A Multicentric Prospective Study on Maxillofacial Trauma Due to Road Traffic Accidents: The World Oral and Maxillofacial Trauma Project

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dc.contributor.authorRomeo, Irene
dc.contributor.authorRoccia, Fabio
dc.contributor.authorAladelusi, Timothy
dc.contributor.authorRae, Euan
dc.contributor.authorLaverick, Sean
dc.contributor.authorGanasouli, Dimitra
dc.contributor.authorZanakis, Stelios N.
dc.contributor.authorDe Oliveira Gorla, Luis Fernando [UNESP]
dc.contributor.authorPereira-Filho, Valfrido Antonio [UNESP]
dc.contributor.authorGallafassi, Daniel [UNESP]
dc.contributor.authorFaverani, Leonardo Perez [UNESP]
dc.contributor.authorAlalawy, Haider
dc.contributor.authorKamel, Mohammed
dc.contributor.authorSamieirad, Sahand
dc.contributor.authorJaisani, Mehul Raiesh
dc.contributor.authorRahman, Sajjad Abdur
dc.contributor.authorRahman, Tabishur
dc.contributor.authorGoetzinger, Maximilian
dc.contributor.authorBottini, Gian Battista
dc.contributor.authorCarlaw, Kirsten
dc.contributor.authorAquilina, Peter
dc.contributor.authorDuran-Valles, Francesc
dc.contributor.authorBescos, Coro
dc.contributor.authorHassanein, Ahmed Gaber
dc.contributor.institutionUniversity of Turin
dc.contributor.institutionUniversity of Ibadan
dc.contributor.institutionUniversity of Dundee
dc.contributor.institutionHippocration General Hospital
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionGazi Alhariri Hospital
dc.contributor.institutionMashhad University of Medical Sciences
dc.contributor.institutionAligarh Muslim University
dc.contributor.institutionParacelsus Medical University
dc.contributor.institutionNepean Hospital
dc.contributor.institutionHospital Universitario Vall d'Hebron
dc.contributor.institutionSohag University
dc.date.accessioned2023-03-01T20:54:19Z
dc.date.available2023-03-01T20:54:19Z
dc.date.issued2022-06-01
dc.description.abstractThe purpose of this prospective multicenter study was to analyze the epidemiology, patterns, and management of maxillofacial fractures due to road traffic accidents (RTAs) worldwide.Between Monday September 30, 2019 and Sunday October 4, 2020,1066 patients with RTAs related fractures were admitted to 14 maxillofacial surgery departments. The following data were analyzed: age, gender, mechanism of injury, alcohol or drug abuse at the time of trauma, maxillofacial fracture site, facial injury severity scale (FISS) score, associated injuries, day and month of trauma, time of treatment, type of treatment and length of hospital stay. Data were analyzed using bivaried and multivaried statistical analysis.Eight hundred seventy patients were male, and 196 were female. The most common mechanism of injury was motorcycle accidents (48%). More than half of the patients had fractures of the middle third of the maxillofacial skeleton. In total, 59% of the study sample underwent open reduction internal fixation. The median facial injury severity scale (3 points) and the medial hospital stay (3 days) were significantly lower in patients with seatbelts and helmet (P < 0.001).This first prospective, multicenter epidemiological study shows that motorcycle accidents are the leading cause of RTAs related fractures, mostly in young males. Particularly in Australia and Europe, the incidence of RTAs was significantly lower. Moreover, this study found that the severity of maxillofacial lesions was significantly higher in patients without safety devices, with consequent longer hospital stay demonstrating the efficacy of road safety policies in preventing maxillofacial injury.en
dc.description.affiliationDivision of Maxillofacial Surgery Città della Salute e della Scienza University of Turin
dc.description.affiliationDepartment Oral and Maxillofacial Surgery College of Medicine University of Ibadan
dc.description.affiliationDepartment Oral and Maxillofacial Surgery University of Dundee
dc.description.affiliationDepartment Oral and Maxillofacial Surgery Hippocration General Hospital
dc.description.affiliationDepartment Diagnosis and Surgery Araraquara Dental School Unesp São Paulo State University
dc.description.affiliationDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery Sao Paulo State University Unesp
dc.description.affiliationDepartment Oral and Maxillofacial Surgery Gazi Alhariri Hospital, Medical City
dc.description.affiliationOral and Maxillofacial Diseases Research Center Mashhad University of Medical Sciences
dc.description.affiliationDepartment Oral and Maxillofacial Surgery
dc.description.affiliationDepartment Oral and Maxillofacial Surgery Aligarh Muslim University
dc.description.affiliationDepartment Oral and Maxillofacial Surgery Paracelsus Medical University
dc.description.affiliationDepartment Plastic Reconstructive and Maxillofacial Surgery Nepean Hospital
dc.description.affiliationDepartment Oral and Maxillofacial Surgery Hospital Universitario Vall d'Hebron
dc.description.affiliationMaxillofacial Surgery Unit General Surgery Department Faculty of Medicine Sohag University
dc.description.affiliationUnespDepartment Diagnosis and Surgery Araraquara Dental School Unesp São Paulo State University
dc.description.affiliationUnespDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery Sao Paulo State University Unesp
dc.format.extent1057-1062
dc.identifierhttp://dx.doi.org/10.1097/SCS.0000000000008440
dc.identifier.citationJournal of Craniofacial Surgery, v. 33, n. 4, p. 1057-1062, 2022.
dc.identifier.doi10.1097/SCS.0000000000008440
dc.identifier.issn1536-3732
dc.identifier.issn1049-2275
dc.identifier.scopus2-s2.0-85133282317
dc.identifier.urihttp://hdl.handle.net/11449/241266
dc.language.isoeng
dc.relation.ispartofJournal of Craniofacial Surgery
dc.sourceScopus
dc.subjectEpidemiology
dc.subjectmaxillofacial fractures
dc.subjectmulticenter
dc.subjectprospective
dc.subjectroad traffic accidents
dc.titleA Multicentric Prospective Study on Maxillofacial Trauma Due to Road Traffic Accidents: The World Oral and Maxillofacial Trauma Projecten
dc.typeArtigo

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