World over annually 1 million people die and over 25 million are injured or disabled due to road traffic accidents. In India alone road mishaps are responsible for 78% of deaths due to accidents. Till two decades back road accidents were the tenth biggest killer which is projected to be fifth in near future and third up to 2020. Most analysts are unanimous that the rapid rise in traffic related injuries is due to major economic and demographic transition coupled with increasing urbanisation and materialisation. Without an iota of doubt maxillofacial area bears major part of injuries among traffic accidents, unfortunately we still do not have adequate authentic data to work out a policy or protocol for the same. On the basis of observation the recorded in a multi centric retrospective(3 centres) study conducted over last 5 years in Delhi and National Capital Region, it was observed that maxillofacial fractures occurred predominantly in young age group of 21–30 (38%) with male to female ratio of 4.2:1. Among maxillofacial fractures mandible followed by middle third were the most common areas. Most common anatomical site was parasymphysis in mandible and ZMC in middle third of face. In this paper we will be stressing upon the fast changing pattern in location and multiplicity of injury in maxillofacial region. Out of 450 fractures (studied retrospectively), multiple fractures of facial skeleton were observed more as compared to single isolated fracture when subsequent years were compared. 2008 showed around 45% isolated fractures as compared to 2012 where these figures were around 30%. These are our observations in multicentric retrospective study,which may be attributed to high velocity trauma happening more now a days.
Changing trends in maxillofacial trauma in Delhi and National Capital Region-multicentric retrospective study of 450 cases
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