Department of Oral and Maxillofacial Surgery, KVGDCH, Sullia, India.
Dent Traumatol. 2021 Oct;37(5):706-709. doi: 10.1111/edt.12685. Epub 2021 May 27.
BACKGROUND/AIMS: In India, motorcycles are commonly involved in accidents and traffic rules negligence, most of which include some type of maxillofacial trauma. In September 2019, the rules for motorcycle and helmet use were modified to compulsory use in the state of Karnataka. The aim of this study was to assess the impact of mandatory helmet use on maxillofacial fractures and injuries in Sullia Taluk, Karnataka.
The study was based on the information obtained from clinical records in the K.V.G Dental College and the K.V.G Medical College from February 2019 to February 2020. The inclusion criteria were subjects who met with two-wheeler accidents with complete case records and radiological investigations.
A total of 78 individuals reported with maxillofacial trauma from February 2019 to February 2020. The mean age was 31 ± 14 years. There were 74 (94%) males and 4 (6%) females. Forty-nine cases reported before the mandatory helmet use rule and 29 cases reported after the helmet use rule. There was a 36.3% decrease in the incidence of maxillofacial trauma, 23.5% decrease in fractures, and an 89% reduction in the number of victims who underwent open reduction and internal fixation during the post-law period.
There was a significant reduction in the incidence and severity of maxillofacial trauma after the implementation of the helmet rule.
背景/目的：在印度，摩托车事故和交通规则违规行为很常见，其中大多数涉及某种类型的颌面创伤。2019 年 9 月，卡纳塔克邦修改了摩托车和头盔使用规则，要求强制使用。本研究旨在评估卡纳塔克邦苏利亚县强制性使用头盔对颌面骨折和损伤的影响。
该研究基于 2019 年 2 月至 2020 年 2 月在 K.V.G 牙科学院和 K.V.G 医学院临床记录中获得的信息。纳入标准为符合两轮车事故且有完整病历和影像学检查的患者。
共有 78 名患者因颌面创伤于 2019 年 2 月至 2020 年 2 月就诊。平均年龄为 31 ± 14 岁。其中男性 74 例（94%），女性 4 例（6%）。49 例发生在强制使用头盔规则之前，29 例发生在头盔使用规则之后。颌面创伤的发生率下降了 36.3%，骨折发生率下降了 23.5%，在法律实施后的时期，接受开放性复位和内固定的受害者人数减少了 89%。
实施头盔规则后，颌面创伤的发生率和严重程度显著降低。
