Increasing Number of Facial Injury in Mangusada General Hospital, Bali: Prevalence and Epidemiology

Natassya Sandra Tillasman; Putu Indri Manikasari Mulya; Ratna Rayeni Natasha Roosseno

doi:10.3889/oamjms.2024.11942

Authors

Natassya Sandra Tillasman General Practitioner, Faculty of Medicine Universitas Sumatera Utara, Medan, Indonesia
Putu Indri Manikasari Mulya General Practitioner, Faculty of Medicine Universitas Warmadewa, Bali, Indonesia https://orcid.org/0009-0007-9569-1797
Ratna Rayeni Natasha Roosseno Department of Plastic Surgery, Regional Public Mangu Sada Hospital, Badung, Bali, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2024.11942

Keywords:

Facial Injury, MVA, Trauma

Abstract

BACKGROUND: Facial injury has repeatedly been shown to be associated with motor vehicle accident and assaults, which both can be prevented. In Indonesia, motorcycle is the most popular mode of transportation and is accounted for almost 85% of the total registered vehicles in Bali.

AIM: This study is aimed to describe the prevalence of facial injury in one of Bali’s Urban Major Trauma Centre to provide documentation for prompt treatment and prevention.

METHODS: All the trauma patients who attended the Department of Plastic Surgery, Regional Public Mangusada Hospital, Badung, Bali during the period of 2020–2022 was included in the study. The incidence, prevalence, age, sex distribution and etiology of maxillofacial trauma were studied. The pattern and demographic distribution of fractures of maxillofacial skeleton also were studied.

RESULTS: We gathered 495 Facial Injury patients in our centre from January 2020 to December 2022, with significant increase of data every year. We obtained 94 patients in 2020, 136 patients in 2021, and 300 patients in 2022. The result showed that injury involving midfacial regions were the most common (n = 217, 38.9%) with major causative factor was Motor Vehicle Accident comprising 71.1% (n = 352) of all cases. Facial fractures are associated with significant functional, cosmetic, psychological, and socioeconomic effects. Therefore, maxillofacial trauma management requires pertinent documentation.

CONCLUSION: The incidence of facial fractures at our center continues to rise annually, highlighting the need for more effective strategies.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Nóbrega LM, Cavalcante GM, Lima MM, Madruga RC, Ramos- Jorge ML, d'Avila S. Prevalence of facial trauma and associated factors in victims of road traffic accidents. The American journal of emergency medicine. 2014 Nov 1;32(11):1382-6. https://doi.org/10.1016/j.ajem.2014.08.054 PMid:25224022 DOI: https://doi.org/10.1016/j.ajem.2014.08.054

Adebayo ET, Ajike OS, Adekeye EO. Analysis of the pattern of maxillofacial fractures in Kaduna, Nigeria. British journal of oral and maxillofacial surgery. 2003 Dec 1;41(6):396-400. https://doi.org/10.1016/S0266-4356(03)00165-7 PMid:14614869 DOI: https://doi.org/10.1016/S0266-4356(03)00165-7

Kadkhodaie MH. Three-year review of facial fractures at a teaching hospital in northern Iran. British Journal of Oral and Maxillofacial Surgery. 2006 Jun 1;44(3):229-31. https://doi.org/10.1016/j.bjoms.2005.06.016 PMid:16099558 DOI: https://doi.org/10.1016/j.bjoms.2005.06.016

Santos SE, Marchiori EC, Soares AJ, Asprino Filho L. Retrospective study of prevalence of face fractures in southern Brazil. J Oral Maxillofac Surg. 2010;68:1826-32. https://doi.org/10.1016/j.joms.2009.10.006 PMid:20493614 DOI: https://doi.org/10.1016/j.joms.2009.10.006

Adekeye EO. The pattern of fractures of the facial skeleton in Kaduna, Nigeria: a survey of 1,447 cases. Oral Surgery, Oral Medicine, Oral Pathology. 1980 Jun 1;49(6):491-5. https://doi.org/10.1016/0030-4220(80)90068-7 PMid:6930068 DOI: https://doi.org/10.1016/0030-4220(80)90068-7

Siregar DF, Bietra F, Abdi U, Lelo A. Profile of Plastic Surgery Trauma Patients at H. Adam Malik General Hospital Medan. Global Journal for Research Analysis. 2016;224(199):113.

Wiwekananda AB, Arimbawa IW, Roosseno RR. The characteristics and patterns of maxillofacial fractures at Mangusada general hospital Badung-Bali. Int J Res Med Sci. 2019 Jun;7(6):2318. https://doi.org/10.18203/2320-6012.ijrms20192520 DOI: https://doi.org/10.18203/2320-6012.ijrms20192520

Riasa NP, Parama A, Budiapsari PI, Lestari DP. The Pattern of Facial Injury among Foreign Travelers in Bali: A Retrospective Study. Open Access Macedonian Journal of Medical Sciences. 2020 Oct 9;8(B):988-93. https://doi.org/10.3889/oamjms.2020.5169 DOI: https://doi.org/10.3889/oamjms.2020.5169

Ogundare BO, Bonnick A, Bayley N. Pattern of mandibular fractures in an urban major trauma center. Journal of Oral and Maxillofacial Surgery. 2003 Jun 1;61(6):713-8. https://doi.org/10.1053/joms.2003.50118 PMid:12796884 DOI: https://doi.org/10.1053/joms.2003.50118

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio- maxillofacial trauma: a 10 year review of 9543 cases with 21 067 injuries. Journal of cranio-maxillofacial surgery. 2003 Feb 1;31(1):51- 61. https://doi.org/10.1016/S1010-5182(02)00168-3 PMid:12553928 DOI: https://doi.org/10.1016/S1010-5182(02)00168-3

BPS - Statistics Indonesia. Provinsi Bali dalam angka: Bali province in figures 2020. BPS - Statistics of Bali Province. 2020 Apr;371(9)57,371-89.

