PMID- 32874072 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1013-9052 (Print) IS - 1658-3558 (Electronic) IS - 1013-9052 (Linking) VI - 32 IP - 6 DP - 2020 Sep TI - A cross-sectional study of the prevalence and severity of maxillofacial fractures resulting from motor vehicle accidents in Riyadh, Saudi Arabia. PG - 314-320 LID - 10.1016/j.sdentj.2019.09.009 [doi] AB - OBJECTIVES: To investigate the prevalence and severity of maxillofacial fractures resulting from motor vehicle accidents (MVAs) at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. MATERIALS AND METHODS: A cross-sectional study of 325 males (89%) and 47 females (9%) was conducted that retrospectively reviewed records of patients referred to oral and maxillofacial surgery department from emergency department from 1st January 2016 to 31st December 2017 at KAMC, Riyadh. RESULTS: A total of 372 subjects were included in the study. MVAs (80%) were the most prevalent cause of trauma. The age range most susceptible to MVAs was between 20 and 24 years old (28%). The most common site of fracture was the midface (64%), specifically orbit (32%). For mandibular fractures, the subcondylar was the most common site of fractures (19%). The most common treatment approach was conservative (65%). In terms of severity, approximately half of patients needed admission to the intensive care unit (ICU) (50%); the mean score on the Glasgow Coma Scale (GCS) was 11.34, but most scores fell in the mild range; and (68%) of subjects presented with other associated systemic injuries, especially orthopedic injuries (36%). CONCLUSIONS: MVAs were the main cause of trauma and affected mainly young males. The most common site of fracture was midface, specifically orbit. Subcondylar was the most prevalent fracture site for mandibular fractures. The severity of MVAs injuries was significantly higher compared to non-MVAs injuries. We suggest enforcing legislation and regulations on road safety such as the use of compulsory seat belts. CI - (c) 2019 The Authors. FAU - AlHammad, Ziyad AU - AlHammad Z AD - Saudi Board of Oral and Maxillofacial Surgery, Riyadh, Saudi Arabia. FAU - Nusair, Yanal AU - Nusair Y AD - Oral and Maxillofacial Surgery, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. FAU - Alotaibi, Sami AU - Alotaibi S AD - Saudi Board of Oral and Maxillofacial Surgery, Riyadh, Saudi Arabia. FAU - Ababtain, Razan AU - Ababtain R AD - Saudi Board of Oral and Maxillofacial Surgery, Riyadh, Saudi Arabia. FAU - Alsulami, Salma AU - Alsulami S AD - Internal Medicine, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia. FAU - Aljumah, Ghada AU - Aljumah G AD - Department of Oral and Maxillofacial Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20191011 PL - Saudi Arabia TA - Saudi Dent J JT - The Saudi dental journal JID - 9313603 PMC - PMC7452011 OTO - NOTNLM OT - Accidents OT - Maxillofacial injuries OT - Saudi Arabia OT - Traffic COIS- None. EDAT- 2020/09/03 06:00 MHDA- 2020/09/03 06:01 PMCR- 2019/10/11 CRDT- 2020/09/03 06:00 PHST- 2019/07/28 00:00 [received] PHST- 2019/09/19 00:00 [revised] PHST- 2019/09/29 00:00 [accepted] PHST- 2020/09/03 06:00 [entrez] PHST- 2020/09/03 06:00 [pubmed] PHST- 2020/09/03 06:01 [medline] PHST- 2019/10/11 00:00 [pmc-release] AID - S1013-9052(19)30783-7 [pii] AID - 10.1016/j.sdentj.2019.09.009 [doi] PST - ppublish SO - Saudi Dent J. 2020 Sep;32(6):314-320. doi: 10.1016/j.sdentj.2019.09.009. Epub 2019 Oct 11.