Maxillofacial Fractures in a University Hospital in Central Brazil

Autores

  • Orlando Aguirre Guedes University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Andreza Maria Fábio Aranha University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • João Milanez Moreira-Júnior University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Dyego do Estreito Deliberali University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Alessandra Nogueira Porto University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Fábio Luís Miranda Pedro University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil.
  • Cyntia Rodrigues de Araújo Estrela Universidade de Cuiabá - UNIC
  • Álvaro Henrique Borges University of Cuiabá, Stricto Sensu Graduate Program in Integrated Dental Sciences, MT, Brazil

DOI:

https://doi.org/10.17921/2447-8938.2019v21n1p51-57

Resumo

Avaliou-se os aspectos epidemiológicos das fraturas oralmaxilofaciais em prontuários de pacientes atendidos em um Hospital Universitário do Brasil central. A amostra do estudo foi proveniente da revisão de prontuários de 346 pacientes atendidos no Serviço de Cirurgia e Traumatologia Oralmaxilofacial do Hospital Geral Universitário na cidade de Cuiabá, Mato Grosso, Brasil. Os seguintes dados foram coletados dos registros hospitalares de cada paciente: sexo, idade, fator etiológico, região anatômica afetada, procedência, distribuição sazonal e período de internação. O tratamento estatístico analisou os dados frente à distribuição de frequência e qui-quadrado. O nível de significância foi de p<0,05. Observou-se elevada frequência de fraturas oralmaxilofaciais em indivíduos do sexo masculino (n=290; 83,8%), com idade variando entre 21-30 anos (n=120; 34,5%) e provenientes de cidades do interior do estado do Mato Grosso (n=169; 48,8%). Os principais fatores etiológicos foram os acidentes de trânsito motorizados (n=169; 48,9%), violência (n=65; 18,8%) e quedas (n=25; 7,2%). A distribuição sazonal evidenciou elevado número de lesões no outono (n=89; 25,8%), inverno e primavera (n=77; 22,2%, cada um). O terço inferior da face foi a região mais comumente envolvida (n=276; 54,3%). A injúria mais comum foi a fratura do complexo zigomático (n=146; 28,7%), seguida da fratura do corpo da mandíbula (n=99; 19,4%). Os dados obtidos se assemelham aos encontrados na literatura, no que diz respeito à prevalência do sexo masculino, da faixa etária e dos acidentes de trânsito como principal agente etiológico.

Palavras-chave: Traumatismod Dentários. Ossos Faciais. Epidemiologia. Cirurgia Bucal.

 

Abstract

The objective of this study was to evaluate epidemiological aspects of maxillofacial fractures in 346 hospitalized patients treated at the Department of Oral and Maxillofacial Surgery of the University General Hospital, Mato Grosso, Brazil. The following information was collected from the patients’ medical records: gender, age, etiologic factor, type of injury, patient origin, seasonal distribution and hospital stay period. The statistical treatment analyzed data from frequency distribution and chi-squared test. The level of significance was set at 5% for all analyses. The highest incidence of maxillofacial fractures was found among males (n=290; 83.8%), with 21-30 years-old (n=120; 34.5%) and from inner cities of Mato Grosso (n=169; 48.9%). The main etiologic factor were vehicle traffic accidents (n=169; 48.9%), violence (n=65; 18.8%) and falls (n=25; 7.2%). The seasonal distribution showed that most of the cases occurred in the fall (n=89; 25.8%), winter and spring (n=77; 22.2% each). The lower third of the face was the most commonly involved region  (n=276; 54.3%). The most frequently observed fracture involved the zygomatic complex (n=146; 28.7%), followed by the mandible body (n=99; 19.4%). The epidemiological aspects of maxillofacial fractures in this study were similar to those observed in other studies, regarding the prevalence of the male, age group and traffic accidents as the main etiological factor.

Keywords: Tooth Injuries. Facial Bones. Epidemiology. Surgery, Oral.

 

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Publicado

2019-03-30

Como Citar

1.
Guedes OA, Aranha AMF, Moreira-Júnior JM, Deliberali D do E, Porto AN, Pedro FLM, et al. Maxillofacial Fractures in a University Hospital in Central Brazil. J. Health Sci. [Internet]. 30º de março de 2019 [citado 22º de dezembro de 2024];21(1):51-7. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6199

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v. 21 n. 1 (2019)

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Artigos

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