Characterization of severe maxillofacial trauma in two emergency departments in Havana, Cuba
Keywords:
traumatology, maxillofacial, epidemiology.Abstract
Introduction: Facial injuries may affect patients' capacity to eat, speak and interact.
Objective: Characterize severe maxillofacial trauma in the emergency departments of General Calixto García University Hospital and Miguel Enríquez Hospital in Havana, Cuba.
Methods: A descriptive cross-sectional multicenter study was conducted in the emergency departments of General Calixto García University Hospital and Miguel Enríquez Hospital from March 2017 to March 2019. The study universe was patients diagnosed with severe maxillofacial trauma. The qualitative variables were sex, etiology, consumption of alcoholic beverages and injuries, whereas the quantitative variable was age. A data collection form was developed and the information was stored in a database. Data were expressed in whole numbers, percentages and statistical tables. A search was performed for the relationship between the variables.
Results: Male sex constituted 80.6% of the sample. The best represented age group was 18-30 years (33.3%), followed by 31-40 (25.0%). In 41.7% of the patients the trauma was related to traffic accidents, and in 30.6% to interpersonal violence. Alcohol breath was detected in 51.9% of the patients, among them most of those cared for at Miguel Enríquez Hospital. There was a predominance of wounds larger than 2 cm, followed by wounds under that length (61.1% and 32.4%, respectively) and mandibular fracture (51.9%).
Conclusions: A predominance was found of the male sex and the 18-30 years age group; the main etiology was traffic accidents, followed by interpersonal violence; the most common soft tissue injuries were wounds larger than 2 cm, whereas the most common hard tissue injuries were mandibular fractures. A significant association was found with consumption of alcoholic beverages among the patients treated at Miguel Enríquez Hospital.
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Choonthar MM, Raghothaman A, Prasad R, Pradeep S, Pandya K. Head Injury - A Maxillofacial Surgeon’s Perspective. J Clin Diagn Res [Internet]. 2016 [acceso 17/03/2019];10(1):ZE01–ZE06. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740722/
Kar IB, Chopda PD, Mishra N, Sethi AK, Mahavoi BR. Management of maxillofacial injuries in bear mauling cases: a review of 20 cases. J Korean Assoc Oral Maxillofac Surg [Internet]. 2016 [acceso 17/03/2019];42(1):13-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761567/
Mayersak RJ. Initial evaluation and management of facial trauma in adults. UpToDate [Internet]. 2018 [acceso 17/03/2019]. Disponible en: https://www.uptodate.com/contents/initial-evaluation-and-management-of-facial-trauma-in-adults
Rupani R, Singh M, Kumar V, Singh R, Kumar S, Yadav P. The maxillofacial injuries: A postmortem study. Natl J Maxillofac Surg [Internet]. 2018 [acceso 17/03/2019];9(1):48-51. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996648/
Kaura S, Kaur P, Bahl R, Bansal S, Sangha P. Retrospective Study of Facial Fractures. Ann Maxillofac Surg [Internet]. 2018 [acceso 17/03/2019];8(1):78-82. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018280/
Lee CW, Foo QC, Wong LV, Leung YY. An Overview of Maxillofacial Trauma in Oral and Maxillofacial Tertiary Trauma Centre, Queen Elizabeth Hospital, Kota Kinabalu, Sabah. Craniomaxillofac Trauma Reconstr [Internet]. 2017 [acceso 17/03/2019];10(1):16-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5305310/
Agarwal P, Mehrotra D, Agarwal R, Kumar S, Pandey R. Patterns of Maxillofacial Fractures in Uttar Pradesh, India. Craniomaxillofac Trauma Reconstr [Internet]. 2017 [acceso 17/03/2019];10(1):48-55. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5309128/
Satpathy M, Gupta MK, Pillai AK, Prabhu S, Tiwari S, Jain N. Maxillofacial Fractures in Bhopal, India: Analytic Study of 1268 Cases. J Maxillofac Oral Surg [Internet]. 2016 [acceso 17/03/2019];15(1):25-31. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759037/
