Characterization of patients with maxillofacial fractures at Manuel Ascunce Domenech University Hospital
Abstract
Introduction: Trauma is the most frequent cause of injury in the maxillofacial region, and its prevalence continues to rise. Facial fractures can affect a patient's life, as well as their appearance and ability to function.
Objective: To characterize patients with maxillofacial fractures treated at the Manuel Ascunce Domenech University Hospital, Camagüey, Cuba.
Methods: A cross-sectional descriptive observational study was carried out from January 2023 to December 2024.The study population consisted of patients with a clinical and radiological diagnosis of fractures in the maxillofacial region. The study variables were age, sex, etiology, time of year, fracture type according to location, and surgical time.
Results: Patients in the 18-30 age group accounted for 33,06 % (n=41) of the sample. 69,35 % (n=86) of the sample were male, and 40,19 % of the facial fractures were caused by traffic accidents. During the July–August period, 29,03 % (n = 36) of patients were diagnosed, 50,8 % (n = 63) had a zygomatic complex fracture, and 70,16 % (n = 87) of cases required urgent surgery.
Conclusions: Patients in the 18-30 age group and male patients were most prevalent. The most common etiology was a traffic accident. Most patients were diagnosed in July and August, and the most common diagnosis was a zygomatic complex fracture. Surgical treatment was performed in most patients by the emergency department.
Downloads
References
1. Al-Iryani GM, Alharbi FA, Makrami A, Maghdi AA. Patterns and Etiology of Maxillofacial Fractures: A 5-Year Retrospective Study. J Contemp Dent Pract [Internet]. 2020 [citado 20 Feb 2025]; 21(4):445-452. Disponible en:
https://doi.org/10.5005/jp-journals-10024-2808
2. Khan TU, Rahat S, Khan ZA, Shahid L, Banouri SS, Muhammad N. Etiology and pattern of maxillofacial trauma. PLoS One [Internet]. 2022 [citado 20 Feb 2025];17(9):e0275515. Disponible en: https://doi.org/10.1371/journal.pone.0275515
3. Morales Navarro D, Barreto Orozco V, Durañona Álvarez L, Rodríguez Soto A. Caracterización del trauma maxilofacial grave en dos servicios de urgencia de La Habana, Cuba. Rev Cuban Estomatol [Internet]. 2020 [citado 20 Feb 2025]; 57(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S003475072020000100001&lng=es
4. Al-Bokhamseen M, Salma R, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series. Saudi Dent J [Internet]. 2019 [citado 10 Mar 2025];31(1):129-136. Disponible en: https://doi.org/10.1016/j.sdentj.2018.10.001
5. Segura-Palleres I, Sobrero F, Roccia F, de Oliveira Gorla LF, Pereira-Filho VA, Gallafassi D; et al. Characteristics and age-related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study. Dent Traumatol [Internet]. 2022[citado 10 Mar 2025];38(3):213-222. Disponible en: https://doi.org/10.1111/edt.12735
6. Wusiman P, Maimaitituerxun B, Guli, Saimaiti A, Moming A. Epidemiology and Pattern of Oral and Maxillofacial Trauma. J Craniofac Surg [Internet]. 2020 [citado 2025 Mar 10];31(5):e517-e520. Disponible en: https://doi.org/10.1097/SCS.0000000000006719
7. 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. [Internet]. 2021 [citado 10 Mar 2025]; 21(1): 128. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33731083/
8. Țenț PA, Juncar RI, Juncar M. Clinical patterns and characteristics of midfacial fractures in western romanian population: a 10-year retrospective study. Med Oral Patol Oral Cir Bucal [Internet]. 2019 [citado 10 Mar 2025];24(6:e792-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31655842/
9. Pham Dang N, Barthélémy I. Secuelas de los traumatismos faciales en adultos. EMC - Tratado de Medicina [Internet]. 2021 [citado 12 Abr 2025]; 25(4):1-10. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1636541021457132
10. Vivanco-Barahona M, Cáceres-Ramos N, Lobos-Jamett P. Caracterización del Traumatismo Dentoalveolar Concomitante a Trauma Maxilofacial en Personal Profesional de Fuerzas Armadas: Revisión Narrativa. Int J Odontostomat [Internet]. 2022 [citado 25 Feb 2025];16(4): 490-496. Disponible en: http://www.scielo.cl/scielo.php?
11. Ortiz García YC, De León Ramírez LL, Barroso de la Cruz AM, Rizo Delgado LB, Martínez Hernández N, Rosa de León Ramírez L. Caracterización de los traumatismos dentarios en niños y adolescentes del municipio Jovellanos. Revista 16 de abril [Internet]. 2022 [citado 12 Abr 2025]; 61(285):e1691. Disponible en: http://www.rev16deabril.sld.cu/index.php/16_04/article/view/1691
12. Morales Navarro D, Aguila Nogueira Y, Grau León Ileana B. Comportamiento del trauma maxilofacial grave. Rev Cuban Estomatol [Internet]. 2018 Dic [citado 25 Feb 2025]; 55(4): 1-10. Disponible en: http://scielo.sld.cu/scielo.php?
