Do Bicycle Helmets Protect Against Facial Fractures? An Observational Study From a Level 1 Trauma Centre.

Autor:	Galteland P; Departments of Maxillofacial Surgery.; Faculty of Medicine, Institute of Clinical Medicine., Døving M; Departments of Maxillofacial Surgery.; Faculty of Dentistry, Institute of Oral Biology, University of Oslo, Oslo, Norway., Sehic A; Departments of Maxillofacial Surgery.; Faculty of Dentistry, Institute of Oral Biology, University of Oslo, Oslo, Norway., Paaske Utheim T; Departments of Maxillofacial Surgery.; Faculty of Dentistry, Institute of Oral Biology, University of Oslo, Oslo, Norway., Næss I; Faculty of Medicine, Institute of Clinical Medicine., Eken T; Anaesthesia and Intensive Care Medicine.; Faculty of Medicine, Institute of Clinical Medicine., Skaga NO; Anaesthesia and Intensive Care Medicine.; Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Ullevål, Oslo, Norway., Helseth E; Neurosurgery.; Faculty of Medicine, Institute of Clinical Medicine., Ramm-Pettersen J; Neurosurgery.; Faculty of Medicine, Institute of Clinical Medicine.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jul-Aug 01; Vol. 35 (5), pp. 1325-1328. Date of Electronic Publication: 2024 May 06.
DOI:	10.1097/SCS.0000000000010181
Abstrakt:	This study investigates the impact of helmet use on the incidence of facial fractures in bicycle accidents. Analyzing data from hospitalized bicyclists between 2005 and 2016, the research focused on the correlation between helmet usage and various facial fractures. The study included 1256 bicyclists with known helmet use, among whom 277 individuals (22%) were identified with a total of 521 facial fractures. The findings revealed a significant reduction in the likelihood of facial fractures among helmeted cyclists compared with those without helmets (odds ratio, 0.65; confidence interval, 0.50-0.85; P=0.002). Specifically, the odds of sustaining fractures in the zygoma, orbit, nose, and maxilla were decreased by 47%, 46%, 43%, and 33%, respectively, among helmeted cyclists. However, helmet use did not significantly alter the odds of mandible fractures. Overall, the use of helmets in bicycling significantly lowered the risk of midface fractures but showed no notable effect on mandible fractures in severe cycling incidents. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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