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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(02): e309-e315
DOI: 10.1055/s-0042-1744256
Original Research

Patterns of Maxillofacial Injures Caused by Motorcycle Accidents

Imad S. Noorali 
1   Oral and Maxillofacial Surgery Unit, Al-Yarmouk Teaching Hospital, Baghdad, Iraq
,
Marwa A. Attyia 
1   Oral and Maxillofacial Surgery Unit, Al-Yarmouk Teaching Hospital, Baghdad, Iraq
,
Mudher M. B. Alsunbuli 
2   Oral and Maxillofacial Surgery Department, College of Dentistry, Al-Bayan University, Baghdad, Iraq
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Abstract

Introduction Motorcycles are used as a common means of transportation, and motorcycle accidents are responsible for a major portion of trauma injuries.

Objectives The purpose of this study was to analyze the patterns of facial injuries in motorcyclists, to evaluate the types of injuries, and to investigate if the accident-related factors had any impact on the characteristics of the injuries.

Methods This retrospective observational study included 74 patients with maxillofacial injuries following motorcycle-related accidents. Investigated data were divided into four main categories: sociodemographic, accident-related, injury-related, and treatment-related.

Results All the patients were males with a mean age (±SD) of 25.03 (±9.986) years. Most accidents (n = 44, 59.4%) occurred in the evening. Most of the patients (n = 40, 54%) were traveling on motorcycle models that had maximum speed of over 120 km/h. Furthermore, 15 patients (18.9%) were under the influence of alcohol during the crashes and only one patient was wearing a helmet. Fractures of the maxillofacial bones were observed in 50 (67.5%) crash victims; 24 of them (48%) had middle third fractures, 11 (22%) had mandibular fractures, and 15 patients (30%) presented with a combination of lower, middle, and upper third fractures.

Conclusion Almost all patients were not wearing helmets at the moment of the crash. The most common fractured site was the maxilla. The majority of the patients received surgical treatment. Increased enforcement of safety measures for riders and raising awareness about the dangers of motorcycle crashes are required measures to improve traffic safety and, ultimately, population health.

Keywords

maxillofacial injuries - head protective devices - motorcycles - accidents - traffic


