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. 2022 Apr 12;22(1):123.
doi: 10.1186/s12903-022-02158-6.

Epidemiology of maxillofacial injuries in "Heratsi" No 1 university hospital in Yerevan, Armenia: a retrospective study

Lusine V Aleksanyan  1 , Anna Yu Poghosyan  2 , Martin S Misakyan  1 , Armen M Minasyan  3 , Aren Yu Bablumyan  3 , Artashes E Tadevosyan  4 , Armen A Muradyan  3
Affiliations

Epidemiology of maxillofacial injuries in "Heratsi" No 1 university hospital in Yerevan, Armenia: a retrospective study

Lusine V Aleksanyan et al. BMC Oral Health. .

Abstract

Background: The aim of this study was to perform a retrospective analysis of the prevalence, etiologies, types of maxillofacial injuries (MFIs), sites of maxillofacial fractures (MFFs) and their management in Yerevan, Armenia.

Methods: A retrospective cross-sectional study was conducted. The extracted data included age, sex, date of referral, mode of injury, etiology, radiology records and treatment methods. Study outcomes were measured using percentages, means, standard deviations and tests of proportions. P < .05 was considered significant.

Results: A total of 204 patients had a mean age of 36.26 ± 1.08 years (156 males and 48 females), and a total of 259 MFIs were recorded between 2017 and 2020. Interpersonal violence was found to be the most common etiology of MFFs in this study (42.1%), followed by road traffic accidents (RTAs) (27.9%) and falls (18.6%). The nasal bone was the most common injury site (47.5%), followed by the mandible (31.4%) and zygomatic complex (11.7%). The most common fracture site was the mandibular angle (37.9%), followed by the symphysis/parasymphysis (28.1%) and body (12.6%). Isolated soft tissue injuries were reported in 5.9% of the cases. The majority of MFFs were treated by open reduction and internal fixation.

Conclusion: Interpersonal violence, followed by RTAs and falls, was the most common cause of MFIs. Males in the 21-30 years age group had the highest MFI incidence rate. The nasal bone was the most common injury site, followed by the mandible and zygomatic complex. Social education with the objective of reducing aggression and interpersonal conflict should be improved, and appropriate RTA prevention strategies should be strengthened and implemented.

Keywords: Epidemiology; Etiology; Interpersonal violence; Mandible; Maxillofacial fracture.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Distribution of MFIs by month and year
Fig. 2
Fig. 2
Distributions of patients by age and sex
Fig. 3
Fig. 3
Distribution of MFIs by etiology
Fig. 4
Fig. 4
Localization of MFFs
Fig. 5
Fig. 5
Sites of mandible fractures
Fig. 6
Fig. 6
Management of MFI
See this image and copyright information in PMC

References

    1. Boffano P, Roccia F, Zavattero E, Dediol E, Uglešić V, Kovačič Ž, et al. European maxillofacial trauma (EURMAT) project: a multicentre and prospective study. J Craniomaxillofac Surg. 2015;43:62–70. doi: 10.1016/j.jcms.2014.10.011. - DOI - PubMed
    1. Abosadegh MM, Rahman SA, Saddki N. Association of traumatic head injuries and maxillofacial fractures: a retrospective study. Dent Traumatol. 2017;33:369–374. doi: 10.1111/edt.12349. - DOI - PubMed
    1. Negussie A, Getie A, Manaye E, Tekle T. Prevalence and outcome of injury in patients visiting the emergency Department of Yirgalem General Hospital, Southern Ethiopia. BMC Emerg Med. 2018;18:14. doi: 10.1186/s12873-018-0165-6. - DOI - PMC - PubMed
    1. Lalloo R, Lucchesi LR, Bisignano C, Castle CD, Dingels ZV, Fox JT, et al. Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study. Inj Prev. 2020;26:i27–35. doi: 10.1136/injuryprev-2019-043297. - DOI - PMC - PubMed
    1. Samieirad S, Tohidi E, Shahidi-Payam A, Hashemipour MA, Abedini A. Retrospective study maxillofacial fractures epidemiology and treatment plans in Southeast of Iran. Med Oral Patol Oral Cir Bucal. 2015;20:e729–e736. doi: 10.4317/medoral.20652. - DOI - PMC - PubMed

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