Lima A, Camara J, Pierote J Santos L, Ferrari C, et al, 2023. Repercussions of the COVID‐19 pandemic on the epidemiology of facial fractures: a retrospective cohort study. Oral and Maxillofacial Surgery. https://doi.org/10.1007/s10006-023-01200-3. https://doi.org/10.1007/s10006-023-01200-3 PMid:38057681 PMCid:PMC11144671 DOI: https://doi.org/10.1007/s10006-023-01200-3

Kim M, Yang K, Lim H, 2021. Epidemiology of facial Bone fractures during the Coronavirus disease 2019 Pandemic: a Single Korean level I Trauma Center Study. Journal of Trauma and Injury J Trauma Inj 2021;34(4):233-241. https://doi.org/10.20408/jti.2021.0098 DOI: https://doi.org/10.20408/jti.2021.0098

Iida S, Kogo M, Sugiura T, Mima T, Matsuya T. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg. 2001;30:286-90. https://doi.org/10.1054/ijom.2001.0056 PMid:11518349 DOI: https://doi.org/10.1054/ijom.2001.0056

Haug RH, Adams JM, Conforti PJ, Likavec MJ. Cranial fractures associated with facial fractures: A review of mechanism, type, and severity of injury. J Oral Maxillofac Surg 1994;52:729-33. https://doi.org/10.1016/0278-2391(94)90488-X PMid:8006737 DOI: https://doi.org/10.1016/0278-2391(94)90488-X

Ariobimo BN, Wibowo MD, Abdurachman A. Profile of maxillofacial fracture patients at general hospital in Surabaya. Biomol Health Sci J. 2021;4(1):1-4. https://doi.org/10.20473/bhsj.v4i1.26723 DOI: https://doi.org/10.20473/bhsj.v4i1.26723

Arie AA, Wiargitha K. Profile of maxillofacial injuries in Departement of Emergency Trauma and Acute Care Surgery in Sanglah General Hospital from January 2012 to November 2018. Intisari Sains Medis. 2019 Jun 17;10(2). https://doi.org/10.15562/ism.v10i2.401 DOI: https://doi.org/10.15562/ism.v10i2.401

Paes JV, de Sá Paes FL, Valiati R, de Oliveira MG, Pagnoncelli RM. Retrospective study of prevalence of face fractures in southern Brazil.Indian J Dent Res 2012;23:80-86 https://doi.org/10.4103/0970-9290.99045 PMid:22842255 DOI: https://doi.org/10.4103/0970-9290.99045

Juncar M, Tent PA, Juncar RI, Harangus A, Mircea R. An epidemiological analysis of maxillofacial fractures: a 10-year cross- sectional cohort retrospective study of 1007 patients. BMC oral health. 2021 Dec;21:1-0. https://doi.org/10.1186/s12903-021-01503- 5 PMid:33731083 PMCid:PMC7968332 DOI: https://doi.org/10.1186/s12903-021-01503-5

Girgis NF, Zanaty AW, El Agmy SS, et al. Patterns of facial trauma in menoufia university hospital. Menoufia Medical Journal 2017, 30:1186-1192. https://doi.org/10.4103/mmj.mmj_620_16 DOI: https://doi.org/10.4103/mmj.mmj_620_16

Hussain K, Wijetunge DB, Grubnic S, Jackson IT. A comprehensive analysis of craniofacial trauma. J Trauma 1994;36:43-7. https://doi.org/10.1097/00005373-199401000-00006 PMid:8295247 DOI: https://doi.org/10.1097/00005373-199401000-00006

World Health Organization. World health statistics 2013: a wealth of information on global public health. World Health Organization; 2013.

Tanaka N, Tomitsuka K, Shionoya K, Andou H, Kimijama Y, Tashiro T, et al. Aetiology of maxillofacial fractures. Br J Oral Maxillofac Surg 1994;32:19-23. https://doi.org/10.1016/0266- 4356(94)90166-X PMid:8136332 DOI: https://doi.org/10.1016/0266-4356(94)90166-X

Conrad P, Bradshaw YS, Lamsudin R, Kasniyah N, Costello C. Helmets, injuries and cultural definitions: motorcycle injury in urban Indonesia. Accident Analysis & Prevention. 1996 Mar 1;28(2):193- 200. https://doi.org/10.1016/0001-4575(95)00056-9 PMid:8703277 DOI: https://doi.org/10.1016/0001-4575(95)00056-9

Ruslin M, Wolff J, Yusuf HY, Arifin MZ, Boffano P, Forouzanfar T. The influence of helmet on the prevention of maxillofacial fractures sustained during motorcycle accidents. Cogent engineering. 2018 Jan 1;5(1):1551170. https://doi.org/10.1080/23311916.2018.1551170 DOI: https://doi.org/10.1080/23311916.2018.1551170