FACIAL INJURIES OCCURRING IN MOTORCYCLE ACCIOENTS IN THE SOUTHERN REGION OF SÃO PAULO CITY: PILOT STUOY OF 30 CASES
Keywords:
accidents, traffic, etiology, jaw fractures, facial injuries, maxillofacial injuriesAbstract
Objective
This study aim to quantify and qualify ai/ facial injuries caused by motorcyc!e accidents in patients attended at the Hospital Municipal Dr. Arthur Ribeiro de Saboya in São Paulo city between June 2002 and March 2004.
Methods
This is a retrospective study of 30 cases, collecting data from the medical records of patients attended at the Hospital Municipal Dr. Arthur Ribeiro de Saboya, restricted to victims of facial traumatism caused by motorcyc/e accidents.
Results
Collision is the most frequent type of motorcyc/e accident (26.7%) and the mandible the most fractured bane (32.5%). Two deaths (7%) occurred, caused by cranio-encepha/ic trauma.
Conclusion
The mandible is the most affected bane and the deaths caused by cranio-encephati"c trauma, justifying the necessity to use a crash helmet by motàrcyc!ists.•
Downloads
References
Koizumi MS. Acidentes de motocicleta no município de São Paulo, SP, Brasil. Rev Saúde Pública. 1985; 19(6):543-55.
Cannell H, King JB, Winch RD. Head and facial injuries after low-speed motor-cycle accidents. Br J Oral Surg. 1982; 20(3):183-91.
Tsai YJ, Wang JD, Huang WF. Case-contrai study of the effectiveness of different types of helmets for the prevention of head injuries among motorcycle riders in Taipei, Taiwan. Am J Epidemio!. 1995; 142(9):974-81.
Bjornstig UL, Bylund PO, Lekander T, Brorsson B. Motorcycle fatalities in sweden. Acta Chir Scand. 1985; 151(7):577-81.
Drysdale WF, Kraus JF, Franti CE, Riggins RS. lnjury patterns in motorcycle collisions. J Trauma. 1975; 15(2):99-115.
Sarkar S, Peek C, Kraus JF. Fatal injuries in motorcycle riders according to helmet use. J Trauma. 1995; 38(2):242-5.
Fasola AO, Larvoyin JO, Obiechina AE, Arotiba JT lnner city maxillofacial fractures dueto road traffic accidents. Dent Traumatol. 2003; 19(1):2-5
Cooter RD, David DJ, McLean AJ, Simpson DA. Helmet induced skull base fracture in a motorcyclist. Lancet. 1988; 1(8577):84-5.
Ambrizzi DR, Vieira EH, Gabrielli MAC, Barbeiro RH, Gabrielli MFR. Incidência e etiologia dasfraturas faciais na região de Araraquara. F Méd (Br). 1997; 114(Supl 3):93-5.
Camino JrR. Descrição epidemiológica de fraturas mandibulares: análise de 148 casos [mestrado). São Paulo: Curso de Pós-Graduação, Hospital Heliópolis; 2002.
Lin MR, Hwang HF, Kuo NW. Crash severity, injury patterns, and helmet use in adolescent motorcycle riders. J Trauma. 2001; 50(1):24-30.
Shapiro AJ, Johnson RM, Miller SF, McCarthy MC. Facial fractures in a levei I trauma centre: the importance of protective devices and alcohol abuse. lnjury. 2001; 32(5):353-6.
Chidzonga MM. Mandibular fractures, analysis of 541 cases. Cent Afr J Med. 1990; 36(4) 97-103.
Crivello OJr, Luz JG, Lemos JB, Rezende JR. Considérations statistiques sur les fractures isolées maxillo-faciales à São Paulo. Rev Stomatol Chir Maxillofac. 1989; 90(2):100-3.
de Almeida OM, Alonso N, Fogaça WC, Rocha DL, Ferreira MC. Fraturas da face. Análise de 130 casos. Rev Hosp Clin Fac Med. São Paulo. 1995; 50(Suppl): 10-2.
Nelson D, Sklar D, Skipper B, McFeeley PJ. Motorcycle fatalities in New Mexico: the association of helmet nonuse with alcohol intoxication. Ann Emerg Med. 1992; 21(3):279-83.
Karlson TA. The incidence of hospital-treated facial injuries from vehicles. J Trauma. 1982; 22(4):303-1O.
Abiose BO. Maxillofacial skeleton injuries in the western states of Nigeria. Br J Oral Maxillofac Surg. 1986; 24(1):31-9.
Johnson RM, McCarthy MC, Miller SF, Peoples JB. Craniofacial trauma in injured otorcyclists: the impact of helmet usage. J Trauma. 1995; 38(6):876-8.
Lateef F. Riding motorcyles: is it a lower limb hazard? Singapore Med J. 2002; 43(11):566-9.
