Volume 10, Issue 3 (7-2021)                   WJPS 2021, 10(3): 46-53 | Back to browse issues page


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Saboury M, Latifi N A, Saboury S, Akbarikia S, Latifi F, Khaleghian M et al . Underestimated Craniomaxillofacial Fractures Due to Firework. WJPS. 2021; 10 (3) :46-53
URL: http://wjps.ir/article-1-803-en.html
1- Department of Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (382 Views)
BACKGROUND
Iranian people celebrate the last Wednesday of the year also known as Chahar Shambeh Soori (CSS) using low explosive pyrotechnics classified as fireworks. Mishaps and accidents are common and maxillofacial fractures may occur which have a negative impact on the quality of life. This study aimed to assess maxillofacial fractures (fx) caused by explosive agents.
METHODS
This cross-sectional descriptive study assessed 283 patients suffering maxillofacial fxs caused by explosive agents during CSS ceremonies between 2009 and 2019 referred to our craniomaxillofacial (CMF) surgery center. The data assessed included age, sex, cause, type, site, and severity of injury, fracture patterns, treatment modalities, and complications. All maxillofacial injuries were evaluated and treated by Craniomaxillofacial staff surgeons. RESULTS
Among 283 patients, 72.8% (206) and 27.2% (77) were men and women, respectively. The mean age of patients was 17.35 years. The most common maxillofacial fracture was in the mid-face; with the distribution of fractures being: 39.9% zygomatic fractures, 32.1% nasal bone fractures, 63.2% dentoalveolar fracture, 43.1% Le Fort (Le Fort I, Le Fort II, Le Fort III), 31.4% orbital, and 43.1% mandible fractures. The most frequent type of treatment was Open Reduction and Internal Fixation (ORIF) (77.4%).
CONCLUSION
The most common site of maxillofacial fractures and most frequent treatment used were similar to military or ballistic injuries. ORIF was common treatment.
Full-Text [PDF 277 kb]   (187 Downloads)    
Type of Study: case report | Subject: Special
Received: 2021/07/2 | Accepted: 2021/07/28 | Published: 2021/10/23

