61CrossRef Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51–61CrossRef
6.
go back to reference Muraoka M, Nakai Y (1998) Twenty years of statistics and observation of facial bone fracture. Acta Otolaryngol Suppl 538:261–265PubMed Muraoka M, Nakai Y (1998) Twenty years of statistics and observation of facial bone fracture. Acta Otolaryngol Suppl 538:261–265PubMed
7.
go back to reference Morris C, Bebeau NP, Brockhoff H, Tandon R, Tiwana P (2015) Mandibular fractures: an analysis of the epidemiology and patterns of injury in 4,143 fractures. J Oral Maxillofac Surg 73:951.e1–951.e12CrossRef Morris C, Bebeau NP, Brockhoff H, Tandon R, Tiwana P (2015) Mandibular fractures: an analysis of the epidemiology and patterns of injury in 4,143 fractures. J Oral Maxillofac Surg 73:951.e1–951.e12CrossRef
8.
go back to reference Motamedi MH, Dadgar E, Ebrahimi A, Shirani G, Haghighat A, Jamalpour MR (2014) Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. J Trauma Acute Care Surg 77:630–634CrossRef Motamedi MH, Dadgar E, Ebrahimi A, Shirani G, Haghighat A, Jamalpour MR (2014) Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. J Trauma Acute Care Surg 77:630–634CrossRef
9.
go back to reference Emodi O, Wolff A, Srouji H, Bahouth H, Noy D, Abu El Naaj I et al (2018) Trend and demographic characteristics of maxillofacial fractures in level I trauma center. J Craniofac Surg 29:471–475CrossRef Emodi O, Wolff A, Srouji H, Bahouth H, Noy D, Abu El Naaj I et al (2018) Trend and demographic characteristics of maxillofacial fractures in level I trauma center. J Craniofac Surg 29:471–475CrossRef
10.
go back to reference Atisha DM, Burr T, Allori AC, Puscas L, Erdmann D, Marcus JR (2016) Facial fractures in the aging population. Plast Reconstr Surg 137:587–593CrossRef Atisha DM, Burr T, Allori AC, Puscas L, Erdmann D, Marcus JR (2016) Facial fractures in the aging population. Plast Reconstr Surg 137:587–593CrossRef
11.
go back to reference Jeon EG, Jung DY, Lee JS, Seol GJ, Choi SY, Paeng JY et al (2014) Maxillofacial trauma trends at a tertiary care hospital: a retrospective study. Maxillofac Plast Reconstr Surg 36:253–258CrossRef Jeon EG, Jung DY, Lee JS, Seol GJ, Choi SY, Paeng JY et al (2014) Maxillofacial trauma trends at a tertiary care hospital: a retrospective study. Maxillofac Plast Reconstr Surg 36:253–258CrossRef
12.
go back to reference Park KP, Lim SU, Kim JH, Chun WB, Shin DW, Kim JY et al (2015) Fracture patterns in the maxillofacial region: a four-year retrospective study. J Korean Assoc Oral Maxillofac Surg 41:306–316CrossRef Park KP, Lim SU, Kim JH, Chun WB, Shin DW, Kim JY et al (2015) Fracture patterns in the maxillofacial region: a four-year retrospective study. J Korean Assoc Oral Maxillofac Surg 41:306–316CrossRef
13.
go back to reference Kwon HJ, Han J, Kim JH, Jung HY, Kim JY, Yoon SH et al (2007) Clinical epidemiologic study of facial bone fractures in Daegu. J Korean Soc Plast Reconstr Surg 34:365–370 Kwon HJ, Han J, Kim JH, Jung HY, Kim JY, Yoon SH et al (2007) Clinical epidemiologic study of facial bone fractures in Daegu. J Korean Soc Plast Reconstr Surg 34:365–370
14.
go back to reference Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E et al (2014) Assessment of maxillofacial trauma in emergency department. World J Emerg Surg 9:13CrossRef Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E et al (2014) Assessment of maxillofacial trauma in emergency department. World J Emerg Surg 9:13CrossRef
15.
go back to reference James RB, Fredrickson C, Kent JN (1981) Prospective study of mandibular fractures. J Oral Surg 1965(39):275–281 James RB, Fredrickson C, Kent JN (1981) Prospective study of mandibular fractures. J Oral Surg 1965(39):275–281
16.
go back to reference Zhou HH, Liu Q, Yang RT, Li Z, Li ZB (2015) Traumatic head injuries in patients with maxillofacial fractures: a retrospective case-control study. Dent Traumatol 31:209–214CrossRef Zhou HH, Liu Q, Yang RT, Li Z, Li ZB (2015) Traumatic head injuries in patients with maxillofacial fractures: a retrospective case-control study. Dent Traumatol 31:209–214CrossRef
17.
go back to reference Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-junior S (2016) Facial fractures: large epidemiologic survey in northern Brazil reveals some unique characteristics. J Oral Maxillofac Surg 74:2480.e1–2480.e12CrossRef Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-junior S (2016) Facial fractures: large epidemiologic survey in northern Brazil reveals some unique characteristics. J Oral Maxillofac Surg 74:2480.e1–2480.e12CrossRef
18.
go back to reference Lee KH, Qiu M, Sun J (2017) Temporal distribution of alcohol related facial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol 124:450–455CrossRef Lee KH, Qiu M, Sun J (2017) Temporal distribution of alcohol related facial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol 124:450–455CrossRef
19.
go back to reference Ferreira PC, Barbosa J, Braga JM, Rodrigues A, Silva AC, Amarante JM (2016) Pediatric facial fractures: a review of 2071 fractures. Ann Plast Surg 77:54–60CrossRef Ferreira PC, Barbosa J, Braga JM, Rodrigues A, Silva AC, Amarante JM (2016) Pediatric facial fractures: a review of 2071 fractures. Ann Plast Surg 77:54–60CrossRef
20.
go back to reference Fonseca RJ, Barber HD, Powers MP, Frost DE (2013) Oral and maxillofacial trauma-E-book. Elsevier Health Sciences Fonseca RJ, Barber HD, Powers MP, Frost DE (2013) Oral and maxillofacial trauma-E-book. Elsevier Health Sciences
21.
go back to reference Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:28–34CrossRef Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:28–34CrossRef
Metadata
Title
Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients
Authors
Ki-Su Jin
Ho Lee
Jun-Bae Sohn
Yoon-Sic Han
Da-Un Jung
Hye-Young Sim
Hee-Sun Kim
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2018
Electronic ISSN: 2288-8586
DOI
https://doi.org/10.1186/s40902-018-0168-y

Other articles of this Issue 1/2018

Maxillofacial Plastic and Reconstructive Surgery 1/2018 Go to the issue