Paola Bonavolontà1, Giovanni Dell'aversana Orabona1, Vincenzo Abbate1, Luigi Angelo Vaira2, Carmelo Lo Faro1, Marzia Petrocelli1, Federica Attanasi3, Giacomo De Riu4, Giorgio Iaconetta5, Luigi Califano1. 1. Maxillofacial Surgery Operative Unit (Head: Prof. Luigi Califano), University Hospital of Naples "Federico II", Via Pansini 5, 80131 Naples, Italy. 2. Maxillofacial Surgery Operative Unit (Head: Prof. Luigi Califano), University Hospital of Naples "Federico II", Via Pansini 5, 80131 Naples, Italy. Electronic address: luigi.vaira@gmail.com. 3. Actuarial Science, University of Rome "La Sapienza", Rome, Italy. 4. Maxillofacial Surgery Operative Unit (Head: Dott. Giacomo De Riu), University Hospital of Sassari, Viale San Pietro 43B, 07100 Sassari, Italy. 5. Neurosurgery Operative Unit (Head: Prof. Giorigio Iaconetta), University Hospital of Salerno, Via Allende, 84081 Baronissi, Salerno, Italy.
Abstract
PURPOSE: Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable, and its analysis is crucial to establish effective treatment and prevention of these injuries. However only two works have been published about maxillofacial fracture epidemiology in Italy. MATERIALS AND METHODS: The records of 1720 patients diagnosed with maxillofacial fractures in a 15-years period (2001-2015) in our department were retrospectively reviewed. RESULTS: A total of 1108 male and 612 female patients were included in the study. The most frequent aetiology of fracture was road traffic injuries (57.1%), followed by assault (21.7%), falls (14.2%), work accidents (3.5%), sport accidents (3.3%) and other causes (0.2%). Significant variations of aetiology were detected between males and females and between Italians and individuals from other countries. The most frequently observed fracture involved the mandible (861 cases, 36%), followed by zygoma (489 cases, 20.4%), orbital walls (386 cases, 16.1%) and maxilla (282 cases, 11.8%). CONCLUSION: Road traffic legislation enforcement and continuous public education regarding the use of security devices remain an ongoing problem in our region and should be encouraged. In the same way, as migration flows influence and change the epidemiology of facial traumas, it is crucial to establish social support programs that avoid these disadvantaged categories of victims of violence and crime.
PURPOSE:Maxillofacial fractures represent a serious public health problem. Their epidemiology is extremely variable, and its analysis is crucial to establish effective treatment and prevention of these injuries. However only two works have been published about maxillofacial fracture epidemiology in Italy. MATERIALS AND METHODS: The records of 1720 patients diagnosed with maxillofacial fractures in a 15-years period (2001-2015) in our department were retrospectively reviewed. RESULTS: A total of 1108 male and 612 female patients were included in the study. The most frequent aetiology of fracture was road traffic injuries (57.1%), followed by assault (21.7%), falls (14.2%), work accidents (3.5%), sport accidents (3.3%) and other causes (0.2%). Significant variations of aetiology were detected between males and females and between Italians and individuals from other countries. The most frequently observed fracture involved the mandible (861 cases, 36%), followed by zygoma (489 cases, 20.4%), orbital walls (386 cases, 16.1%) and maxilla (282 cases, 11.8%). CONCLUSION: Road traffic legislation enforcement and continuous public education regarding the use of security devices remain an ongoing problem in our region and should be encouraged. In the same way, as migration flows influence and change the epidemiology of facial traumas, it is crucial to establish social support programs that avoid these disadvantaged categories of victims of violence and crime.
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