References
1. Tavakoli H. Investigating Disabilities Due to Injuries at the Ceremonies Wednesday in Tehran. Scientific Journal of Iran Medical System Organization 2009; 27:16-22.
2. Mosadeghrad AM, Pourreza A, Yaghubi-Fard F. Economic Burden of Burn Injuries in Taleghani Hospital in Ahvaz. Journal of School of Public Health and Institute of Public Health Research 2019; 16:341-50.
3. Puri V, Mahendru S, Rana R, Deshpande M. Firework injuries: a ten-year study. J Plast Reconstr Aesthet Surg 2009;62: 1103-1111 . doi: 10.1016/j.bjps.2007.12.080. [DOI:10.1016/j.bjps.2007.12.080]
4. Dahmardehei M, Vaghardoost R, Saboury M, Zarei H, Saboury S, Molaei M, Seyyedi J, Maleknejad A. Comparison of Modified Meek Technique with Standard Mesh Method in Patients with Third Degree Burns. World J Plast Surg 2020; 9:267-273. doi: 10.29252/wjps.9.3.267. [DOI:10.29252/wjps.9.3.267]
5. Yazdani J, Taheri Talesh K, Kalantar Motamedi MH, Khorshidi R, Fekri S, Hajmohammadi S. Mandibular Angle Fractures. Comparison of One Miniplate vs. Two Miniplates. Trauma Mon 2013; 18:17-20. doi:10.5812/traumamon.9865. [DOI:10.5812/traumamon.9865]
6. Zahedi S, Zahedi A, Khashabi E. Studying the trend of maxillofacial fractures in patients referring to imam khomeini hospital, urmia. Studies in Medical Sciences 2017; 28:23-7.
7. Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102:28-34. doi: 10.1016/j.tripleo.2005.07.023. [DOI:10.1016/j.tripleo.2005.07.023]
8. I.M. Brook, N. Wood. Aetiology and incidence of facial fractures in adults. Int J Oral Surg 1983;5:293-8. doi:10.1016/S0300-9785(83)80016-7. [DOI:10.1016/S0300-9785(83)80016-7]
9. Keller MW, Han PP, Galarneau MR, Brigger MT. Airway management in severe combat maxillofacial trauma. Otolaryngology Head and Neck Surgery 2015; 153:532-7. doi: 10.1177/0194599815576916 . [DOI:10.1177/0194599815576916]
10. Lida 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. doi: 10.1054/ijom.2001.0056. PMID: 11518349. [DOI:10.1054/ijom.2001.0056]
11. Lindqvist C, Sorsa S, Hyrkäs T, Santavirta S. Maxillofacial fractures sustained in bicycle accidents. Int J Oral Maxillofac Surg 1986; 15:12-8. doi: 10.1016/s0300-9785(86)80005-9. PMID: 3083000. [DOI:10.1016/S0300-9785(86)80005-9]
12. Hächl O, Tuli T, Schwabegger A, Gassner R. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg 2002; 31:90-3. doi: 10.1054/ijom.2001.0166. PMID: 11936407. [DOI:10.1054/ijom.2001.0166]
13. Noel S. Weiss. Clinical Epidemiology. In: Rothman KJ, Ed. Modern epidemiology. 3rd ed. London/New York/Hongkong: Lippincott Williams & Wilkins; 2008; pp. 599-618.
14. Axon RN, Williams MV. Hospital readmission as an accountability measure. JAMA 2011; 305:504-5. doi: 10.1001/jama.2011.72 . [DOI:10.1001/jama.2011.72]
15. Stoddard FJ, Saxe G, Ronfeldt H, Drake JE, Burns J, Edgren C, Sheridan R. Acute stress symptoms in young children with burns. J Am Acad Child Adolesc Psychiatry 2006; 45:87-93. doi: 10.1097/01.chi.0000184934.71917.3a. [DOI:10.1097/01.chi.0000184934.71917.3a]
16. Aghaee A, Rezaee S, Haddadi M, Eini E. Epidemiology of firework injuries Chahar Shanbeh Soori eve ceremony, in Iran. Advances in Nursing & Midwifery 2012; 21:30-6.
17. Dahmardei M. Epidemiology of the Wednesday Ceremony Burns in the Shahid Motahari Burn Hospital in 2014. Iranian Journal of Surgery 2015; 23:60-7.
18. Norozy A, Kalantar Motamedi MH, Ebrahimi A, Khoshmohabat H. Maxillofacial Fracture Patterns in Military Casualties. J Oral Maxillofac Surg 2020 [DOI:10.1016/j.joms.2019.06.191]
19. 78:611. e1-611.e6. doi: 10.1016/j.joms.2019.06.191. Epub 2019 Jul 5. PMID: 31445034. [DOI:10.1016/j.joms.2019.06.191]
20. de Melo WM, Antunes AA, Sonoda CK, Hochuli-Vieira E, Gabrielli MA, Gabrielli MF. Mandibular angle fracture treated with new three-dimensional grid miniplate. J Craniofac Surg 2012; e416-7. doi: 10.1097/SCS.0b013e31825dad8f. PMID: 22976690. [DOI:10.1097/SCS.0b013e31825dad8f]
21. Schilli W, Stell P, Bahr W. Mandibular Fractures. In: Joachim P, Ed. Manual of Internal Fixation in the Cranio-Facial Skeleton: Techniques Recommended by the AO/ASIF Maxillofacial Group. 3rd ed. Berlin/Heidelberg: Springer-Verlag; 1998; pp. 60-90. [DOI:10.1007/978-3-642-58789-4_3]
22. Laskin DM, Best AM. Current trends in the treatment of maxillofacial injuries in the United States. J Oral Maxillofac Surg 2000; 58:207-15. doi: 10.1016/s0278-2391(00)90341-0. PMID: 10670601. [DOI:10.1016/S0278-2391(00)90341-0]
23. Kittle CP, Verrett AJ, Wu J, Mellus DE, Hale RG, Chan RK. Characterization of midface fractures incurred in recent wars. J Craniofac Surg 2012; 23:1587-91. doi: 10.1097/SCS.0b013e318256514a. PMID: 23172425. [DOI:10.1097/SCS.0b013e318256514a]
24. Motamedi MH, Dadgar E, Ebrahimi A, Shirani G, Haghighat A, Jamalpour MR. Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. J Trauma Acute Care Surg 2014; 77:630-4. doi: 10.1097/TA.0000000000000369. PMID: 25250606. [DOI:10.1097/TA.0000000000000369]
25. Akhlaghi F, Aframian-Farnad F. Management of maxillofacial injuries in the Iran-Iraq War. J Oral Maxillofac Surg 1997;55:927-30; discussion 930-1. doi: 10.1016/s0278-2391(97)90060-4. PMID: 9294500. [DOI:10.1016/S0278-2391(97)90060-4]

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