TY - JOUR
T1 - Pattern and Management of Maxillofacial Trauma in Selected Trauma Units Across Africa
T2 - A Prospective Pilot Study
AU - Mabongo, Mzubanzi
AU - Parkins, Grace E.
AU - Aladelusi, Timothy
AU - Abdullahi, Mohammed Adam Sheikh
AU - Ngamo, Félicité Ngounou
AU - Ayo-Yusuf, Imade J.
AU - Blankson, Paa Kwesi
AU - Nokaneng, Emmy N.
AU - Mfolo, Tshepiso
AU - Boamah, Matthew O.
N1 - Publisher Copyright:
© The Association of Oral and Maxillofacial Surgeons of India 2024.
PY - 2024/12
Y1 - 2024/12
N2 - Introduction: Trauma to the facial region could lead to considerable social, psychological and economic consequences. With the African region being a major contributor to global trauma events, we set out to describe the epidemiology and management of maxillofacial trauma in selected trauma units across Africa. Materials and Methods: This was a six-month prospective multicentre study carried out during March—September 2021.The study involved five major hospitals across the African continent. The patterns of maxillofacial injuries were recorded and patients managed according to local standardized operating protocols. Treatment delays and postoperative complications were recorded at review. Data analysis included descriptive statistics and regression analysis (p < 0.05). P Findings. A total of 195 patients were included in the study. The age range of patients was 1–87 years, with a mean age of 32.4 (SD = ± 16.1). The study population consisted of 43 (22.1%) females, accounting for a Male:Female ratio of 3.5:1. Lacerations were the most common soft tissue injuries observed, while the prevalence of upper-, mid-, and lower- third fractures were 5.1%, 33.8%, and 19.5% respectively. There was loss of consciousness in 27.2%. Road crashes were the predominant aetiology of injuries, while 33.8% had concomitant injuries. About 38.3% of participants experienced treatment delays. Compared to employed patients, unemployed patients had significantly higher odds of experiencing treatment delays (OR = 3.76; 95%CI: 1.62 – 8.73). Conclusion: With the overwhelming contribution of road crashes, measures to ensure road safety are needed to significantly reduce maxillofacial injuries in the African region, while also reducing socioeconomic inequality to timely treatment.
AB - Introduction: Trauma to the facial region could lead to considerable social, psychological and economic consequences. With the African region being a major contributor to global trauma events, we set out to describe the epidemiology and management of maxillofacial trauma in selected trauma units across Africa. Materials and Methods: This was a six-month prospective multicentre study carried out during March—September 2021.The study involved five major hospitals across the African continent. The patterns of maxillofacial injuries were recorded and patients managed according to local standardized operating protocols. Treatment delays and postoperative complications were recorded at review. Data analysis included descriptive statistics and regression analysis (p < 0.05). P Findings. A total of 195 patients were included in the study. The age range of patients was 1–87 years, with a mean age of 32.4 (SD = ± 16.1). The study population consisted of 43 (22.1%) females, accounting for a Male:Female ratio of 3.5:1. Lacerations were the most common soft tissue injuries observed, while the prevalence of upper-, mid-, and lower- third fractures were 5.1%, 33.8%, and 19.5% respectively. There was loss of consciousness in 27.2%. Road crashes were the predominant aetiology of injuries, while 33.8% had concomitant injuries. About 38.3% of participants experienced treatment delays. Compared to employed patients, unemployed patients had significantly higher odds of experiencing treatment delays (OR = 3.76; 95%CI: 1.62 – 8.73). Conclusion: With the overwhelming contribution of road crashes, measures to ensure road safety are needed to significantly reduce maxillofacial injuries in the African region, while also reducing socioeconomic inequality to timely treatment.
KW - Africa
KW - Epidemiology
KW - Injuries
KW - Maxillofacial
KW - Pattern
KW - Trauma
UR - http://www.scopus.com/inward/record.url?scp=85204296532&partnerID=8YFLogxK
U2 - 10.1007/s12663-024-02332-z
DO - 10.1007/s12663-024-02332-z
M3 - Article
AN - SCOPUS:85204296532
SN - 0972-8279
VL - 23
SP - 1620
EP - 1626
JO - Journal of Maxillofacial and Oral Surgery
JF - Journal of Maxillofacial and Oral Surgery
IS - 6
ER -