Evaluation of the Severity of Maxillo-Facial Injuries by Motorcycle Road Accident in the Teaching Hospital of Conakry: A Case-Control Study

• 作者: Oumar Raphiou Diallo Alpha Oumar Diallo Karamoko Alpha Diallo Alhassane Conde
• 来源期刊: 口腔学期刊(英文)
• 学科: 经济
• 关键词: SEVERITY Maxillofacial Trauma MOTORCYCLE CASE-CONTROL
• 年，卷（期）: 2021,（3）
• 页码范围: 107-118
• 页数: 12页
• 分类号: F75

摘要

<b><span>Introduction:</span></b><span> Maxillofacial injuries caused by motorcycle road accidents are serious and represent a real public health issue. They mainly affect young adult males. The objectives of this study were to determine the frequency of motorcycle road accidents, describe the socio-demographic characteristics of the injured, determine the degree of severity of motorcycle injuries compared to car injuries, and describe the therapeutic modalities.</span><span> </span><b><span>Materials and Method:</span></b><span> This study was a prospective case-control study carried out in the Department of Odontostomatology, Maxillofacial Surgery and Surgical Emergencies at the National Hospital of Donka. The data w</span><span>as</span><span> collected over a period of six months from January 1st to June 30th, 2017. All victims of road accidents by motorcycle (cases) or car (controls) that received care and post-surgical follow up were included.</span><span> </span><b><span>Results: </span></b><span>A total of 505 patients with maxillofacial injuries were reviewed during the period of the study.</span><span> </span><span>From the review, 205 (40.6%) motorcycle accidents were recorded as “cases” and 109 (21.58%) car accidents were classified as “controls” group. Men were the most affected in both groups, n = 254 (177 males in the case group and 77 in the control) (p = 0.01). There was a proportionate relationship between helmet use and death (p = 0.015). A motorcycle accident victim is more likely to develop a mandibular fracture (p = 0.029) and limb injury (p = 0.034) when compared to a car accident victim. However, there was no significant difference between cases and controls for head trauma (p = 0.4878), Facial Injury Severity Scale (FISS) (p = 0.130), and Glasgow score (p = 0.709).</span><span> </span><b><span>Conclusion:</span></b><span> Maxillofacial injuries caused by motorcycle accidents </span><span>are</span><span> increasing </span><span>in</span><span> Guinea. Young adult males h