13. Asociación Médica Mundial. Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos [Internet]. España: Universidad de Navarra, Centro de Documentación de Bioética; 2013 [citado 25 Feb 2025]. Disponible en: http://www.redsamid.net/archivos/201606/2013-declaracion-helsinki-brasil.pdf
14. Guo HQ, Yang X, Wang XT, Li S, Ji AP, Bai J. Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: A two-year retrospective study. Dent Traumatol [Internet]. 2021 [citado 12 Abr 2025]; 37(3):479-487. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33423383/
15. García-Roco PO, Arredondo López M, Correa Moreno A. Cirugía mayor ambulatoria del trauma maxilofacial. Arch Med Camagüey [Internet]. 2003 [citado 3 Mar 2025];7(1): 30-38. Disponible en: http://scielo.sld.cu/scielo.php?
16. Farias IPSE, Bernardino M, Nóbrega LMD, Grempel RG, D'Avila S. Maxillofacial trauma, etiology and profile of patients: an exploratory study. Acta Ortop Bras. [Internet]. 2017 [citado 3 Mar 2025];25(6):258-261. Avilable from: https://pubmed.ncbi.nlm.nih.gov/29375255/
17. Vishal Prakash O, Rohit Prajapati, VK, Shahi AK, Khaitan T. Incidence of Maxillofacial Trauma Amid COVID-19: A Comparative Study. J Maxillofac Oral Surg [Internet].2022 [citado 3 Mar 2025];21(2): 420–425. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33250599/
18. de Boutray M, Kün-Darbois JD, Sigaux N. Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg [Internet]. 2021 [citado 3 Mar 2025]; 50(6):750-755. Disponible en: https://doi.org/10.1016/j.ijom.2020.10.005
19. Ilyas N, Green A, Karia R, Sood S, Fan K. Demografía y tratamiento del trauma dental-facial pediátrico en el período de 'confinamiento': una perspectiva del Reino Unido. Traumatismo por abolladuras [Internet]. 2021 [citado 3 Mar 2025]; 37(4):576-582. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33172710/
20. Stassen HS, Atalik T, Haagsma JA, Wolvius EB, Verdonschot RJCG, Rozeboom AVJ. Effect of helmet use on maxillofacial injuries due to bicycle and scooter accidents: a systematic literature review and meta-analysis. Int J Oral Maxillofac Surg [Internet]. 2024 Jan [citado 3 Mar 2025];53(1):28-35. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37031014/
21. Palmela Pereira CM, Dos Santos AR, Rodríguez Goncalves R, Nushi V, Coutinho F, Salvado E Silva SJ; et al. Retrospective Study of Oral and Maxillofacial Trauma in Portuguese Population. Acta Stomatol Croat. [Internet]. 2023 [citado 3 Mar 2025]; 57(1):43-51. Disponible en: https://doi.org/10.15644/asc57/1/5
22. Gokharman FD, Kadirhan O, Celik Aydin O, Yalcin AG, Kosar P, Aydin S. Comprehensive Look at Maxillofacial Traumas: On the Basis of Orbital Involvement. Diagnostics (Basel) [Internet]. 2023 [citado 9 Feb 2025];13(22):3429. Disponible en: https://doi.org/10.3390/diagnostics13223429
23. Lupascu IT, Hostiuc S, Minoiu CA, Hostiuc M, Popa BV. Comparison of Traumatic Brain Injury in Adult Patients with and without Facial Fractures. Tomography [Internet]. 2024 [citado 9 Feb 2025]; 10(10):1534-1546. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39453030/
24. Pombo M, Luaces-Rey R, Pértega S, Arenaz J, Crespo JL, García Rozado A; et al. Review of 793 facial fractures treated from 2001 to 2008 in a coruña university hospital: types and etiology. Craniomaxillofac Trauma Reconstr [Internet]. 2010 [citado 9 Feb 2025]; 3(1):49-54. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22110818/
25. Agarwal P, Mehrotra D, Agarwal R, Kumar S, Pandey R. Patterns of Maxillofacial Fractures in Uttar Pradesh, India. Craniomaxillofac Trauma Reconstr [Internet]. 2017 [citado 9 Feb 2025]; 10(1):48-55. Disponible en:
https://doi.org/10.1055/s-0036-1597581
26. Sharifi F, Samieirad S, Grillo R. Las causas y la prevalencia de las fracturas maxilofaciales en Irán: una revisión sistemática. Mundo J Plast Surg [Internet]. 2023 [citado 9 Feb 2025]; 12(1):1-11. Disponible en: https://doi.org/10.52547/wjps.12.1.3
27. Castillo Cardiel MG, Flores Valdivia JL, González Ojeda A, Cervantes Guevara G, Cervantes Cardona GA, Ramírez Sánchez MV; et al. Fracturas faciales, manejo quirúrgico y resultados en un hospital de tercer nivel. Rev Esp Cirug Oral y Maxilofac [Internet]. 2021 [citado 1 Mar 2025] ; 43(3): 96-100. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-05582021000300096&lng=es
28. Tomassini L, Ascani G, Mancini P, Cacaci C, Scendoni R. A case of emergency reconstructive surgery following facial destructive gunshot wounds: clinical and medico-legal assessments. Int J Emerg Med.Int J Emerg Med [Internet]. 2023 Dic [citado 9 Feb 2025]; 16(1):90. Disponible en:
https://doi.org/10.1186/s12245-023-00572-3
29. Mardones M, Bravo R, Fernández MÁ, Gunckel R, Torres C. Sistemática en el Tratamiento Quirúrgico de las Fracturas Panfaciales Aplicado a un Caso Clínico De Alta Complejidad. Int J Odontostomat [Internet]. 2020 [citado 4 Mar 2025]; 14(4): 590-595. Disponible en: http://www.scielo.cl/scielo.php?
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Reynier Ramírez Suarez
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
22 julio 2025