An Epidemiological Analysis of Maxillofacial Fractures in the Inner Aegean Region: A Retrospective Evaluation of 343 Cases

Abstract

Objective: The focus of this study was the sociocultural, economic, educational, and geographical factors that influence the incidence and types of fractures in maxillofacial trauma (MFT). The aim of this study was to identify the etiology and demographic characteristics of MFT cases in the inner (eastern) Aegean region.

Materials and Methods: The records of patients treated at the Kütahya Health Sciences University Evliya Çelebi Education and Research Hospital for MFT from January 1, 2017 to March 1, 2020 were analyzed retrospectively.

Results: A total of 476 bone fractures in 343 patients were analyzed. The sample comprised 239 male patients and 104 female patients. The average age was 35.19±17.79 years. Traffic accidents were found to be the most common cause (42%) of MFT. Of the isolated non-nasal bone fractures, 19 were in the maxilla, 17 in the zygoma, 14 in the mandible, and 7 in the frontal sinus. Nasal fractures (42.6%) were found to be the most frequently occurring breakages. Surgery was performed in 35.27% of the patients who agreed to have surgery for MFT.

Conclusion: The etiology and incidence of MFT can vary not only by country but also by geographical region within countries. The results of this study support this view. A review of the literature indicated that MFT in the inner (eastern) Aegean region in Turkey has not yet been studied. Societal differences must be considered in the recommendation of measures to reduce the incidence of MFT and thus morbidity and mortality.

Keywords

• Maxillofacial fracture
• trauma
• etiology

References

1. 1. Tokat T. Maxillofacial trauma. IN: Müderris T, Muz SE, Kesici GG, İslamoğlu Y editors. Basic approach and management of otorhinolaryngology. Academician bookstore 2019; Chapter 103, pp 889-901. google scholar
2. 2. Zargar M, Khaji A, Karbakhsh M, Zarei MR. Epidemiology study of facial injuries during a 13 month of trauma registry in Tehran. Indian J Med Sci 2004;58(3):109-14. google scholar
3. 3. Demir Z, Öktem F, Velidedeoglu H, Çelebioğlu S. Evaluation of 121 cases with maxillofacial fracture and comparison with the literatüre. KBB - Forum 2008;7(3):85-90. google scholar
4. 4. Sojot AJ, Meisami T, Sandor GK, Clokie CM. The epidemiology of mandibular fractures treated at the Toronto general hospital: A review of 246 cases. J Can Dent Assoc 2001;67(11):640-4. google scholar
5. 5. Carlin CB, Ruff G, Mansfeld CP, Clinton MS. Facial fractures and related injuries: a ten-year retrospective analysis. J Craniomaxillofac Trauma 1998;4(2):44-3. google scholar
6. 6. Kırış M, Yuca K, Çelebi S, Kıroğlu F, Çankaya H. Our treatment approach in maxillofacial fractures: retrospective review. Türkiye Klinikleri J Med Sci 2009;29(3):696-701. google scholar
7. 7. Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H. Cranio-maxillofacialtrauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31(1):51-61. google scholar
8. 8. Kim JJ, Huoh K. Maxillofacial (midface) fractures. Neuroimaging Clin N Am 2010;20(4):581-96. google scholar

9. 9. Gönüllü H, Karadaş S, Işık D, Kocak ÖF, Tekin H. Maxillofacial Trauma Cases Applying To An Emergency Service: A Retrospective Study. Turk Plast Surg 2011;19(3):121-4. google scholar
10. 10. Esen A, Isık K. Etiology of Maxillofacial Injuries Observed in Our Country and Report of Two Cases. ADO Journal of Clinical Sciences 2013;6(4):1329-35. google scholar
11. 11. Gürger M., Ateşçelik M. Epidemiological features of maxillofacial traumas presenting to the emergency department. JAEM 2012;11:98-101. google scholar
12. 12. O’Connor RC, Shakib K, Brennan PA. Recent advances in the management of oral and maxillofacial trauma. Br J Oral Maxillofac Surg 2015;53(10):913-21. google scholar
13. 13. Lee WT, Koltai PJ. Nasal deformity in neonates and young children. Pediatr Clin North Am 2003;50(2):459-67. google scholar
14. 14. Bamjee Y, Lownie JF, Cleaton-Jones PE, Lownie MA. Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral Maxillofac Surg 1996;34(4):298-302. google scholar
15. 15. 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(4):286-90. google scholar
16. 16. Kırış M, Yuca K, Çelebi S, Kıroğlu F, Çankaya H. Treatment Modalities in Maxillofacial Fractures: Retrospective Analysis. Türkiye Klinikleri J Med Sci 2009;29(3):696-701. google scholar
17. 17. Topuz MF, Tok Umay S, Oghan F, Musmul A, Erdogan O, Kutuk SG. Investigation of the effectiveness of physical examination and radiologıcal imaging methods in the diagnosis of nasal bone fractures. Annals of Medical Research 2021;27(7):1913-7. google scholar
18. 18. Hwang K, You SH. Analysis of facial bone fractures: An 11-year study of 2,094 patients. Indian J Plast Surg 2010;43(1):42-8. google scholar
19. 19. Schaftenaar E, Bastiaens GJ, Simon EN, Merkx MA. Presentation and management of maxillofacial trauma in Dar es Salaam, Tanzania. East Afr Med J 2009;86(6):254-8. google scholar
20. 20. Afzelius LE, Rosen C. Facial fractures. A review of 368 cases. Int J Oral Surg 1980;9(1):25-32. google scholar
21. 21. Bernstein MP. The Imaging of Maxillofacial Trauma 2017. Neuroimaging Clin N Am 2018;28(3):509-24. google scholar
22. 22. Erol B, Tanrikulu R, Görgün B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg 2004;32(5):308-13. google scholar
23. 23. Bozkuş F, İynen İ, Şan İ. Retrospective analysis of the patients with maxillofacial traumas. Journal of Medical Research 2011;9(1):10-6. google scholar
24. 24. Demirdöver C, Şahin B, Ataseven M, Özkan HS, Öztan HY. Retrospective Analysis of 124 Mandible Fracture Cases who have been operated ın one year. Turk Plast Surg 2009;17(3):145-8. google scholar
25. 25. Schultz K, Braun TL, Truong TA. Frontal Sinus Fractures. Seminars Plast Surg 2017;31(2):80-4. google scholar
26. 26. Rodriguez ED, Stanwix MG, Nam AJ, et al. Twenty-six-year experience treating frontal sinüs fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg 2008;122(6):1850-66. google scholar
27. 27. Kim YW, Lee DH, Cheon YW. Secondary Reconstruction of Frontal Sinus Fracture. Arch Craniofac Surg 2016;17(3):103-10. google scholar
28. 28. Dimitroulis G, Eyre J. A 7-year review of maxillofacial trauma in a central London hospital. Br Dent J 1991;170(8):300-2. google scholar
29. 29. İlkören Sahin NS, Bulut B, Sonel AM, Ceyan E. Retrospective analysis of 63 mandible fracture cases operated within three years. Journal of ADÜ Faculty of Medicine 2011;12:1-4. google scholar