Epidemiology and complications of facial fractures: a 5-year retrospective study

  • María Cristina Zindel-Deboni Universidade de São Paulo https://orcid.org/0000-0002-2966-6039
  • Guillermo Lanas Universidad Central del Ecuador
  • Fernando Paredes Eugenio Espejo Hospital. Quito, Ecuador
  • Kleber Vallejo Universidad Central del Ecuador
  • Andrea Lanas Universidad de Las Américas. Quito, Ecuador
Keywords: Facial bones, Fractures, Complications, Sequelae, Lesions, Surgery

Abstract

Introduction: regional epidemiological studies involving facial trauma are needed to develop more efficient ways of providing health care services. The time elapsed from the occurrence of facial trauma to its definitive treatment can affect clinical outcomes in terms of interventions, resolution, and complications. The aim of this study was to verify if there is a relationship between the different fracture types, their treatments or time intervals for clinical resolution and the onset of complications. Methods: a retrospective study was conducted by means of the clinical records of the Eugenio Espejo Hospital in Quito, verifying the epidemiological data on the clinical evolution of facial trauma patients between 2012 and 2016, and registering data such as age, gender, fracture type, time elapsed until its definitive treatment, and onset of complications. Clinical records lacking these data were excluded. Results: most cases occurred outside Quito (64%). There was no relationship between harmful habits, fracture displacement, type of access or fixation, or presence of comorbidities and the onset of complications. The odds ratio (95% confidence interval) for complications was OR = 0.301(0.170-0.536), so there is a 70% increased chance of developing some complications if treatment is performed one week after trauma occurs. Conclusion: reducing facial fractures before a week can decrease the onset of complications and sequelae.

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Author Biographies

María Cristina Zindel-Deboni, Universidade de São Paulo

PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de São Paulo. São Paulo, Brazi

Guillermo Lanas, Universidad Central del Ecuador

PhD, Professor - Oral and Maxillofacial Surgery, School of Dentistry, Universida Central del Ecuador

Fernando Paredes, Eugenio Espejo Hospital. Quito, Ecuador

Oral and Maxillofacial Surgeon, Head of the Maxillofacial Surgery Service.

Kleber Vallejo, Universidad Central del Ecuador

PhD, Professor - Oral and Maxillofacial Surgery, School of Dentistry, Universidad Central del Ecuador

Andrea Lanas, Universidad de Las Américas. Quito, Ecuador

Undergraduate Student, Universidad de Las Américas. Quito, Ecuador

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Published
2019-09-20
How to Cite
Zindel-Deboni M. C., Lanas G., Paredes F., Vallejo K., & Lanas A. (2019). Epidemiology and complications of facial fractures: a 5-year retrospective study. Revista Facultad De Odontología Universidad De Antioquia, 30(2), 203-213. https://doi.org/10.17533/udea.rfo.v30n2a6