Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Department of Oral and Maxillofacial Surgery, Hospital M. Dr. Arthur R. de Saboya, São Paulo, Brazil.
Dent Traumatol. 2024 Feb;40(1):35-43. doi: 10.1111/edt.12886. Epub 2023 Sep 11.
This study evaluated records of patients with maxillofacial trauma due to interpersonal violence (IPV) being treated in the emergency room of a level I trauma center hospital in São Paulo, Brazil.
Data of patients with maxillofacial trauma due to IPV recorded between January 2019 and December 2019 were retrospectively examined. Personal data, days on which they experienced IPV, and the type of maxillofacial trauma sustained were extracted and statistically analyzed (p < .050).
During the analysis, 1034 patients with maxillofacial trauma were identified; of these patients, 292 (28.2%) who experienced trauma due to IPV were included in this study. There was a mean age of 32.6 years and the most common type of trauma was soft tissue injuries (38.7%). Mandible and nose fractures were more prevalent in males and females, respectively. Our data, when compared with other studies on maxillofacial trauma due to IPV, showed a lower prevalence and male-to-female ratio, and a higher presence of dentoalveolar trauma. Additionally, our data when compared with studies on maxillofacial trauma due to other causes showed lower mean age and male-to-female ratios, and a higher occurrence of nose fractures differing from the predominance of mandibular fractures.
Oral and maxillofacial surgeons must be able to suspect and identify cases due to IPV among their patients with trauma. With our results, although each case has its individuality, we can suggest that cases of maxillofacial trauma in young, female, and nasal fracture patients may be suspicious for IPV.
本研究评估了在巴西圣保罗一家一级创伤中心医院急诊室因人际暴力（IPV）导致的颌面创伤患者的记录。
回顾性检查了 2019 年 1 月至 2019 年 12 月期间因 IPV 导致颌面创伤的患者记录。提取个人数据、经历 IPV 的天数以及所遭受的颌面创伤类型，并进行统计学分析（p < 0.050）。
在分析过程中，共发现 1034 例颌面创伤患者，其中 292 例（28.2%）因 IPV 导致的创伤患者纳入本研究。患者平均年龄为 32.6 岁，最常见的创伤类型是软组织损伤（38.7%）。下颌骨和鼻骨骨折分别在男性和女性中更为常见。与其他 IPV 相关颌面创伤研究相比，我们的数据显示出较低的发生率和男女比例，以及更高的牙牙槽创伤发生率。此外，与其他原因导致的颌面创伤研究相比，我们的数据显示出较低的平均年龄和男女比例，以及更高的鼻骨骨折发生率，这与下颌骨骨折的主导地位不同。
口腔颌面外科医生必须能够在其创伤患者中怀疑和识别因 IPV 导致的病例。根据我们的结果，尽管每个病例都有其个体性，但我们可以提出，年轻、女性和鼻骨骨折患者的颌面创伤病例可能怀疑是 IPV 所致。