Publication History

Received: 10 June 2021

Accepted: 31 January 2022

Article published online:
28 April 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Salvarani CP, Colli BO, Carlotti Júnior CG. Impact of a program for the prevention of traffic accidents in a Southern Brazilian city: a model for implementation in a developing country. Surg Neurol 2009; 72 (01) 6-13 , discussion 13–14
    CrossrefPubMedGoogle Scholar
  • 2 Mosaddad SA, Gheisari R, Erfani M. Oral and maxillofacial trauma in motorcyclists in an Iranian subpopulation. Dent Traumatol 2018; 34 (05) 347-352
    CrossrefPubMedGoogle Scholar
  • 3 Forum IT. (2015).Improving Safety for Motorcycle, Scooter and Moped Riders.
    Google Scholar
  • 4 Al-Ghabban S, Abdul-Sahib M, Waleed M. Risk factors and pattern of injuries in motorcycle accidents in Holy Karbala. Journal of Medicine 2013; 6 (01) 1552-1560
    Google Scholar
  • 5 Vaca EE, Bellamy JL, Sinno S, Rodriguez ED. Management of High-energy Avulsive Ballistic Facial Injury: A Review of the Literature and Algorithmic Approach. Plast Reconstr Surg Glob Open 2018; 6 (03) e1693
    CrossrefPubMedGoogle Scholar
  • 6 Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T. Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg 2014; 52 (10) 901-906 DOI: 10.1016/j.bjoms.2014.08.007.
    CrossrefPubMedGoogle Scholar
  • 7 Oginni FO, Ugboko VI, Ogundipe O, Adegbehingbe BO. Motorcycle-related maxillofacial injuries among Nigerian intracity road users. J Oral Maxillofac Surg 2006; 64 (01) 56-62
    CrossrefPubMedGoogle Scholar
  • 8 Adebayo ET, Ajike OS, Adekeye EO. Analysis of the pattern of maxillofacial fractures in Kaduna, Nigeria. Br J Oral Maxillofac Surg 2003; 41 (06) 396-400
    CrossrefPubMedGoogle Scholar
  • 9 Nwadiaro HC, Ekwe KK, Akpayak IC, Shitta H. Motorcycle injuries in North-Central Nigeria. Niger J Clin Pract 2011; 14 (02) 186-189
    CrossrefPubMedGoogle Scholar
  • 10 Ramli R, Abdul Rahman R, Abdul Rahman N. et al. Pattern of maxillofacial injuries in motorcyclists in Malaysia. J Craniofac Surg 2008; 19 (02) 316-321
    CrossrefPubMedGoogle Scholar
  • 11 Ruslin M, Brucoli M, Boffano P. et al. Motor vehicle accidents-related maxillofacial injuries: a multicentre and prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128 (03) 199-204 DOI: 10.1016/j.oooo.2018.12.009.
    CrossrefPubMedGoogle Scholar
  • 12 Alghnam S, Alsulaim HA, BinMuneif YA. et al. Injuries following motorcycle crashes at a level-1 trauma center in Riyadh. Ann Saudi Med 2019; 39 (03) 185-191
    CrossrefPubMedGoogle Scholar
  • 13 Usha M, Ravindran V, Soumithran CS, Ravindran Nair KS. The impact of mandatory helmet law on the outcome of maxillo facial trauma: a comparative study in kerala. J Maxillofac Oral Surg 2014; 13 (02) 176-183
    CrossrefPubMedGoogle Scholar
  • 14 Bali R, Sharma P, Garg A, Dhillon G. A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India. J Inj Violence Res 2013; 5 (02) 108-116
    CrossrefPubMedGoogle Scholar
  • 15 Kadkhodaie MH. Three-year review of facial fractures at a teaching hospital in northern Iran. Br J Oral Maxillofac Surg 2006; 44 (03) 229-231
    CrossrefPubMedGoogle Scholar
  • 16 Granieri SS, Reitano EE, Bindi FF, Renzi FF, Sammartano FF, Cimbanassi SS, Gupta SS, Chiara OO. Motorcycle-related trauma:effects of age and site of injuries on mortality. A single-center, retrospective study. World J Emerg Surg 2020; Mar 10; 15 (01) 18 DOI: 10.1186/s13017-020-00297-1.
    CrossrefPubMedGoogle Scholar
  • 17 Sohal KS, Kalyanyama BM, Owibingire SS. Maxillofacial Fractures among Motorcycle Crash Victims Attended at a Tertiary Hospital in Tanzania. Panam J Trauma Crit Care Emerg Surg 2019; 8 (03) 158-164
    CrossrefGoogle Scholar
  • 18 Agbor AM, Azodo CC, Ebot EB, Naidoo S. Dentofacial injuries in commercial motorcycle accidents in Cameroon: pattern and cost implication of care. Afr Health Sci 2014; 14 (01) 77-82
    CrossrefPubMedGoogle Scholar
  • 19 Nyameino S, Butt F, Guthua SW, Macigo F, Akama M. Occurrence and Pattern of Maxillofacial Injuries Caused by Motorcycle Crashes Presenting at Two Major Referral Hospitals in Nairobi, Kenya. Craniomaxillofac Trauma Reconstr Open 2018; 2 (01) s-0038-s-1660434
    CrossrefGoogle Scholar
  • 20 Saidi H, Mutisto BK. Motorcycle injuries at a tertiary referral hospital in Kenya: injury patterns and outcome. Eur J Trauma Emerg Surg 2013; 39 (05) 481-485
    CrossrefPubMedGoogle Scholar
  • 21 Galukande MJJ, Fualal J, Gakwaya A. Department of Surgery MH, Department of Surgery, Kampala, Uganda. Boda-boda injuries a health problem and a burden of disease in Uganda: A tertiary hospital survey. East Cent Afr J Surg 2009; 14 (02) 33-37
    Google Scholar
  • 22 Ong TK, Dudley M. Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries. Injury. 1999;30(5):357–63, Worrall SF. Mechanisms, pattern and treatment costs of maxillofacial injuries. Injury 1991; 22 (01) 25-28
    PubMedGoogle Scholar
  • 23 Kraus JF, Rice TM, Peek-Asa C, McArthur DL. Facial trauma and the risk of intracranial injury in motorcycle riders. Ann Emerg Med 2003; 41 (01) 18-26
    CrossrefPubMedGoogle Scholar
  • 24 Deliverska E. Maxillofacial fractures in patients with multiple injuries and polytrauma. J of IMAB 2016; 22 (02) 1120-1126
    CrossrefGoogle Scholar
  • 25 Lindqvist C, Sorsa S, Hyrkäs T, Santavirta S. Maxillofacial fractures sustained in bicycle accidents. Int J Oral Maxillofac Surg 1986; 15 (01) 12-18
    CrossrefPubMedGoogle Scholar
  • 26 Al-Khateeb T, Abdullah FM. Craniomaxillofacial injuries in the United Arab Emirates: a retrospective study. J Oral Maxillofac Surg 2007; 65 (06) 1094-1101
    CrossrefPubMedGoogle Scholar
  • 27 Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head Face Med 2005; 1: 7
    CrossrefPubMedGoogle Scholar
  • 28 Salentijn EG, Peerdeman SM, Boffano P, van den Bergh B, Forouzanfar T. A ten-year analysis of the traumatic maxillofacial and brain injury patient in Amsterdam: incidence and aetiology. J Craniomaxillofac Surg 2014; 42 (06) 705-710 DOI: 10.1016/j.jcms.2013.12.008.
    CrossrefPubMedGoogle Scholar