J of IMAB 2012; 18(2):150-152
PATTERNS OF MAXILLOFACIAL INJURIES IN UNIVERSITY HOSPITAL ‘St. ANNA’, SOFIA.
Elitsa Deliverska, Martin Rubiev
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria

ABSTRACT:
Purpose: To compare the etiology, presentation, type of trauma in Department of maxillofacial surgery, University Hospital ‘St. Anna’, Sofia over a period of 4 years.
Materials and methods: During the period of from 01. 05. 2005 - 31. 01. 2009 276 patients with maxillofacial injuries were identified from Department of maxillofacial surgery, University Hospital St. Anna, Sofia. Patients were grouped into the following categories: age, gender, etiologies, soft tissues injuries, type and location of fracture and associated injuries.
Results: There were a total of 276 patients. Of these 216 were male and 60 were female with the mean age of 10-85 years. A total 216 bone fractures were identified. Of these 49 were zygomatic complex fractures, 15 orbital blow out fractures, 70 mandible fractures, 66 nasal complex fractures.
There was increase in the number of nasal and mandible fractures over the 4 years period. The most common cause of injury was assault followed by road traffic accident. We will present a detailed analysis of other patterns of injuries.
Conclusion: The changing pattern of trauma has several implications for injury prevention as well as surgical training. Our study highlights the areas which will require further focus in any future local health strategy.

Key words: maxillofacial injuries, associated trauma, pattern.

- Download FULL TEXT /PDF 162 KB/
Please cite this article as: Deliverska E, Rubiev M. Patterns of Maxillofacial Injuries in University Hospital ‘St. Anna’, Sofia. J of IMAB. 2012; 18(2):150-152. doi:10.5272/jimab.2012182.150

REFERENCES:
1. Buchanan J. Colquhoun A. Friedlander L. Evans S. Whitley B. Thomson M. Maxillofacial fractures at Waikato Hospital, New Zealand: 1989 to 2000. N Z Med J. 2005 Jun 24;118(1217):U1529. [PubMed]
2. Ferreira PC, Amarante JM, Silva AC, Pereira JM, Cardoso MA, Rodrigues JM. Etiology and patterns of pediatric mandibular fractures in Portugal: a retrospective study of 10 years. J Craniofac Surg. 2004 May;15(3):384-91. [PubMed]
3. Garri JI. Perlyn CA. Johnson MJ. Mobley SR. Shatz DV. Kirton OC. Thaller SR. Patterns of maxillofacial injuries in powered watercraft collisions. Plast Reconstr Surg. 1999 Sep;104(4):922-7. [PubMed]
4. Hachl O. Tuli T. Schwabegger A. Gassner R. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg. 2002 Feb;31(1):90-3. [PubMed] [CrossRef]
5. Major MS. MacGregor A. Bumpous JM. Patterns of maxillofacial injuries as a function of automobile restraint use. Laryngoscope. 2000 Apr;110(4):608-11. [PubMed] [CrossRef]
6. Ramli R. Abdul Rahman R. Abdul Rahman N. Abdul Karim F. Krsna Rajandram R. Mohamad MS, et al. Pattern of maxillofacial injuries in motorcyclists in Malaysia. J Craniofac Surg. 2008 Mar;19(2):316-21. [PubMed] [CrossRef]
7. Stacey DH. Doyle JF. Gutowski KA. Safety device use affects the incidence patterns of facial trauma in motor vehicle collisions: an analysis of the National Trauma Database from 2000 to 2004. Plast Reconstr Surg. 2008 Jun;121(6):2057-64. [PubMed] [CrossRef]
8. Yokoyama T. Motozawa Y. Sasaki T. Hitosugi M. A retrospective analysis of oral and maxillofacial injuries in motor vehicle accidents. J Oral Maxillofac Surg. 2006 Dec;64(12):1731-5. [PubMed] [CrossRef]

Accepted for publication: 26 November 2011
Issue published online: 22 February 2012

back to Online Journal