Maxillofacial Fractures in a University Hospital in Central Brazil

Autores

  • Orlando Aguirre Guedes University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Andreza Maria Fábio Aranha University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • João Milanez Moreira-Júnior University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Dyego do Estreito Deliberali University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Alessandra Nogueira Porto University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Fábio Luís Miranda Pedro University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Cyntia Rodrigues de Araújo Estrela Universidade de Cuiabá - UNIC
  • Álvaro Henrique Borges University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil

DOI:

https://doi.org/10.17921/2447-8938.2019v21n1p51-57

Resumo

Avaliou-se os aspectos epidemiológicos das fraturas oralmaxilofaciais em prontuários de pacientes atendidos em um Hospital Universitário do Brasil central. A amostra do estudo foi proveniente da revisão de prontuários de 346 pacientes atendidos no Serviço de Cirurgia e Traumatologia Oralmaxilofacial do Hospital Geral Universitário na cidade de Cuiabá, Mato Grosso, Brasil. Os seguintes dados foram coletados dos registros hospitalares de cada paciente: sexo, idade, fator etiológico, região anatômica afetada, procedência, distribuição sazonal e período de internação. O tratamento estatístico analisou os dados frente à distribuição de frequência e qui-quadrado. O nível de significância foi de p<0,05. Observou-se elevada frequência de fraturas oralmaxilofaciais em indivíduos do sexo masculino (n=290; 83,8%), com idade variando entre 21-30 anos (n=120; 34,5%) e provenientes de cidades do interior do estado do Mato Grosso (n=169; 48,8%). Os principais fatores etiológicos foram os acidentes de trânsito motorizados (n=169; 48,9%), violência (n=65; 18,8%) e quedas (n=25; 7,2%). A distribuição sazonal evidenciou elevado número de lesões no outono (n=89; 25,8%), inverno e primavera (n=77; 22,2%, cada um). O terço inferior da face foi a região mais comumente envolvida (n=276; 54,3%). A injúria mais comum foi a fratura do complexo zigomático (n=146; 28,7%), seguida da fratura do corpo da mandíbula (n=99; 19,4%). Os dados obtidos se assemelham aos encontrados na literatura, no que diz respeito à prevalência do sexo masculino, da faixa etária e dos acidentes de trânsito como principal agente etiológico.

Palavras-chave: Traumatismod Dentários. Ossos Faciais. Epidemiologia. Cirurgia Bucal.

 

Abstract

The objective of this study was to evaluate epidemiological aspects of maxillofacial fractures in 346 hospitalized patients treated at the Department of Oral and Maxillofacial Surgery of the University General Hospital, Mato Grosso, Brazil. The following information was collected from the patients’ medical records: gender, age, etiologic factor, type of injury, patient origin, seasonal distribution and hospital stay period. The statistical treatment analyzed data from frequency distribution and chi-squared test. The level of significance was set at 5% for all analyses. The highest incidence of maxillofacial fractures was found among males (n=290; 83.8%), with 21-30 years-old (n=120; 34.5%) and from inner cities of Mato Grosso (n=169; 48.9%). The main etiologic factor were vehicle traffic accidents (n=169; 48.9%), violence (n=65; 18.8%) and falls (n=25; 7.2%). The seasonal distribution showed that most of the cases occurred in the fall (n=89; 25.8%), winter and spring (n=77; 22.2% each). The lower third of the face was the most commonly involved region  (n=276; 54.3%). The most frequently observed fracture involved the zygomatic complex (n=146; 28.7%), followed by the mandible body (n=99; 19.4%). The epidemiological aspects of maxillofacial fractures in this study were similar to those observed in other studies, regarding the prevalence of the male, age group and traffic accidents as the main etiological factor.

Keywords: Tooth Injuries. Facial Bones. Epidemiology. Surgery, Oral.

 

Referências

Al Ahmed HEA, Jaber MA, Abu Fanas SHA, Karas M. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: A review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98(2):166-70.

Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102(1):28-34.

Jin Z, Jiang X, Shang L. Analysis of 627 hospitalized maxillofacial-oral injuries in Xi’an, China. Dent Traumatol 2014;30(2):147-53. doi: 10.1111/edt.12044.

Scartezini GR, Guedes OA, Alencar AHG, Estrela CRA, Estrela C. Maxillofacial trauma in a public hospital in Central Brazil: A retrospective study of 405 patients. Rev Odonto Cienc 2016;31(4):153-7. doi: 10.15448/1980-6523.2016.4.21918.

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31(1):51-61.

Gassner R, Tuli T, Hächl O, Moreira R, Ulmer H. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004;62(4): 399-407.

Cavalcanti AL, Melo TR. Facial and oral injuries in Brazilian children aged 5-17 years: 5- year review. Eur Arch Paediatr Dent 2008;9(2):102-4.

Kotecha S, Scannell J, Monaghan A, Williams RW. A four year retrospective study of 1,062 patients presenting with maxillofacial emergencies at a specialist paediatric hospital. Bras J Oral Maxillofac Surg 2008;46(4):293-6. doi: 10.1016/j.bjoms.2007.11.011.

Scariot R, Oliveira IA, Passeri LA, Rebellato NLB, Müller PR. Maxillofacial injuries in a group of Brazilian subjects under 18 years of age. J Appl Oral Sci 2009;17(3):195-8.

Maliska MC, Lima Júnior SM, Gil JN. Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil. Braz Oral Res 2009;23(3):268-74.

Cavalcanti AL, Bezerra PKM, Oliveira DM, Granville-Garcia AF. Maxillofacial injuries and dental trauma in patients aged 19-80 years, Recife, Brazil. Rev Esp Cir Oral Maxilofac 2010;32(1):11-6. doi:10.1016/S1130-0558(10)70026-5.

Chrcanovic BR, Abreu MH, Freire-Maia B, Souza LN. 1,454 mandibular fractures: a 3-year study in a hospital in Belo Horizonte, Brazil. J Craniomaxillofac Surg 2012;40(2):116-23. doi: 10.1016/j.jcms.2011.03.012.

Afzali S, Saleh A, Seif Rabiei MA, Taheri K. Frequency of alcohol and substance abuse observed in drivers killed in traffic accidents in Hamadan, Iran. Arch Iran Med 2013;16(4):240-2. doi: 013164/AIM.0010.

Lee KH, Snape L, Steenberg LJ, Worthington J. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg 2007;77(8):695:8.

Kostakis G, Stathopoulos P, Dais P, Gkinis G, Igoumenakis D, Mezitis M, Rallis G. An epidemiologic analysis of 1,142 maxillofacial fractures and concomitant injuries. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:S69-73. doi: 10.1016/j.tripleo.2011.08.029.

Scherer M, Sullivan WG, Smith DJ Jr, Phillips LG, Robson MC. An analysis of 1,423 facial fractures in 788 patients at an urban trauma center. J Trauma 1989;29(3):388-90.

Gomes PP, Passeri LA, Barbosa JR. A 5-year retrospective study of zygomatic-orbital complex and zygomatic arch fractures in Sao Paulo state, Brazil. J Oral Maxillofac Surg 2006;64(1):63-7.

Azevedo AB, Trent RB, Ellis A. Population-based analysis of 10,766 hospitalizations for mandibular fractures in California, 1991 to 1993. J Trauma 1998;45(6):1084-7.

Motamedi MHK. An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 2003;61(1):61-4.

Chrcanovic BR, Freire-Maia B, Souza LN, Araújo VO, Abreu MH. Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte. Braz Oral Res 2004;18(4):322-8.

Subhashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg 2007;45(8):637-9.

Love RM, Ponnambalam Y. Dental and maxillofacial skeletal injuries seen at the University of Otago School of Dentistry, New Zeland 2000- 2004. Dent Traumatol 2008;24(2):170-6. doi: 10.1111/j.1600-9657.2007.00520.x.

