Arquivos Internacionais de Otorrinolaringologia 2010; 14(02): 192-198
DOI: 10.7162/S1809-48722010000200008
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Epidemiological Characteristics of Trauma Patients Maxillofacial Surgery at the Hospital Geral de Blumenau SC From 2004 to 2009

Aspectos Epidemiológicos dos Pacientes com Traumas Maxilofaciais Operados no Hospital Geral de Blumenau, SC de 2004 a 2009
José Carlos Martins Junior
*   Oral and Maxillofacial Surgeon, Hospital Santa Catarina and San Antonio de Blumenau - SC. Student, Medical University Regional Blumenau FURB.
,
Frederico Santos Keim
**   Medical Student FURB.
,
Ernani Tiaraju de Santa Helena
***   Professor. Doctor.
› Author Affiliations
Further Information

Publication History

11 February 2010

26 March 2010

Publication Date:
13 February 2014 (online)

Summary

Introduction: Accidents involving the face have increased incidence in the last four decades. The medical literature refers to the increase in motor vehicle collisions and urban violence as the major causes of injuries, especially in young individuals.

Objective: Raise the epidemiological profile of 222 patients with facial fractures at the Hospital Santo Antonio from 2004 to 2009.

Method: Case study with retrospective analysis of records of patients diagnosed with facial fractures. Several variables were considered: gender, age, occupation, education level, origin, location and number of bones involved, etiology, and mean hospital stay of patients.

Results: The male sex predominated with 178 cases (80.1%), the average age was 29.6 years, 86 (38.73%) had a steady job. Unmarried 178 cases (80.18%). Primary school predominated among the patients, 74 (33.34%), and most live in the city of Blumenau, 175 (78.82%). The assault was primarily responsible for the surgical indication in 79 cases (35.58%), involving a bone in 193 cases (86.9%). The main bone involved was the mandible in 90 cases (40.54%). The average length of stay was 2.5 days.

Conclusions: The epidemiological profile of 222 patients is an individual male, aged 20-29 years old, unmarried, low education and employee. The most prevalent etiology was assault, involving a bone, the mandible being the most involved bone.

Resumo

Introdução: Acidentes envolvendo a face apresentam incidência crescente nas últimas quatro décadas. A literatura médica faz referência ao aumento das colisões automobilísticas e à violência urbana, como as principais causas desses traumatismos, principalmente em indivíduos jovens.

Objetivo: Levantar o perfil epidemiológico de 222 pacientes de fraturas faciais do Hospital Santo Antônio de 2004 a 2009.

Método: Estudo de casos com análise retrospectiva de prontuários de pacientes com diagnóstico de fratura facial. Foram consideradas as variáveis gênero, idade, profissão, grau de escolaridade, procedência, local e número de ossos envolvidos, etiologia e tempo médio de internação dos pacientes.

Resultados: O sexo masculino predominou com 178 casos (80,1%), a média de idade foi de 29,6 anos, 86 (38,73%) tinham emprego fixo. Os solteiros 178 casos (80,18%). Primeiro grau completo predominou entre os pacientes, 74 (33,34%), e a maioria residia na cidade de Blumenau, 175 (78,82%). A agressão física foi a principal responsável pela indicação cirúrgica com 79 casos (35,58%), com envolvimento de um osso em 193 casos (86,9%). O principal osso acometido foi a mandíbula com 90 casos (40,54%). A média de tempo de internação foi de 2,5 dias.

Conclusão: O perfil epidemiológico dos 222 pacientes é: individuo masculino, na faixa etária de 20 a 29 anos, solteiro, com baixa escolaridade e empregado. A etiologia prevalente foi a agressão, com envolvimento de um osso, sendo a mandíbula o osso mais acometido.

 
  • Bibliographical References

  • 1 Sastry SM, Sastry CM, Paul BK, Bain L, Champion HR. Leading causes of facial trauma in the major trauma outcome study. Plast Reconstr Surg 1995; 95: 196-7
  • 2 Braustein PW. Medical aspects of automotive crash injury research. JAMA 1957; 163: 249-55
  • 3 Bull JP. Disabilities caused by road traffic accidents and their relations to severity. Acrid Anal Prev 1985; 17: 387-97
  • 4 Larsen OD, Nielsen A. Mandibular fractures: An analysis of their etiology and location in 286 patients. Scand J Plast Reconstr Surg 1976; 10: 213
  • 5 Prince JD. Facial fractures and seat belts. Brit Dent J 1983; 155-12
  • 6 Osguthorpe DJ. Orbital wall fractures. Evolution and management. Otolaryngol Head and Neck Surg 1991; 105: 702-7
  • 7 Sherer M, Sullivan WG, Smith DJ , et al. An analysis of 1423 facial fractures in 788 patients at an urban trauma center. J Trauma 1989; 29: 388-90
  • 8 Busuito MJ, Smith DJ, Robson MC. Mandibular fractures in an urban trauma center. J Trauma 1986; 26: 826-9
  • 9 Wulkan M , et al. Epidemiologia do Trauma Facial. Rev Assoc Med Bras 2005; 51 (5) 290-5
  • 10 Brasileiro B, Passeri L. Epidemiological analysis of maxillofacial fractures in Brazil: A 5-year prospective study-Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 28-34
  • 11 Montovani, et al. Etiologia e incidência das fraturas faciais em adultos e crianças: experiência em 513 Casos. Rev Bras Otorrinolaringol 2006; 72 (2) 235-41
  • 12 Chrcanovic BR , et al. Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte. Braz Oral Res 2004; 18 (4) 322-8
  • 13 Posnick JC. Pediatric facial fractures. Ann Plast Surg 1994; 33: 442-57
  • 14 Lucht UA. A prospective study of accidental falls and resulting injuries in the home among elderly people. Acta Soc Med Scand 1971; 2: 105-9
  • 15 Shapiro AJ, Johnson RM, Miller SF, McCarthy MC. Facial fractures in a level I trauma centre: the importance of protective devices and alcohol abuse. Injury 2001; 32: 353-6
  • 16 Beck RA, Blakeslee DB. The changing picture of facial fractures. Arch Otolaryngol Head Neck Surg 1989; 115: 826-9
  • 17 Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990; 48: 926-32
  • 18 Shaikh ZS, Worrall SF. Epidemiology of facial trauma in a sample of patients aged 1-18 years. Injury 2002; 33: 669-71
  • 19 Tanaka N, Uchide N, Suzuki K. Maxillofacial injuries in children. J Craniomaxillofac Surg 1993; 21: 289-93
  • 20 Zerfowski M, Bremerich A. Facial trauma in children and adolescents. Clin Oral Invest 1998; 2: 120-4
  • 21 Haugh RH, Foss J. Maxillofacial injuries in the paediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 126-34
  • 22 Hussain K, Don BW. A comprehensive analysis of cranifacial trauma. J Trauma 1994; 36: 34-47
  • 23 Keenan HT, Brundage SI, Thompson DC. Does the face protect the brain?A case-control study for traumatic brain injury and facial fractures. Arch Surg 1999; 134: 14-7
  • 24 Subhashraj K , et al. Review of maxillofacial injuries in Chennai,India: A study of 2748 cases. British Journal of Oral and Maxillofacial Surgery 2007; 45: 637-639
  • 25 Hagan EH, Huelke DF. An analysis of 319 case reports of mandibular fractures. J Oral Surg Anest Hosp Dent Serv 1961; 19: 93-104
  • 26 Rowe NL, Killey HC. Fractures of the facial skeleton. Baltimore: Willians & Wilkins Co; 1968