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Characteristics on 621 cases of craniomaxillofacial fractures

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

This study examined a single center’s experience with regards to etiology and distribution of fractures treated from July 2015 to August 2016 in Shanghai, China.

Methods

The medical records of 621 patients with craniomaxillofacial fractures were reviewed. Patient notes and radiographic images were analyzed for detailed injury data. Age, gender, etiology, and site of fracture were examined. Chi-square test was used to analyze the causes of single and multiple fractures. p < 0.05 was considered statistically significant.

Results

This study included 426 male and 195 female with a male-to-female ratio of 2.18:1, among which 28.3% were between 19 and 29 years (n = 176). In all the fracture sites, orbit was most commonly involved (n = 319, 51.4%). Traffic accidents (n = 304, 49%) were the most common cause of injury in this study, while ground-level falls were the most common cause of injury in children (n = 19, 41.3%). The probability of multiple fractures due to falling from height (88.6%, p < 0.05) and traffic accidents (73.3%, p < 0.05) were significantly higher than that of other injuries. Orbital fractures have the highest surgical rate (n = 288, 90.3%).

Conclusion

Craniomaxillofacial fractures predominantly occur in young men, due to traffic accidents. Orbit was involved in most cases. Falling from height and traffic accidents is more likely to cause multiple fractures.

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Funding

This study received no funding.

Author information

Author notes

  1. Yang Lu and Hangqi Shen are the co-first authors.

Authors and Affiliations

  1. Department of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Yang Lu

  2. Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Hangqi Shen

  3. Department of Anesthesiology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Jiayi Wang

  4. Department of Oral and Craniomaxillofacial Sciences, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Shanghai, 200011, China

    Xiaofeng Lu

Authors
  1. Yang Lu
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  2. Hangqi Shen
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  4. Xiaofeng Lu
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Contributions

All authors contributed to study conception and design, data analysis, and drafting the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Xiaofeng Lu.

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Conflict of interest

Yang Lu and Hangqi Shen are the co-first authors. Yang Lu, Hangqi Shen, Jiayi Wang, and Xiaofeng Lu declare that they have no conflict of interest.

Statement of human rights

The study was approved by the School of medicine ethics Committee, Shanghai Jiao Tong University. It was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.

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Cite this article

Lu, Y., Shen, H., Wang, J. et al. Characteristics on 621 cases of craniomaxillofacial fractures. Eur J Trauma Emerg Surg 45, 893–900 (2019). https://doi.org/10.1007/s00068-018-0950-7

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  • DOI: https://doi.org/10.1007/s00068-018-0950-7

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