Post-Graduation Program in Dentistry, Universidade CEUMA, São Luís 65075-120, Maranhão, Brazil.
Int J Environ Res Public Health. 2022 Dec 17;19(24):16999. doi: 10.3390/ijerph192416999.
Maxillofacial trauma is associated with facial deformation, loss of function, emotional and social impacts, and high financial costs. This study investigated cases of maxillofacial trauma in a large Brazilian city through a cross-sectional study conducted at two public and two private hospitals. Primary data of 400 patients were collected through a questionnaire, clinical examination, and tomography. Statistical analysis at the 5% significance level was performed. Motorcycle accident was the major cause of trauma (41%); the most frequent trauma and treatment were mandibular fracture (24.3%) and surgery (71%), respectively. The female sex was more affected only regarding domestic accidents ( = 0.041) and falls ( < 0.001). Motorcycle accidents were more prevalent among 20 to 29 year-olds ( < 0.001), followed by physical aggression ( < 0.001) and sports accidents ( = 0.004). Falls were more frequent among 40 to 59 year-olds ( < 0.001). Mandibular fracture affected males and 20 to 29 year-olds more and was mainly associated with motorcycle accidents (48.2%) and physical aggression (22.7%) ( = 0.008). Nose fracture was more frequent in falls (29.6%), physical aggression (22.5%), and sports accidents (21.1%) ( < 0.001). Compound fracture was associated with motorcycle accidents (84.2%; = 0.028). Maxillofacial trauma (mandibular, nasal, and zygomatic fractures) was associated with motorcycle accidents, physical aggression, and falls. Surgical treatment, hospital care, and public services were the most frequent.
颌面创伤与面部变形、功能丧失、情绪和社会影响以及高昂的经济成本有关。本研究通过在两家公立和两家私立医院进行的横断面研究，调查了巴西一个大城市的颌面创伤病例。通过问卷、临床检查和计算机断层扫描收集了 400 名患者的原始数据。在 5%的显著性水平进行了统计分析。摩托车事故是创伤的主要原因（41%）；最常见的创伤和治疗分别是下颌骨骨折（24.3%）和手术（71%）。只有在家庭事故（ = 0.041）和跌倒（<0.001）方面，女性受到的影响更大。摩托车事故在 20 至 29 岁人群中更为普遍（<0.001），其次是身体暴力（<0.001）和运动事故（ = 0.004）。跌倒在 40 至 59 岁人群中更为频繁（<0.001）。下颌骨骨折影响男性和 20 至 29 岁人群，主要与摩托车事故（48.2%）和身体暴力（22.7%）有关（ = 0.008）。鼻骨骨折在跌倒（29.6%）、身体暴力（22.5%）和运动事故（21.1%）中更为常见（<0.001）。复合骨折与摩托车事故有关（84.2%； = 0.028）。颌面创伤（下颌骨、鼻骨和颧骨骨折）与摩托车事故、身体暴力和跌倒有关。手术治疗、医院护理和公共服务最为常见。
