RESEARCH PAPER
Epidemiological assessment of maxillofacial fractures in inhibitants of Lower Silesia, Poland, in 2002–2006 – Treatment of maxillofacial fracture
1
Department of Oral Surgery, Wroclaw Medical University, Wrocław, Poland
2
Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Wrocław, Poland
3
Laboratory of Neurotoxicology and Environmental Diagnostics, Wroclaw Medical University, Wroclaw, Poland
Corresponding author
Justyna Bazan
Laboratory of Neurotoxicology and Environmental Diagnostics, Wrocław Medical University, K. Bartla 5, 51-618 Wrocław, Poland
Laboratory of Neurotoxicology and Environmental Diagnostics, Wrocław Medical University, K. Bartla 5, 51-618 Wrocław, Poland
J Pre Clin Clin Res. 2015;9(1):57-62
KEYWORDS
ABSTRACT
Introduction and objective:
Epidemiological assessment of maxillofacial fractures carried out by a given specialized centre may constitute valuable material for comparison with other regions of Poland and the European Union. This material could help standardize the present methods of treating craniofacial skeleton dislocations, and plan appropriate financial resources both for specialized treatment of such fractures and fractures that require multidisciplinary care. Moreover, the frequency of complicated maxillofacial fractures leading to residual disability and circumstances in which fracture occurred may be useful for the Social Security authorities.
Material and Methods:
This study is a continuation of research on maxillofacial traumatology carried by the Maxillofacial Department of the Medical University in Wrocław, Lower Silesia. Since 1956, a statistical review of maxillofacial fractures has been kept in 5 or 10-year periods. Statistical analysis of this kind is useful in indentifying the frequency of the phenomenon, taking suitable treatment precautions, verifying treatment methods, and analyzing costs and losses incurred as a result of absence at work. Sociological aspect of such studies includes indicating sources of socially adverse phenomena, i.e. violence or alcohol abuse. The studies were based on clinical documentation of 937 patients, where dependencies between chosen parameters were identified. As a basic statistical analysis of variable interdependence the χ2 test of independence was applied.
Conclusions:
Lately, there have been more maxillofacial fractures resulting from civilization changes. Simultaneously, there are new treatment methods and significant progress has been made regarding materials that are used in these treatments.
Epidemiological assessment of maxillofacial fractures carried out by a given specialized centre may constitute valuable material for comparison with other regions of Poland and the European Union. This material could help standardize the present methods of treating craniofacial skeleton dislocations, and plan appropriate financial resources both for specialized treatment of such fractures and fractures that require multidisciplinary care. Moreover, the frequency of complicated maxillofacial fractures leading to residual disability and circumstances in which fracture occurred may be useful for the Social Security authorities.
Material and Methods:
This study is a continuation of research on maxillofacial traumatology carried by the Maxillofacial Department of the Medical University in Wrocław, Lower Silesia. Since 1956, a statistical review of maxillofacial fractures has been kept in 5 or 10-year periods. Statistical analysis of this kind is useful in indentifying the frequency of the phenomenon, taking suitable treatment precautions, verifying treatment methods, and analyzing costs and losses incurred as a result of absence at work. Sociological aspect of such studies includes indicating sources of socially adverse phenomena, i.e. violence or alcohol abuse. The studies were based on clinical documentation of 937 patients, where dependencies between chosen parameters were identified. As a basic statistical analysis of variable interdependence the χ2 test of independence was applied.
Conclusions:
Lately, there have been more maxillofacial fractures resulting from civilization changes. Simultaneously, there are new treatment methods and significant progress has been made regarding materials that are used in these treatments.
REFERENCES (24)
1.
Bartkowski S, Kaczmarczyk A. Influence of dental splints used in jaw fractures on the tissue of the periodontium. Czas Stomatol. 1965; 18: 1431–1433.
2.
Samolczyk D, Kosmicka-Jaskulska B, Poniewska A, Dybkowska-Klos H. Evaluation of the condition of the periodontium and oral hygiene in patients with conservative-orthodontic treatment of jaw fractures. Czas Stomatol. 1978; 31: 655–659.
3.
Wiltfang J. Osteosynthesis systems in mouth, jaw and facial surgery. HNO. 2002; 50: 800–811.
4.
Champy M. Mikroplates in Maxillofaciale Surgery. Rev Plast Surg. 1992; 62: 321–323.
5.
Pogorzelska-Stronczak B, Cieślik T, Wąsek A, Szporek B. Rating facial bone fractures with plates-fusion factions based on the five year clinical material. Czas Stomatol 1996; 49: 261–268.
