RESEARCH PAPER
Epidemiological assessment of maxillofacial fractures in the inhabitants of Lower Silesia, Poland in 2002–2006 – Pattern of maxillofacial fracture
 
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1
Department of Oral Surgery, Wroclaw Medical University, Poland
 
2
Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Poland
 
3
Laboratory of Neurotoxicology and Environmental Diagnostics, Wroclaw Medical University, Poland
 
 
Submission date: 2015-11-14
 
 
Acceptance date: 2016-10-21
 
 
Online publication date: 2016-11-10
 
 
Publication date: 2019-12-19
 
 
Corresponding author
Maciej Dobrzyński   

Krakowska 26, 50-425 Wrocław, Poland. Tel.: +48 604 795 947.
 
 
Pol. Ann. Med. 2017;24(2):158-165
 
KEYWORDS
ABSTRACT
Introduction:
This study is a continuation of research onmaxillofacial traumatology conducted by the Maxillofacial Surgery Department of the Medical University inWrocław, Poland. Since 1956, a statistical review of maxillofacial fractures has been kept in 5 or 10-year periods of reference. Such an analysis is useful in identifying the frequency of the phenomenon, deciding on suitable treatment precautions, verifying treatment methods, and analyzing costs and losses incurred as a result of absence at work due to maxillofacial fractures. The sociological aspect of these studies includes indicating the sources of adverse social phenomena.

Aim:
The aim of this epidemiological study was to analyze maxillofacial fractures among the inhabitants of Lower Silesia treated in the Maxillofacial Surgery Department of Wrocław Medical University in 2002–2006.

Material and methods:
The study was based on clinical documentation of 937 patients in whom dependencies between chosen parameters were identified. To evaluate the type of fracture, the classification of fractures developed by Samolczyk-Wanyura was adopted.

Results and discussion:
The most common causes of fractures in both sexes were assaults (57.1%) and motor vehicle accidents (16.8%). Almost 50% fewer fractures were work related in comparison with other authors' data from previous years, and the greatest number of maxillofacial fractures was reported in young males from urban backgrounds aged 18–25. The most frequent type of fracture was mandibular fracture.

Conclusions:
It was concluded that the main causes of maxillofacial fractures were related with assault and motor vehicle accidents. This means that violence is a very serious social problem.

ACKNOWLEDGEMENTS
This publication is based on doctorial thesis: ‘‘Epidemiological assessment of craniofacial fractures in the population of Lower Silesia Province in the period between 2002–2006’’ (Parulska O, Wroclaw Medical University 2011) and study was founded by Medical University Grant No 20/Pbm.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (25)
1.
Montovani JC, de Campos LM, Gomes MA, de Moraes VR, Ferreira FD, Nogueira EA. Etiology and incidence facial fractures in children and adults. Braz J Otorhinolaryngol. 2006;72(2):235–241.
 
2.
Laski R, Ziccardi VB, Broder HL, Janal M. Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofac Surg. 2004;62(6):685–688.
 
3.
Siberchicot F, Pinsolle J, Majoufre C, Ballanger A, Gomez D, Caix P. Gunshot injuries of the face. Analysis of 165 cases and reevaluation of the primary treatment. Ann Chir Plast Esthet. 1998;43(2):132–140.
 
4.
Iizuka T, Randell T, Guven O, Lindquist C. Maxillofacial fractures related to work accidents. J Craniomaxillofac Surg. 1990;18(6):255–259.
 
5.
Osmola K. Fractures of the facial skeleton in general practice. Forum Med Rodz. 2007;1:159–164 [in Polish].
 
6.
Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented? Med Oral Patol Oral Cir Bucal. 2007;12(1). E70–E72.
 
7.
Aragon CE, Burneo JG, Helman J. Occult maxillofacial trauma in epilepsy. J Contemp Dent Pract. 2001;2(4):26–32.
 
8.
Patterson R. The Le Fort fractures: Rene Le Fort and his work in anatomical pathology. Can J Surg. 1991;34(2):183–184.
 
9.
Perczyńska-Partyka W. [Clinical classification of the severity of injuries to the facial skeleton]. Czas Stomatol. 1987;40(8):555–559 [in Polish].
 
10.
Samolczyk-Wanyura D, Wanyura H. Clinical and pathological classification of fractures of the upper face of the massif. Czas Stomatol. 1991;12:848–855 [in Polish].
 
11.
Deogratius BK, Isaac MM, Farrid S. Epidemiology and management of maxillofacial fractures treated at Muhimbili National Hospital in Dar es Salaam, Tanzania, 1998–2003. Int Dent J. 2006;56(3):131–134.
 
12.
Korzon T, Zienkiewicz J, Rykaczewska J, Dziubinski Z, Hoffmann G. Epidemiology of fractures of the facial and skullbones in view of the Polish literature of the last 30 years and clinical data from the Maxillofacial Surgery Clinic of the Dental Institute of the Academy of Medicine in Gdansk. Czas Stomatol. 1981;34(3):277–284 [in Polish].
 
13.
Ansari MH. Maxillofacial fractures in Hamedan province, Iran: a retrospective study (1987–2001). J Craniomaxillofac Surg. 2004;32(1):28–34.
 
14.
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):286–290.
 
15.
Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P. Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol. 2005;21(1):14–19.
 
16.
Bakardjiev A, Pechalova P. Maxillofacial fractures in Southern Bulgaria – a retrospective study of 1706 cases. J Craniomaxillofac Surg. 2007;35(3):147–150.
 
17.
Eggensperger N, Smolka K, Scheidegger B, Zimmermann H, Iizuka T. A 3-year survey of assault-related maxillofacial fractures in central Switzerland. J Craniomaxillofac Surg. 2007;35(3):161–167.
 
18.
Hachl O, Tuli T, Schwabegger A, Gassner R. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg. 2002;31(1):90–93.
 
19.
Mazur M, Mazur-Psonka L, Drugacz J, Krajewski-Siuda K. Epidemiology of maxillofacial injuries in athletes. Wiad Lek. 2006;59(3–4):199–202 [in Polish].
 
20.
Wojciechowicz J, Tomaszewski T, Dobiezynska B, Bartoszcze-Tomaszewska M. Treatment of mandibular fractures in patients at the Department of Oral and Maxillofacial Surgery, University Hospital in Lublin in the years 1988–1997. Wiad Lek. 2004;57(7–8):347–355 [in Polish].
 
21.
Baranczak Z, Flieger S. Evaluation of maxillofacial injuries in traffic accidents. Czas Stomatol. 1976;29(1):33–42 [in Polish].
 
22.
Pajnowski M, Ziuzio S, Gospodarek T, Bialozyk P, Kubas G. Analysis of facial skeletal fractures in the materials of the department of otolaryngology and maxillofacial surgery at the military hospital of Bydgoszcz. Otolaryngol Pol. 1995;49(suppl 23):115–158 [in Polish].
 
23.
Bogusiak K, Arkuszewski P. Characteristics and epidemiology of zygomaticomaxillary complex fractures. J Craniofac Surg. 2010;21(4):1018–1023 [in Polish].
 
24.
Bartoszcze-Tomaszewska M, Tomaszewski T, Stodolkiewicz A, Kolinski P, Dobiezynska B. Facial skeleton traumas in farmers in east-central region of Poland (part I). Wiad Lek. 2004;57(5–6):201–205 [in Polish].
 
25.
Erol B, Tanrikulu R, Gorgun B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg. 2004;32(5):308–313.
 
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