FREQUENCY, SITE AND PATTERN OF COMMON SOFT TISSUE INJURIES IN MAXILLOFACIAL REGION IN PATIENTS PRESENTING TO AYUB TEACHING HOSPITAL ABBOTTABAD

Bakhtawer Aziz; Rabia Syed; Syed Majid Hussain Shah

doi:10.37762/jgmds.13-1.801

Authors

Bakhtawer Aziz Ayub College of Dentistry,Abbottabad.
Rabia Syed Ayub Medical College of Dentistry, Abbottabad
Syed Majid Hussain Shah Ayub Medical College of Dentistry, Abbottabad

DOI:

https://doi.org/10.37762/jgmds.13-1.801

Keywords:

Key words: Facial Injuries, Accidental Falls, Lacerations, forehead, Accidents; Traffic, helmet., Facial Injuries, Accidental Falls, Lacerations, forehead, Accidents, Traffic, Helmet

Abstract

ABSTRACT

Objective: Objective of the study was to determine the frequency, site and pattern of common soft tissue injuries in the maxillofacial region among patients presenting to the trauma centre and maxillofacial OPD in Ayub Teaching Hospital Abbottabad (ATH ATD) and to determine the results based on the presence or absence of helmet use.

Methods: A cross-sectional study was done at the trauma centre and Maxillofacial OPD in ATH Abbottabad, Pakistan, from 15^th August 2024 to 15^th June 2025.A total of 126 participants were included in the study. Data was collected using a questionnaire. Frequency, site and pattern of common soft tissue injuries were assessed in motorcyclists with or without helmet use. Data was analyzed using SPSS 27.

Results: Total sample size was 126. Fall 78(61.9%) was most common cause of injury to maxillofacial soft tissues followed by RTA 31(24. 6%).Out of total of 20(15.9%)motorcyclists with RTA included in study, none of them were wearing helmet. Forehead 31(24.6%) was most common site of soft tissue injury. Extra oral laceration 85(67.5%) was most common type of soft tissue injury in maxillofacial region.

Conclusions: Injuries to the maxillofacial region are common findings, with falls being the most common cause, the forehead as a common site and extraoral laceration being a common pattern for soft tissue injuries of the maxillofacial region in patients presenting to ATH, ATD.

Key words: Facial Injuries, Accidental Falls, Lacerations, forehead, Accidents; Traffic, helmet.

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Author Biographies

Bakhtawer Aziz, Ayub College of Dentistry,Abbottabad.

Resident Surgeon, Department of Maxillofacial Surgery, Ayub Medical College of Dentistry, Abbottabad

Rabia Syed, Ayub Medical College of Dentistry, Abbottabad

Consultant, Department of Oral and Maxillofacial Surgery, Ayub Medical College of Dentistry, Abbottabad

Syed Majid Hussain Shah, Ayub Medical College of Dentistry, Abbottabad

Assistant Professor, Department of Maxillofacial Surgery, Ayub Medical College of Dentistry, Abbottabad

References

Datarkar A, Tayal S. Management of soft tissue injuries in the maxillofacial region. In: Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A, editors. Oral and Maxillofacial Surgery for the Clinician. Singapore: Springer Nature; 2021. p. 997–1012 DOI: https://doi.org/10.1007/978-981-15-1346-6_49

Khan TU, Rahat S, Khan ZA, Shahid L, Banouri SS, Muhammad N. Etiology and pattern of maxillofacial trauma. PLoS One. 2022;17(9):e0275515. doi:10.1371/journal.pone.0275515 DOI: https://doi.org/10.1371/journal.pone.0275515

Arif MZ, Rajanikanth BR, Prasad K. Soft tissue injuries of the maxillofacial region occurring from motorcycle accidents. J Maxillofac Oral Surg. 2019;18(3):432–9. doi:10.1007/s12663-018-1168-7 PMID: 31413766 DOI: https://doi.org/10.1007/s12663-018-1149-5

Col S, Menon S, Aishwarya M, Mohan R, Nimmagadda J, Manohar S, et al. Maxillofacial soft tissue injury trends: a recent institutional experience. J Maxillofac Oral Surg. 2023;22(3):xxx–xxx

