An Epidemiologic Survey of 3,247 Traumatic Maxillofacial Injuries: A Retrospective Analysis.


Rose, Matthew, Cimba, Michael, Day, Saxon, Bhatt, Poolak
Faculty / Advisor: Ford, Brian
University of Pennsylvania School of Dental Medicine, Department of Oral & Maxillofacial Surgery/Pharmacology

Introduction

Facial trauma has a significant impact on causing morbidity worldwide. These injuries to the face make up roughly 50% of the 12 million annual traumatic cases in the Emergency Departments (ED) of the United States each year.

Methods

An 11 year retrospective analysis of attending OMFS physician and resident operating room logs was conducted from 2011 to 2021.

Results

A total of 88,437 independent entries were found. Of the 88,437 total procedures listed, 3,427 procedures met the inclusion criteria to be considered a novel incidence of acute facial trauma

Conclusion

OMF trauma disproportionately affects some groups more than others, particularly the Black population ages 18-65. The most common OMF injury across any patient demographic is the mandible fracture. The order of mandibular fractures frequency was the body (29.7%), condyle (28.2%), angle (17.0%), symphysis (13.3%), ramus (2.4%) and coronoid (0.2%). Mandible condyle fractures occur most commonly in the Geriatric and Pediatric populations possibly related to a common etiology of falling.