Santos SE, Marchiori EC, Soares AJ, Asprino L, de Souza Filho FJ, de Moraes M, Moreira RW. A 9-year retrospective study of dental trauma in piracicaba and neighboring regions in the state of São Paulo, Brazil. J Oral Maxillofacial Surg 2010;68(8):1826-32. doi: 10.1016/j.joms.2009.10.006.

van den Bergh B, Karagozoglu KH, Heymans MW, Forouzanfar T. Aetiology and incidence of maxillofacial trauma in Amsterdam: a retrospective analysis of 579 patients. J Craniomaxillofac Surg 2012;40(6):e165-9. doi: 10.1016/j.jcms.2011.08.006.

Hogg NJ, Stewart TC, Armstrong JE, Girotti MJ. Epidemiology of maxillofacial injuries at trauma hospital in Ontario, Canada, between 1992 and 1997. J Trauma 2000;49(3):425:32.

Iida S, Kogo M, Sugiura T, Mima T, Matsuya T. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 2001;30(4):286-90.

Ribeiro MFP, Marcenes W, Croucher R, Sheiham A. The prevalence and causes of maxillofacial fractures in patients attending accident and emergency departments in Recife-Brazil. Int Dent J 2004;54(1):47-51.

Chrcanovic BR, Abreu MH, Freire-Maia B, Souza LN. Facial fractures in children and adolescents: a retrospective study of 3 years in a hospital in Belo Horizonte, Brazil. Dent Traumatol 2010;26(3):262-70. doi: 10.1111/j.1600-9657.2010.00887.x.

Arosarena OA, Fritsch TA, Hsueh Y, Aynehchi B, Haug R. Maxillofacial injuries and violence against women. Arch Facial Plast Surg 2009;11(1):48-52. doi: 10.1001/archfacial.2008.507.

Hitosugi M, Mizuno K, Nagai T, Tokudome S. Analysis of maxillofacial injuries of vehicle passengers involved in frontal collisions. J Oral Maxillofac Surg 2011;69(4):1146-51. doi: 10.1016/j.joms.2010.05.030.

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.

Pereira CM, Filho MS, Carneiro DS, Arcanjo RC, Andrade LA, Araújo MGB. Epidemiology of maxillofacial injuries at a regional hospital in Goiânia, Brazil, between 2008 and 2010. RSBO 2011;8(4):381-5.

Almeida-Filho N, Rouquayrol MZ. Introdução à epidemiologia. Rio de Janeiro: Medsi; 2002.

Freire MCM, Pattusi MP. Tipos de estudo. In: Estrela C. Metodologia científica. São Paulo: Artes Médicas; 2005. p.185-209.

Roccia F, Bianchi F, Zavattero E, Tanteri G, Ramieri. Characteristics of maxillofacial trauma in females: a retrospective analysis of 367 patients. J Craniomaxillofac Surg 2010;38(4):314-9. doi: 10.1016/j.jcms.2009.10.002.

Lin S, Levin L, Goldman S, Peled M. Dento-alveolar and maxillofacial injuries – a retrospective study from a level 1 trauma center in Israel. Dent Traumatol 2007;23(3):155-7.

Holmes PJ, Koehler J, McGwin G Jr, Rue LW 3rd. Frequency of maxillofacial injuries in all-terrain vehicle collisions. J Oral Maxillofac Surg 2004;62(6):697-701.

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Publicado

2019-03-30

Como Citar

1.
Guedes OA, Aranha AMF, Moreira-Júnior JM, Deliberali D do E, Porto AN, Pedro FLM, et al. Maxillofacial Fractures in a University Hospital in Central Brazil. J. Health Sci. [Internet]. 30º de março de 2019 [citado 24º de abril de 2024];21(1):51-7. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6199

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v. 21 n. 1 (2019)

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Artigos

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