Niazi TM, Subramanian AKR, Diana C, Pughalaendhi N, Gurunathan U, Kathiresan NGS. Prevalence and pattern of adult maxillofacial injuries: an institution-based retrospective study. J Pharm Bioallied Sci. 2020;12(Suppl 1):S472–9. PMID: 33425524 DOI: https://doi.org/10.4103/jpbs.JPBS_142_20

Mukhopadhyay S, Galui S. Oral and maxillofacial injuries in children: a retrospective study. Indian J Dent Res. 2020;46(3):183–90 DOI: https://doi.org/10.5125/jkaoms.2020.46.3.183

Jain S, Iverson LM. Glasgow Coma Scale. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. PMID: 30020670

Obiri-Yeboah S, Larmie R, Gyimah N, Oti A, Asomaoh E, Donkor P. Maxillofacial injuries at the Komfo Anokye Teaching Hospital, Kumasi, Ghana: a preliminary study. Open J Stomatol. 2021;11(4):133–47. doi:10.4236/ojst.2021.114012 DOI: https://doi.org/10.4236/ojst.2021.113011

Guo HQ, Yang X, Wang XT. Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: a two-year retrospective study. Dent Traumatol. 2021;37(3):479–87. doi:10.1111/edt.12641 PMID: 33305417 DOI: https://doi.org/10.1111/edt.12655

Albayati A, Özkan B, Eyüboğlu A, Uysal ÇA, Ertaş NM. A descriptive study of facial lacerations presenting to pediatric emergency in Turkey. Ulus Travma Acil Cerrahi Derg. 2021;27(1):61–6. doi:10.14744/tjtes.2020.70707 PMID: 33349863 DOI: https://doi.org/10.14744/tjtes.2020.57879

Septian D, Sundari M, Sjamsudin E, Sylvyana M, Marwansyah E. Emergency management of maxillofacial soft tissue wounds due to physical trauma. Int J Med Biomed Stud. 2023;7(3):28–36. doi:10.32553/ijmbs.v7i3.2983 DOI: https://doi.org/10.32553/ijmbs.v7i1.2657

Yari A, Fasih P. Prevalence and pattern of maxillofacial injuries associated with domestic violence: a retrospective study at a major trauma center. J Craniomaxillofac Surg. 2024;40(Suppl 2):61–8. doi:10.1016/j.jcms.2024.01.015 DOI: https://doi.org/10.1111/edt.12903

Maurer M, Schlipköter C, Gottsauner M, Waiss W, Meier JK, Fiedler M, et al. Animal bite injuries to the face: a retrospective evaluation of 111 cases. J Clin Med. 2023;12(21):6932. doi:10.3390/jcm12216932 PMID: 37966707 DOI: https://doi.org/10.3390/jcm12216942

Lee K, Lee JH, Kim YJ. Environmental risk factors for fall-related facial injuries in community settings. Injury. 2021;52(6):1458–65. doi:10.1016/j.injury.2021.04.020 PMID: 33894313 DOI: https://doi.org/10.1016/j.injury.2021.04.020

Ratanavaraha V, Suwanratchatamanee T, Pongpanich S. Protective effect of motorcycle helmets on facial soft-tissue injuries: a multicentre registry study. Accid Anal Prev. 2022;170:106639. doi:10.1016/j.aap.2022.106639 DOI: https://doi.org/10.1016/j.aap.2022.106639

Zhang L, Yang KH, King AI. Biomechanics of frontal head impact and implications for facial injury patterns. J Biomech. 2020;103:109697. doi:10.1016/j.jbiomech.2020.109697 PMID: 32534938

Knapik JJ, Marshall SW, Lee RB. Effectiveness of protective equipment in reducing orofacial injuries in youth sports. Sports Med. 2019;49(8):1253–67. doi:10.1007/s40279-019-01138-0 PMID: 31020607 DOI: https://doi.org/10.1007/s40279-019-01121-w

Sheridan DJ, Nash KR. Patterns of facial injury in victims of interpersonal violence. J Oral Maxillofac Surg. 2020;78(9):1512–20. doi:10.1016/j.joms.2020.04.020 PMID: 32425387 DOI: https://doi.org/10.1016/j.joms.2020.04.020

Menick FJ, Salibian AH. Principles of facial soft-tissue reconstruction and aesthetic subunits. Plast Reconstr Surg. 2021;147(2):395–410. doi:10.1097/PRS.0000000000007473 PMID: 33512872 DOI: https://doi.org/10.1097/PRS.0000000000007473