Orofacial trauma in rural India: A clinical study
Identifieur interne : 000132 ( Main/Exploration ); précédent : 000131; suivant : 000133Orofacial trauma in rural India: A clinical study
Auteurs : Sunita Malik [Inde] ; Gurdarshan Singh [Inde] ; Gagandeep Kaur [Inde] ; Sunil Yadav [Inde] ; Hitesh C. Mittal [Inde]Source :
- Chinese Journal of Traumatology [ 1008-1275 ] ; 2017.
Abstract
Orofacial trauma is becoming a leading medical problem worldwide. Most of the studies pertaining to orofacial trauma have been done in urban areas but very little scientific literature is available for rural areas.
A prospective medical institute-based study of orofacial injury patients was carried out from May 2013 to April 2016 (36 Months). Data regarding incidence, age and sex distribution, causes, types and site of injury, treatment modalities and trauma associated complications were collected and analysed.
A total of 784 patients were studied. Males outnumbered females by a ratio of 2.9:1. Age range was 9 months–75 years with the peak incidence in the age-group of 18–34 years. Most injuries were caused by road-side accidents (72.7%), followed by assault and falls in 11.6% and 8% respectively. Soft tissue injuries and mandibular fractures were the most common type of injuries. Head/neck (50.29%) and limb injuries (27.2%) were the most prevalent associated injuries. Surgical debridement and soft tissue suturing was the most common emergency procedure. Closed reduction was performed in 61% of patients and open reduction and internal fixation in 30% of cases and 9% were managed conservatively. Complications occurred in 6.88% of patients, mainly due to infection and malocclusion. The mean duration of hospital stay was (10.12 ± 6.24) days.
This study highlights the importance of department of dental surgery along with other disciplinaries in the management of orofacial injuries. Road-side accident remains the major etiological factor of orofacial injuries in our setting.
Url:
DOI: 10.1016/j.cjtee.2016.10.006
PubMed: 28330802
PubMed Central: 5555248
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>Orofacial trauma is becoming a leading medical problem worldwide. Most of the studies pertaining to orofacial trauma have been done in urban areas but very little scientific literature is available for rural areas.</p>
</sec>
<sec><title>Methods</title>
<p>A prospective medical institute-based study of orofacial injury patients was carried out from May 2013 to April 2016 (36 Months). Data regarding incidence, age and sex distribution, causes, types and site of injury, treatment modalities and trauma associated complications were collected and analysed.</p>
</sec>
<sec><title>Results</title>
<p>A total of 784 patients were studied. Males outnumbered females by a ratio of 2.9:1. Age range was 9 months–75 years with the peak incidence in the age-group of 18–34 years. Most injuries were caused by road-side accidents (72.7%), followed by assault and falls in 11.6% and 8% respectively. Soft tissue injuries and mandibular fractures were the most common type of injuries. Head/neck (50.29%) and limb injuries (27.2%) were the most prevalent associated injuries. Surgical debridement and soft tissue suturing was the most common emergency procedure. Closed reduction was performed in 61% of patients and open reduction and internal fixation in 30% of cases and 9% were managed conservatively. Complications occurred in 6.88% of patients, mainly due to infection and malocclusion. The mean duration of hospital stay was (10.12 ± 6.24) days.</p>
</sec>
<sec><title>Conclusion</title>
<p>This study highlights the importance of department of dental surgery along with other disciplinaries in the management of orofacial injuries. Road-side accident remains the major etiological factor of orofacial injuries in our setting.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Inde</li>
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<tree><country name="Inde"><noRegion><name sortKey="Malik, Sunita" sort="Malik, Sunita" uniqKey="Malik S" first="Sunita" last="Malik">Sunita Malik</name>
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<name sortKey="Kaur, Gagandeep" sort="Kaur, Gagandeep" uniqKey="Kaur G" first="Gagandeep" last="Kaur">Gagandeep Kaur</name>
<name sortKey="Mittal, Hitesh C" sort="Mittal, Hitesh C" uniqKey="Mittal H" first="Hitesh C." last="Mittal">Hitesh C. Mittal</name>
<name sortKey="Singh, Gurdarshan" sort="Singh, Gurdarshan" uniqKey="Singh G" first="Gurdarshan" last="Singh">Gurdarshan Singh</name>
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