Original Article

The prevalence of maxillary fractures in trauma patients referred to Shahid Rajaei hospital in Shiraz from 2011 to 2021


Introduction: Maxillofacial fractures are one of the most common fractures in the body due to trauma. Maxillary fractures, especially Lefort fractures, are common fractures. The aim of this study is to evaluate the prevalence and etiology of Lefort fractures in patients referred to Shahid Rajaei Hospital during 2011 to 2021. Materials and Methods: In this cross-sectional study, 2700 patients who referred to the maxillofacial surgery department of Shahid Rajaei Hospital in Shiraz between 2011 to 2021 due to trauma and fractures of the jaw and face were examined. 903 cases were related to patients with upper jaw fracture and were included in the study. The demographic information of the patients, including age, sex, cause of trauma, and also the type of fracture, were extracted from their records. The etiology of maxilla fracture was divided into three groups: vehicle accidents, violence and interpersonal conflict, and accidents during work and sports. Finally, in order to analyze the data, it was done through statistical tests. Results: 65% of patients were male and 35% were female. The average age of people was 38.5 years. Lefort I fracture was reported in 25% of patients, Lefort II fracture in 31% and Lefort III fracture in 11% of patients. 46% of patients had fractured maxilla due to vehicle accidents, 26% of patients due to interpersonal violence, and 27% of patients due to accidents during work and sports. Conclusion: The prevalence of Lefort fracture in men is significantly higher than in women. In our society, injuries caused by road accidents, especially car accidents, are the most common causes of Lefort fractures. The most common type of Lefort fracture is Lefort II fracture. Of course, the cause of injury has an important effect on the pattern of injury.
1. Aksoy, E., E. Ünlü, and Ö. Sensöz, A retrospective study on epidemiology and treatment of maxillofacial fractures. Journal of Craniofacial Surgery, 2002. 13(6): p. 772-775.
2. Covington, D.S., et al., Changing patterns in the epidemiology and treatment of zygoma fractures: 10-year review. The journal of trauma, 1994. 37(2): p. 243-248.
3. De Feo, V. and R.M.U. Soria, Medicinal plants and phytotherapy in traditional medicine of Paruro Province, Cusco Department, Peru. Pharmacology Online, 2012. 1: p. 154-219.
4. Erol, B., R. Tanrikulu, and B. Görgün, Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). Journal of Cranio-Maxillofacial Surgery, 2004. 32(5): p. 308-313.
5. Finn, R.A., Treatment of comminuted mandibular fractures by closed reduction. Journal of oral and maxillofacial surgery, 1996. 54(3): p. 320-327.
6. Fraioli, R.E., B.F. Branstetter IV, and F.W.-B. Deleyiannis, Facial fractures: beyond le fort. Otolaryngologic Clinics of North America, 2008. 41(1): p. 51-76.
7. Juncar, M., et al., An epidemiological analysis of maxillofacial fractures: a 10-year cross-sectional cohort retrospective study of 1007 patients. BMC oral health, 2021. 21(1): p. 1-10.
8. Kain, R. and S. Arya, Camel bite: an uncommon mode of maxillofacial injury, its mechanism and fatality: case series and review of literature. National journal of maxillofacial surgery, 2015. 6(2): p. 172.
9. Kamath, R.A., et al., Maxillofacial trauma in central karnataka, India: an outcome of 95 cases in a regional trauma care centre. Craniomaxillofacial trauma & reconstruction, 2012. 5(4): p. 197-204.
11. Kelly, K.J., et al., Sequencing LeFort fracture treatment (Organization of treatment for a panfacial fracture). The Journal of craniofacial surgery, 1990. 1(4): p. 168-178.
12. Khitab, U., et al., Occurrence and characteristics of maxillofacial injuries-A study. Pakistan Oral & Dental Journal, 2010. 30(1).
13. Kim, H.S., S.E. Kim, and H.T. Lee, Management of Le Fort I fracture. Archives of Craniofacial Surgery, 2017. 18(1): p. 5.
14. Laine, F.J., W.F. Conway, and D.M. Laskin, Radiology of maxillofacial trauma. Current problems in diagnostic radiology, 1993. 22(4): p. 148-188.
15. Lee, K.C., S.-K. Chuang, and S.B. Eisig, The characteristics and cost of Le Fort fractures: a review of 519 cases from a nationwide sample. Journal of Oral and Maxillofacial Surgery, 2019. 77(6): p. 1218-1226.
16. Majambo, M., et al., Prevalence of oral and maxillofacial injuries among patients managed at a teaching hospital in Rwanda. Rwanda Journal of Health Sciences, 2013. 2(2): p. 20-24.
17. Malik, S., et al., Orofacial trauma in rural India: A clinical study. Chinese journal of traumatology, 2017. 20(4): p. 216-221.
18. Moffitt, J.K., et al., Factors associated with surgical management for pediatric facial fractures at a level one trauma center. Journal of Craniofacial Surgery, 2019. 30(3): p. 854-859.
19. Motamedi, M.H.K., Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries. Journal of Oral and Maxillofacial Surgery, 2003. 61(12): p. 1390-1398.
20. Nair, K.B. and G. Paul, Incidence and aetiology of fractures of the facio-maxillary skeleton in Trivandrum: a retrospective study. British Journal of Oral and Maxillofacial Surgery, 1986. 24(1): p. 40-43.
21. Ngoc, D.-V., et al., Evaluation of Bite Force After Treatment of Le Fort Fractures by Internal Fixation and Mandibulomaxillary Fixation. Medical Archives, 2021. 75(5): p. 371.
IssueVol 9, No 2 (Spring 2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/jcr.v9i2.11738
Trauma Lefort fracture Maxilla fracture

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How to Cite
Daneste H, Bayat P. The prevalence of maxillary fractures in trauma patients referred to Shahid Rajaei hospital in Shiraz from 2011 to 2021. J Craniomaxillofac Res. 2022;9(2):81-85.