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Abstract


INTERNATIONAL DENTAL JOURNAL OF STUDENTS RESEARCH - VOLUME 1 ISSUE 2, June-Sept 2012

Pages: 78-83

A RETROSPECTIVE STUDY ON OCCUPATION-RELATED MAXILLOFACIAL FRACTURES IN CHONGQING, CHINA FROM 2008 (YEAR) TO 2011 (YEAR)

 

Author: Piyush Sharma, Zhao Ningbo, Yang Kai

Category: Review Article

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Abstract:

Background Maxillofacial trauma constitutes of hard and soft tissue injuries, in this study we have discusses the fractures in maxillofacial region related to occupations .Fractures constitute a substantial proportion of cases of maxillofacial trauma. This retrospective study was designed to analyze the sex, age, cause, site distribution and treatment of maxillofacial fractures and their relationship with patients’ occupations in Chongqing, China.

Methods A retrospective study on maxillofacial fractures was carried out in the Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Chongqing Medical University (Chongqing, China) between January 1, 2008 and December 31, 2011. The study included 173 patients with 248 maxillofacial fractures. Sex, age, cause, occupation?site distribution of patients and treatment modalities in hospital were recorded.

Results The males consisted 67.6% of maxillofacial fractures and females (32.4%) Middle-aged had more fractures than young and old-aged, and the yearly distribution showed no significant variation. Road traffic accident was the most common causative factor (33.6%), followed by fall of an object?20.2%, and falls (18.5%). Taxi/truck drivers (24.3%) were most prone to have maxillofacial fractures, followed by construction workers (19.6%) and mine workers (16.2%). Regarding the site distribution of mandibular fractures, the majority (32.4%) occurred in the parasymphysis, 19.8% in the angle, and 12.6% in the condylar region. 71.3% of patients had rigid fixation with plates and 15.3% had inter maxillary fixation (IMF).

Conclusion Occupation distribution and causes of maxillofacial fractures reflected trauma patterns within the community and can provide guidelines for the design of programs geared toward prevention and treatment. In our study the drivers and construction workers were more prone to maxillofacial fractures, proper safety measures while driving and working will significantly reduce the incidence of such injuries.

Keywords: maxillofacial fractures, occupation-related, mandible fractures, rigid internal fixation (RIF), prevention

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