6.
Tomaszewski T, Stodółkiewicz A, Koliński P, Bartoszcze-Tomaszewska M. The use of mini-and microplates in the treatment of fractures of the facial bones of the skull. Mag Stom. 1997; 7: 18–21.
7.
el-Degwi A, Mathog RH. Mandible fractures--medical and economic considerations. Otolaryngol Head Neck Surg. 1993; 108: 213–219.
8.
Korzon T, Zienkiewicz J, Rykaczewska J, Dziubinski Z, Hoffmann G. Epidemiology of fractures of the facial and skull bones in view of the Polish literature of the last 30 years and clinical data from the Maxillofacial Surgery Clinic of the Dental Institute of the Academy of Medicine in Gdansk. Czas Stomatol. 1981; 34: 277–284.
9.
Barańczak Z, Łazowski J. Statistical review and evaluation of treatments for 550 fractures of jaws and facial bones. Czas Stomatol. 1960; 13: 393–403.
10.
Pawela T, Szuba S, Dobaczewski Z, Cwioro F, Wnukiewicz J, Szolomicki H. Statistical survey of 5218 cases of craniofacial fractures treated at the Department of Maxillofacial Surgery of the Medical Academy at Wroclaw during 1961–1971. Czas Stomatol. 1976; 29: 237–243.
11.
Oleszkiewicz I, Korzon T, Dijakiewicz M, Kadyszewska J, Malik R, Paluchowska H, et al. Rating participation of certain factors in the development, course, and outcome during treatment of fractures of the jaw and zygomatico-jaw fractures. Czas Stomatol. 1995; 48: 661–669.
12.
Osmola K. Fractures of the facial skeleton in general practice. Forum Med Rodz. 2007; 1: 159–164.
13.
Pajnowski M, Ziuzio S, Gospodarek T, Bialozyk P, Kubas G. Analysis of facial skeletal fractures in the materials of the department of otolaryngology and maxillofacial surgery at the military hospital of Bydgoszcz. Otolaryngol Pol. 1995; 49 (Suppl 23): 115–118.
14.
Bruzgielewicz A, Osuch-Wójcikiewicz E, Niemczyk K, Bartoszewicz R, Kozłowska K. Analysis of diagnostic and traumatic bleeding from the nose. Otolaryngologia. 2007; 6: 88–92.
15.
Saigal K, Winokur RS, Finden S, Taub D, Pribitkin E. Use of three-dimensional computerized tomography reconstruction in complex facial trauma. Facial Plast Surg. 2005; 21: 214–220.
16.
Olszycki M, Kozakiewicz M, Salagierska-Barwinska A, Chrzastek J, Arkuszewski P, Stefanczyk L. Mono- and multislice computed tomography of the orbita injury. Klin Oczna. 2005; 107: 488–491.
17.
Kheirallah M, Mateńko D. Epidemiological analysis of mandibular fractures in patients treated in the Department of Oral and Maxillofacial Surgery, the Medical University of Warsaw in the years 1998–1992. Czas Stomatol. 1994; 47: 123–127.
18.
Kryst L, Bukowski W. Type of facial skeleton damage in patients treated in the Department of Maxillofacial Surgery in the years 1985–1995 with regard to methods of treatment and duration of hospitalization. Czas Stomatol. 1996; 49: 838–843.
19.
Kryst L, Piekarczyk J, Wanyura H, Samolczyk D, Szmurlo W, Werner A. Analysis of surgical-orthopaedic treatment of mandibular fractures in patients treated in the period 1984–1986. Czas Stomatol. 1990; 43: 81–84.
20.
Bogusiak K, Arkuszewski P. Characteristics and epidemiology of zygomaticomaxillary complex fractures. J Craniofac Surg. 2010; 21: 1018–1023.
21.
Bormann KH, Wild S, Gellrich NC, Kokemuller H, Stuhmer C, Schmelzeisen R, et al. Five-year retrospective study of mandibular fractures in Freiburg, Germany: incidence, etiology, treatment, and complications. J Oral Maxillofac Surg. 2009; 67: 1251–1255.
22.
Erol B, Tanrikulu R, Gorgun B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg. 2004; 32: 308–313.
23.
Tomaszewski T, Bartoszcze M. Surgical treatment of mandibular fractures. Mag Stom. 1993; 3: 18–20.
24.
Jaques B, Richter M, Arza A. Treatment of mandibular fractures with rigid osteosynthesis: using the AO system. J Oral Maxillofac Surg. 1997; 55: 1402–1406; discussion 1406–1407.
Share
RELATED ARTICLE
| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
