Em Traumas da Face e Fraturas da Face

Luis Pagotto, et al.
International Journal of Oral and Maxillofacial Surgery
Volume 38, Issue 5, May 2009, Pages 493
Impact Factor: 1,359
DOI: 10.1016 / j.ijom.2009.03.346


Background and Objectives: The objective of this study was to update the epidemiology of 815 cases of facial fractures at the Hospital Municipal de Urgências de Guarulhos, Brazil.

Methods: In a retrospective evaluation from January 2006 to December 2008 we have treated 815 cases of facial fractures in our Oral and Maxillofacial Urgency Service. We have statistically analysed the cases in relation of aetiology, gender, age, classification and localisation of the fracture as soon as the treatment form.

Results: Out of 815 cases treated, 36% were due to interpersonal injury, 30% from car accidents, 14% from gunshots and 20% from domestic accidents including falls. 63% of patients were male and 47% female. The average age was 26.7 years of age. The most prevalent fractures were mandible fractures with 22.7% followed by nasal bone fractures, 20.4%; zygomatic fractures, 18.2%; middle third fractures (Le Fort I, Le Fort II, Le Fort III), 13.0%; dentoalveolar fractures, 11.9%, multiple associated fractures 7.2%, naso-orbital-ethmoid fractures, 2.7%, only orbital fractures, 2.4% and superior third fractures 1.5%. 83% of all fractures were surgically treated. 17% were treated with non-surgical approach.

Conclusion: Mandibular fractures and nasal bone fractures were the most prevalent fractures. Zygomatic fractures were the third most common fractures. Facial fractures were most common in male in our service. The main aetiologies were due interpersonal fights and car accidents, and most fractures were surgically treated. Our statistics is comparable with world statistics differing only in percentage of which type of fractures.

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