Characteristics of Maxillofacial Fractures Resulting from Road Traffic Accidents at Dr. Hasan Sadikin General Hospital

Oldi Caesario; Shinta Fitri Boesoirie; Alwin Tahid

Characteristics of Maxillofacial Fractures Resulting from Road Traffic Accidents at Dr. Hasan Sadikin General Hospital

Oldi Caesario, Shinta Fitri Boesoirie, Alwin Tahid

Abstract

Background: Maxillofacial fracture is a serious injury in the head region which is frequently found in the emergency room. In Indonesia, the road traffic accident is the main etiology. Epidemiological assessments are important to assess trends and set the priorities for treatment and prevention of the injury. This study was conducted to identify the characteristics of maxillofacial fracture resulting from road traffic accidents.

Methods: This descriptive retrospective study involved hospitalized patients with maxillofacial fracture resulting from road traffic accidents at Dr. Hasan Sadikin General Hospital in 2011–2013 using the total sampling technique. Data were collected in the period August–October 2014 which included patient demographics, detailed description of the accident and the fracture.

Results: A total of 187 patients with male/female ratio of 5:1 and a mean age of 26.78 year. The majority of patients were motorcyclists (92%) with most of them were not wearing safety equipment. Most of the accidents took place in 2011 in Bandung. Mandible was the most common site of injury followed by the maxilla and nasal bone. Open reduction was performed in 69.52% patients).

Conclusions: Maxillofacial fracture is more common in men with the mean age of 26.78 years. The majority of patients are motorcyclists. Most of them are not using safety equipment. Most of the accidents occurred in Bandung in 2011. Mandible is the most common site of fracture. Open reduction is the most commonly performed treatment

Keywords

Head injury; maxillofacial fracture; road traffic accident

Full Text:

PDF

References

Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head Face Med. 2005;1:7.

Kamulegeya A, Lakor F, Kabenge K. Oral maxillofacial fractures seen at a Ugandan tertiary hospital: a six-month prospective study. Clinics (Sao Paulo, Brazil). 2009;64(9):843–8.

Alves LS, Aragao I, Sousa MJ, Gomes E. Pattern of maxillofacial fractures in severe multiple trauma patients: a 7-year prospective study. Braz Dent J. 2014;25(6):561–4.

Pham-Dang N, Barthelemy I, Orliaguet T, Artola A, Mondie JM, Dallel R. Etiology, distribution, treatment modalities and complications of maxillofacial fractures. Med Oral Patol Oral Cir Bucal. 2014;19(3):e261–9.

Daniel Angel Laura, Syamsudin Endang, Fathurrahman. Characteristics of maxillofacial fractures in Hasan Sadikin Hospital within Period 2009–2011. Proceeding of the International Symposium on Oral and Dental Sciences; 2012 March 1–3; Yogyakarta. Yogyakarta: Faculty of Dentistry Universitas Gajah Mada; 2013.

Peden M, Scurfield R, Sleet D, Mohan D, Hyder AA, Jarawan E, et al., editors. World report on road traffic injury prevention. Geneva: World Health Organization; 2004.

Leles JL, dos Santos EJ, Jorge FD, da Silva ET, Leles CR. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample. J Appl Oral Sci. 2010;18(1):23–9.

Hasanova GF. Maxillofacial injuries resulting from road traffic accidents. Ліки України. 2014;2(178):22–3.

Maliska MCd, Marcia B, Luciana A, de Moraes M, Moreira RWF. Oral and maxillofacial surgery-Helmet and maxillofacial trauma: a 10-year retrospective study. Braz J Oral Sci. 2012;11(2):125–9.

Al-Khateeb T, Abdullah FM. Craniomaxillofacial injuries in the United Arab Emirates: a retrospective study. J Oral Maxillofac Surg. 2007;65(6):1094–101.

Akama MK, Chindia ML, Macigo FG, Guthua SW. Pattern of maxillofacial and associated injuries in road traffic accidents. East Afr Med J. 2007;84(6):287–95.

Ramli R, Abdul Rahman R, Abdul Rahman N, Abdul Karim F, Krsna Rajandram R, Mohamad MS, et al. Pattern of maxillofacial injuries in motorcyclists in Malaysia. J Craniof Surg. 2008;19(2):316–21.

Badan Pusat Statistik Indonesia. Produksi kendaraan bermotor dalam negeri (unit), 2008-2013. Jakarta: Badan Pusat Statistik Indonesia; 2015.

Oginni FO, Ajike SO, Obuekwe ON, Fasola O. A prospective multicenter study of injury profile, severity and risk factors in 221 motorcycle-injured Nigerian maxillofacial patients. Traffic Inj Prev. 2009;10(1):70–5