Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr;39(2):140-146.
doi: 10.1111/edt.12798. Epub 2022 Nov 11.

Oral and maxillofacial emergencies: A retrospective study of 5220 cases in West China

Jing Zhou  1   2 , Ting Wan  1   3 , Rong Miao  1 , Wei Tang  1 , Lei Liu  1 , Jie Long  1 , Wei Jing  1
Affiliations

Oral and maxillofacial emergencies: A retrospective study of 5220 cases in West China

Jing Zhou et al. Dent Traumatol. 2023 Apr.

Abstract

Background/aim: There are no epidemiological reports focused on the oral and maxillofacial surgery emergency department in the West China Hospital of Stomatology. The aim of this study was to analyse the epidemiological characteristics of emergency patients admitted for Trauma and Plastic Surgery Department of the West China Hospital of Stomatology from 2016-2019.

Materials and methods: In this retrospective study, 5220 patients with complete medical records were evaluated. The following data were collected: gender, age, etiology, disease type distribution, anatomic injury site and treatment modality.

Results: There were 3046 males and 2174 females (ratio 1.40:1), with an average age of 16.2 years. The largest group was children aged between 3 and 6 years old (28.3%). Maxillofacial injuries were the most common condition (87.3%), which mostly occurred on the forehead (29.7%), followed by the lips (27.8%). A fall was the leading cause of injury (59.9%), especially in patients younger than 6 years old. There were 327 cases of maxillofacial space infections (MSI), and the mandibular third molars were the most common tooth associated with odontogenic infections (36.2%). Univariable analysis identified that multiple-space infection, visit time and systemic conditions were the risk factors for being admitted to the hospital for treatment. There were 116 patients (2.2%) with bleeding as the main complaint, and most of the maxillofacial bleeding patients could be stopped by compression (52.6%).

Conclusion: Males and children aged younger than 6 years were the highest risk populations. Trauma accounted for the majority of emergency patients in maxillofacial surgery. Most maxillofacial injuries involved the forehead and were mainly caused by accidental falls. The proportion of MSI was not high, but serious cases may be life-threatening. The causes of bleeding were diverse, and the bleeding was easy to control.

Keywords: epidemiology; maxillofacial injuries; maxillofacial space infection; oral and maxillofacial emergency.

PubMed Disclaimer

References

REFERENCES

    1. Conceição LD, da Silveira IA, Nascimento GG, Lund RG, da Silva RHA, Leite FRM. Epidemiology and risk factors of maxillofacial injuries in Brazil, a 5-year retrospective study. J Maxillofac Oral Surg. 2018;17:169-74.
    1. Guo HQ, Yang X, Wang XT, Li S, Ji AP, Bai J. Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: a two-year retrospective study. Dent Traumatol. 2021;37:479-87.
    1. Ashrafullah PRK, Mishra A. The incidence of facial injuries in children in Indian population: a retrospective study. J Oral Biol Craniofac Res. 2018;8:82-5.
    1. Paes JV, de Sá Paes FL, Valiati R, de Oliveira MG, Pagnoncelli RM. Retrospective study of prevalence of face fractures in southern Brazil. Indian J Dent Res. 2012;23:80-6.
    1. Teshome A, Andualem G, Tsegie R, Seifu S. Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia. BMC Res Notes. 2017;10:373-8.

LinkOut - more resources