PMID- 21660436 OWN - NLM STAT- MEDLINE DCOM- 20120327 LR - 20220408 IS - 1865-1569 (Electronic) IS - 1865-1550 (Linking) VI - 15 IP - 4 DP - 2011 Dec TI - Maxillofacial injuries in western Iran: a prospective study. PG - 201-9 LID - 10.1007/s10006-011-0277-6 [doi] AB - INTRODUCTION: Although the epidemiology of facial injuries has been studied in many populations, there is a paucity of information in the literature in this relation in the Middle East including Iran. The aim of this study was to assess the epidemiology and mode of treatment of facial injuries in western Iran. MATERIAL AND METHODS: We examined all patients with a maxillofacial injury who presented to the outpatient department or who were hospitalized in the Besat Hospital of Hamedan City, Iran, between 20 December 2007 and 20 December 2009. RESULTS: Of 2,450 patients (77% male, 23% female) with a facial injury, 90% sustained soft tissue injuries and 37% had bone fractures. Motor vehicle accidents (MVAs) were the most common cause of injuries (35%). The most frequent bone fracture occurred in the nasal bone (63.4%). The incidence of associated injuries was 8.3% (mostly orthopedic). Rigid internal fixation was the main treatment of facial fractures. Malpositioned zygomas and functional and aesthetic problems after reconstruction of nasal-orbital-ethmoid injuries were the most common postoperative complications. DISCUSSION: Although in many countries the rate of facial injuries due to traffic accidents is decreasing, MVA is still the major cause of facial trauma in Iran. This may be due to the lack of enforcement of traffic laws by police and insufficient compliance of the population in obeying traffic rules. Rigid internal fixation was the most common mode of treatment of facial fractures, and in spite of the severity of facial injuries, the rate of postoperative complications was relatively low. FAU - Zandi, Mohammad AU - Zandi M AD - Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hamedan University of Medical Sciences, Shahid Fahmideh Street, Hamedan, Iran. zandi88m@yahoo.com FAU - Khayati, Adell AU - Khayati A FAU - Lamei, Arash AU - Lamei A FAU - Zarei, Hamid AU - Zarei H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110610 PL - Germany TA - Oral Maxillofac Surg JT - Oral and maxillofacial surgery JID - 101319632 SB - IM MH - Accidents, Traffic/statistics & numerical data MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Female MH - Fracture Fixation, Internal MH - Humans MH - Infant MH - Iran/epidemiology MH - Male MH - Maxillofacial Injuries/*epidemiology/*surgery MH - Middle Aged MH - Multiple Trauma/epidemiology MH - Postoperative Complications MH - Prospective Studies MH - Skull Fractures/epidemiology/surgery MH - Young Adult EDAT- 2011/06/11 06:00 MHDA- 2012/03/28 06:00 CRDT- 2011/06/11 06:00 PHST- 2011/02/22 00:00 [received] PHST- 2011/05/27 00:00 [accepted] PHST- 2011/06/11 06:00 [entrez] PHST- 2011/06/11 06:00 [pubmed] PHST- 2012/03/28 06:00 [medline] AID - 10.1007/s10006-011-0277-6 [doi] PST - ppublish SO - Oral Maxillofac Surg. 2011 Dec;15(4):201-9. doi: 10.1007/s10006-011-0277-6. Epub 2011 Jun 10.