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    Analysis of maxillofacial traumas in an emergency clinic
    (Kuwait Medical Assoc, 2019) Irmak, Nurten Ayse; Demir, Mustafa Volkan; Kanbay, Sibel; Demir, Tuba Ozturk
    Objective: To examine epidemiology, fracture pattern and the relation between fracture pattern and Duke facial trauma severity index in patients admitted for maxillofacial traumas Design: Retrospective study Setting: Emergency Department, Ankara Numune Education and Research Hospital, Turkey Subjects: Four hundred and twenty-eight patients who presented with a diagnosis of maxillofacial trauma Intervention: Medical treatment of patients with maxillofacial trauma Main outcome measure: Epidemiology, fracture pattern and the relation between fracture pattern and Duke facial trauma severity index Results: Of the 428 patients, 185 cases with at least one fracture of the maxillofacial bones were included in the study, 147 (79.5%) males and 38 (20.5%) females. Distribution of gender showed significant difference (p < 0.001). Age range was 8 - 90 years and average age was 38.69 +/- 14.6 years. The most frequent cause of maxillofacial trauma was violence. The most frequent age range was 21 - 30 years old (28.6%, n = 53). The most frequent cause of maxillofacial trauma was violence in male cases and traffic accidents in female cases. There was a statistically significant relationship between gender and etiology (chi-square test, p < 0.003). There were a total of 268 facial fractures in the cases. Nasal bone fractures (21%) were the most common fractures. Violence was the most common cause of nasal bone, orbital floor and medial wall, zygomatic arch and Le-Fort II fractures. Falling was the most common cause of frontal sinus, zygomaticomaxillar complex and maxillary sinus fractures. The most detected fracture was isolated upper midface fractures (51.4%). There was a statistically significant relationship between upper midface fractures and violence (Z test, p < 0.001). There was also a statistically significant difference between midface fractures and violence and falling (Z test, p < 0.002). Conservative treatment was applied to 66.5% of the cases and surgical treatment was applied to 33.5% of the cases. Conclusion: Maxillofacial fractures were significantly more common in males in the third decade of life, in the nasal bone, were caused by violence and treated with conservative treatments.