Malik S, Singh G, Kaur G, Yadav S, Mittala HC. Orofacial trauma in rural India: A clinical study. Chin J Traumatol [Internet]. 2017 [acceso 17/03/2019];20(4):216-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555248/
Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J [internet]. 2017 [acceso 17/03/2019];26:218. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491718/
Singaram M, Vijayabala S, Udhayakumar RK. Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: a retrospective study. J Korean Assoc Oral Maxillofac Surg [Internet]. 2016 [acceso 17/03/2019];42(4):174-81. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009190/
Oginni FO, Oladejo T, Alake DP, Oguntoba JO, Adebayo OF. Facial Bone Fractures in Ile-Ife, Nigeria: An Update on Pattern of Presentation and Care. J Maxillofac Oral Surg [Internet]. 2016 [acceso 17/03/2019];15(2):184-90. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871832/
Al-Bokhamseen M, Salma R, Al-Bodbaijc M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series. Saudi Dent J [Internet]. 2019 [acceso 17/03/2019];31(1):129-36. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349956/
Silveira Esses DF, Gurgel Costa FW, Lopes Sá CD, Barros Silva PG, Marinho Bezerra TM, Rodrigues Carvalho FS, et al. Occupational group, educational level, marital status and deleterious habits among individuals with maxillofacial fractures: retrospective study. Med Oral Patol Oral Cir Bucal [Internet]. 2018 [acceso 17/03/2019];23(1):e13-e22. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822534/
Samieirad S, Aboutorabzade MR, Tohidi E, Shaban B, Khalife H, Hashemipour MA, et al. Maxillofacial fracture epidemiology and treatment plans in the Northeast of Iran: A retrospective study. Med Oral Patol Oral Cir Bucal [Internet]. 2017 [acceso 17/03/2019];22(5):e616–e624. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694185/
Morales Navarro D, Brugal García I. Trauma maxilofacial en el Servicio de Urgencias del Hospital Universitario “General Calixto García”. 2016-2017. Rev haban cienc méd [Internet]. 2018 [acceso 17/03/2019];17(4):620-9. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/2369
Yadav SK, Shrestha S. A study on posttraumatic experience of road traffic accident afflicted maxillofacial trauma patient at tertiary hospital. J Nat Sci Biol Med [Internet]. 2017 [acceso 17/03/2019];8(1):40-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320822/
Braimah RO, Ibikunle AA, Taiwo AO. Rare etiological factor of maxillofacial injury: Case series seen and managed in a tertiary referral centre. J Emerg Trauma Shock [Internet]. 2016 [acceso 17/03/2019];9(2):81-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843571/
Truong TA. Initial Assessment and Evaluation of Traumatic Facial Injuries. Semin Plast Surg [Internet]. 2017 [acceso 17/03/2019];31(2):69-72. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423871/
Ramisetty S, Gaddipati R, Vura N, Pokala S, Kapse S. Maxillofacial Injuries in Women: A Retrospective Study of 10 Years. J Maxillofac Oral Surg [Internet]. 2017 [acceso 17/03/2019];16(4):438-44. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628065/
Fama F, Cicciu M, Sindoni A, Nastro-Siniscalchi E, Falzea R, Cervino G, et al. Maxillofacial and concomitant serious injuries: An eight-year single center experience. Chin J Traumatol [Internet]. 2017 [acceso 17/03/2019];20(1):4-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343103/
Morales Navarro D, Aguila Nogueira Y, Grau León IB. Comportamiento del politrauma maxilofacial y trauma maxilofacial grave. Rev Cubana Estomatol [Internet]. 2018 [acceso 17/03/2019];55(4):[aprox. 0 p.]. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/1506
Thanneermalai B, Chattopadhyay PK, Kamalpathey K, Semi RS, Desai AP, Menon RP. Unusual Cause for Maxillofacial Injury. Ann Maxillofac Surg [Internet]. 2018 [acceso 17/03/2019];8(1):166–70. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018289/
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