Trauma maxilofacial: avaliação de 1385 casos de fraturas de face na cidade de Passo Fundo - RS / Maxillofacila Trauma: Evaluation os 1385 Cases of Fracture of Face

O trauma é considerado a principal causa de óbito nos primeiros 40 anos de vida, sendo responsável por maior redução nos anos produtivos quando comparado às doenças cardíacas e câncer juntos. Este trabalho teve como finalidade identificar o quadro epidemiológico da traumatologia facial na região de Passo Fundo - RS. O estudo avaliou 1385 prontuários de pacientes que foram atendidos por trauma dos ossos faciais no Hospital São Vicente de Paulo (HSVP), considerado centro referencial de saúde no interior do Rio Grande do Sul, especialmente para a região nordeste do estado. Dos prontuários avaliados, pacientes do gênero masculino com faixa etária entre a terceira e a quarta décadas foram os mais acometidos. O osso facial mais acometido foi a mandíbula e o acidente automobilístico foi a etiologia mais prevalente seguido da agressão física que também se apresentou relevante. Os dados obtidos com este estudo reforçam a importância da cirurgia buco-maxilo-facial e contribuem para trabalhos preventivos em campanhas municipais, especialmente em educação para o trânsito e violência urbana... (AU)

Tauma is considered the leading cause of death in the first 38 years of life, accounting for a greater reduction in the productive years when compared to heart disease and cancer together. This study aimed to identify the epidemiological picture of facial trauma in the region of Passo Fundo-RS. The study examined records of 1385 patients who were treated for trauma of the facial bones in Sao Vicente de Paulo Hospital (HSVP), considered a reference health center in Rio Grande do Sul, especially for the northeastern state. Evaluated the medical records of male gender was the most predominant. The age group most affected was the third and fourth decade and the bone most commonly fractured was the mandible. Motor vehicle accidents were the most prevalent etiology of physical aggression that followed also presented relevant. The data obtained from this study will enable, and reinforce the importance of expertise, attention to the main etiological factors of fractures of facial bones, in order to target preventive work that can be used in traffic and urban violence education... (AU)

Associated injuries in patients with maxillofacial trauma at the hospital são vicente de paulo, passo fundo, Brazil.

OBJECTIVES: This study aimed to identify the occurrence, type and severity of body injuries associated in patients with facial trauma, referred to the Hospital São Vicente de Paulo (HSVP) in the city of Passo Fundo - RS, Brazil. MATERIAL AND METHODS: The study analyzed medical records of 1385 patients who were treated in the Department of Oral and Maxillofacial Surgery at HSVP during the period from 1991 to 2010. RESULTS: According to the results of this study we observed that 35% of cases of facial fractures were associated with a body injury. It was recorded a higher incidence of facial fractures in the male population (82.6%), aged between 20 and 39 years. The main etiologic factors for this association were car accidents, falls and assaults. Most fractures were recorded in the mandible and the main body injury found was the abrasion associated in some region of the body, however, when considering fractures of the face middle third the main body injury was more associated with cranioencephalic trauma. CONCLUSIONS: Concomitant injuries in areas other than the face should be expected first and foremost after high-speed trauma mechanisms and in association with severe facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment who have sustained facial fractures.