DOI:

10.37988/1811-153X_2021_4_114

Clinical and statistical analysis of maxillofacial trauma in Kuzbass

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Authors

  • P.I. Golavskiy 1, postgraduate at the Oral and maxillofacial surgery Department
    ORCID: 0000-0001-7173-6515
  • A.I. Pylkov 1, PhD in Medical Sciences, full professor of the Oral and maxillofacial surgery Department
    ORCID: 0000-0002-1260-8449
  • Zh.E. Gorodkov 1, postgraduate at the Oral and maxillofacial surgery Department
    ORCID: 0000-0002-3361-5576
  • T.A. Shternis 1, PhD in Medical Sciences, Associate Professor of the Public health and health informatics Department
    ORCID: 0000-0002-6045-2151
  • N.V. Malkov 2, maxillofacial surgeon, head of the Maxillofacial surgery and reconstructive plastic surgery Department
  • 1 Kemerovo State Medical University, 650056, Kemerovo, Russia
  • 2 Kuzbass Clinical Hospital, 650099, Kemerovo, Russia

Abstract

The incidence of maxillofacial trauma nowadays is increasing. According to the Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation the highest incidence of skull and facial fractures among other regions is found in Kuzbass. Thus, there is an unmet need for clinical and statistical analysis of maxillofacial fractures in this region.
Materials and methods.
Incidence of skull and facial bone fractures based on data provided by the medical information-analytical center of Kuzbass for the period from 2015 to 2020 was analyzed. A retrospective review on a series of 3843 medical records of patients, who had been treated at the departments of oral and maxillofacial surgery of Kemerovo and Novokuznetsk state hospitals between 2015 and 2020, was conducted. Etiology and fracture types with corresponding incidence were evaluated, with subsequent calculation of proportion of maxillofacial trauma types.
Results.
This study has shown mean prevalence rate of facial fractures of 23.8 per 100,000 pop. cases between 2015 and 2020 in the Kuzbass departments of oral and maxillofacial surgery. A slight decreasing trend in maxillofacial injuries was noted with a mean decrement rate of 2.3%. A significant mean increase of multiple facial fracture rate was discovered — 6.7% annually. Mandible fractures were most common among all maxillofacial trauma patients reaching rate of 78.8%, mainly due to criminal injuries, civilian trauma and sports-related injuries, ranging between 81.4 and 86 per cent. The most common cause (in 57.9% of cases) of maxillofacial injury was criminal injuries. The maxillofacial injuries were most common in males. The overall ratio of males to females was 7.2:1. Facial fractures were prevalent mainly in patients between 18 and 44 years of age (70.2—83.8%). The proportion of pediatric subjects (0—17 years) among other age groups was 4.7%.

Key words:

maxillofacial region, facial bone fractures, injuries, mandible fracture

For Citation

[1]
Golavskiy P.I., Pylkov A.I., Gorodkov Zh.E., Shternis T.A., Malkov N.V. Clinical and statistical analysis of maxillofacial trauma in Kuzbass. Clinical Dentistry (Russia).  2021; 24 (4): 114—121. DOI: 10.37988/1811-153X_2021_4_114

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Received

September 6, 2021

Accepted

October 18, 2021

Published on

December 1, 2021