A cross-sectional study of the prevalence and severity of maxillofacial fractures resulting from motor vehicle accidents in Riyadh, Saudi Arabia
| Autor: | Salma Alsulami, Sami Alotaibi, Ghada Aljumah, Yanal M. Nusair, Ziyad AlHammad, Razan A. Ababtain |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Cross-sectional study Saudi Arabia lcsh:Medicine Fracture site law.invention 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine law medicine Traffic General Dentistry Young male business.industry lcsh:R Glasgow Coma Scale 030206 dentistry Emergency department Intensive care unit lcsh:RK1-715 lcsh:Dentistry Accidents Orthopedic surgery Oral and maxillofacial surgery Original Article business Maxillofacial injuries |
| Zdroj: | The Saudi Dental Journal Saudi Dental Journal, Vol 32, Iss 6, Pp 314-320 (2020) |
| ISSN: | 1658-3558 1013-9052 |
| Popis: | Objectives To investigate the prevalence and severity of maxillofacial fractures resulting from motor vehicle accidents (MVAs) at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Materials and methods A cross-sectional study of 325 males (89%) and 47 females (9%) was conducted that retrospectively reviewed records of patients referred to oral and maxillofacial surgery department from emergency department from 1st January 2016 to 31st December 2017 at KAMC, Riyadh. Results A total of 372 subjects were included in the study. MVAs (80%) were the most prevalent cause of trauma. The age range most susceptible to MVAs was between 20 and 24 years old (28%). The most common site of fracture was the midface (64%), specifically orbit (32%). For mandibular fractures, the subcondylar was the most common site of fractures (19%). The most common treatment approach was conservative (65%). In terms of severity, approximately half of patients needed admission to the intensive care unit (ICU) (50%); the mean score on the Glasgow Coma Scale (GCS) was 11.34, but most scores fell in the mild range; and (68%) of subjects presented with other associated systemic injuries, especially orthopedic injuries (36%). Conclusions MVAs were the main cause of trauma and affected mainly young males. The most common site of fracture was midface, specifically orbit. Subcondylar was the most prevalent fracture site for mandibular fractures. The severity of MVAs injuries was significantly higher compared to non-MVAs injuries. We suggest enforcing legislation and regulations on road safety such as the use of compulsory seat belts. |
| Databáze: | OpenAIRE |
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