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Incidence and Pattern of Cranio-Maxillofacial Injuries: A 22 year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India.
J Maxillofac Oral Surg 2013; 12(4):372-8JM

Abstract

This study aims to retrospectively analyze the incidence and pattern of cranio-maxillofacial injuries in the developing world in a hope to emphasize on authorities the need of improvising infrastructural facilities, medical and other. Hospital medical records with available radiographs of 6,872 patients treated for cranio-maxillofacial injuries at major trauma centres in Pune, India over a 22 year period (from July 1989 to June 2010) were reviewed. Relevant data pertaining to patients' age, sex, cause of injury, sites of injury, associated injuries, anaesthesia, various treatment modalities and complications were recorded and analyzed statistically. A total of 6,872 patients sustained maxillofacial injuries of which 5,936 (86.4 %) were caused by road traffic accidents (RTA), followed by fall in 608 cases. Distribution pattern of sex revealed male predominance (M:F-2.5:1) and the third decade age group (2,416) sustained maximum cranio-maxillofacial injuries. Of 12,503 cranio-maxillofacial sites involved, mandible (6,456) predominated, while there was middle third involvement in 5,024 cases. Most of the patients (4,856) were treated with open reduction and internal fixation without maxillo-mandibular fixation and complications were noted in 320 patients. In comparison to similar recent studies reported in the literature, our findings show that RTA remains the most common cause of cranio-maxillofacial injuries with male preponderance. Also RTA remains the major preventable etiological factor of cranio-maxillofacial injuries, which should prompt authorities to take "Herculean effort" to implement rules and educate people.

Authors+Show Affiliations

Department of Oral & Maxillofacial Surgery, Bharati Vidyapeeth University Dental College & Hospital, Pune, 411043 Maharashtra India.Department of Oral & Maxillofacial Surgery, Bharati Vidyapeeth University Dental College & Hospital, Pune, 411043 Maharashtra India.Department of Oral & Maxillofacial Surgery, Bharati Vidyapeeth University Dental College & Hospital, Pune, 411043 Maharashtra India.Department of Oral & Maxillofacial Surgery, Bharati Vidyapeeth University Dental College & Hospital, Pune, 411043 Maharashtra India.Department of Oral & Maxillofacial Surgery, Sharad Pawar Dental College & Hospital, Sawangi Meghe, Wadha, Maharashtra India.Dr Gadre's Maxillofacial Surgical Centre, Pune, Maharashtra India.Dr Gadre's Maxillofacial Surgical Centre, Pune, Maharashtra India.MA Rangoonwala Dental College, Pune, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24431873

Citation

Gadre, Kiran S., et al. "Incidence and Pattern of Cranio-Maxillofacial Injuries: a 22 Year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India." Journal of Maxillofacial and Oral Surgery, vol. 12, no. 4, 2013, pp. 372-8.
Gadre KS, Halli R, Joshi S, et al. Incidence and Pattern of Cranio-Maxillofacial Injuries: A 22 year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India. J Maxillofac Oral Surg. 2013;12(4):372-8.
Gadre, K. S., Halli, R., Joshi, S., Ramanojam, S., Gadre, P. K., Kunchur, R., ... Kaul, D. (2013). Incidence and Pattern of Cranio-Maxillofacial Injuries: A 22 year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India. Journal of Maxillofacial and Oral Surgery, 12(4), pp. 372-8. doi:10.1007/s12663-012-0446-7.
Gadre KS, et al. Incidence and Pattern of Cranio-Maxillofacial Injuries: a 22 Year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India. J Maxillofac Oral Surg. 2013;12(4):372-8. PubMed PMID: 24431873.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence and Pattern of Cranio-Maxillofacial Injuries: A 22 year Retrospective Analysis of Cases Operated at Major Trauma Hospitals/Centres in Pune, India. AU - Gadre,Kiran S, AU - Halli,Rajshekhar, AU - Joshi,Samir, AU - Ramanojam,Shandilya, AU - Gadre,Pushkar K, AU - Kunchur,Ranjit, AU - Bhosale,Gururaj, AU - Kaul,Deepak, Y1 - 2013/02/15/ PY - 2012/06/20/received PY - 2012/09/24/accepted PY - 2014/1/17/entrez PY - 2014/1/17/pubmed PY - 2014/1/17/medline KW - Facial trauma KW - Maxillofacial injuries KW - Retrospective statistical analysis KW - Road traffic accidents SP - 372 EP - 8 JF - Journal of maxillofacial and oral surgery JO - J Maxillofac Oral Surg VL - 12 IS - 4 N2 - This study aims to retrospectively analyze the incidence and pattern of cranio-maxillofacial injuries in the developing world in a hope to emphasize on authorities the need of improvising infrastructural facilities, medical and other. Hospital medical records with available radiographs of 6,872 patients treated for cranio-maxillofacial injuries at major trauma centres in Pune, India over a 22 year period (from July 1989 to June 2010) were reviewed. Relevant data pertaining to patients' age, sex, cause of injury, sites of injury, associated injuries, anaesthesia, various treatment modalities and complications were recorded and analyzed statistically. A total of 6,872 patients sustained maxillofacial injuries of which 5,936 (86.4 %) were caused by road traffic accidents (RTA), followed by fall in 608 cases. Distribution pattern of sex revealed male predominance (M:F-2.5:1) and the third decade age group (2,416) sustained maximum cranio-maxillofacial injuries. Of 12,503 cranio-maxillofacial sites involved, mandible (6,456) predominated, while there was middle third involvement in 5,024 cases. Most of the patients (4,856) were treated with open reduction and internal fixation without maxillo-mandibular fixation and complications were noted in 320 patients. In comparison to similar recent studies reported in the literature, our findings show that RTA remains the most common cause of cranio-maxillofacial injuries with male preponderance. Also RTA remains the major preventable etiological factor of cranio-maxillofacial injuries, which should prompt authorities to take "Herculean effort" to implement rules and educate people. SN - 0972-8279 UR - https://www.unboundmedicine.com/medline/citation/24431873/Incidence_and_Pattern_of_Cranio_Maxillofacial_Injuries:_A_22_year_Retrospective_Analysis_of_Cases_Operated_at_Major_Trauma_Hospitals/Centres_in_Pune_India_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24431873/ DB - PRIME DP - Unbound Medicine ER -