Analysis of Maxillofacial Injuries of Vehicle Passengers Involved in Frontal Collisions
To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed. From the Institute for Traffic Accident Research and Data Analysis in-depth...
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| Published in | Journal of Oral and Maxillofacial Surgery Vol. 69; no. 4; pp. 1146 - 1151 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.04.2011
Elsevier BV Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0278-2391 1531-5053 1531-5053 |
| DOI | 10.1016/j.joms.2010.05.030 |
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| Abstract | To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed.
From the Institute for Traffic Accident Research and Data Analysis in-depth data for 1993 through 2005, data were collected for 226 individuals with maxillofacial injuries who were adult passengers involved in frontal motor vehicle collisions. The accident information, a subject's medical data, and anatomic Injury Severity Scores were examined.
The median Injury Severity Score was 2, and the mean equivalent barrier speed of the vehicles was 35.2 ± 13.0 km/hour. The most common maxillofacial injuries were lacerations (46.7%), followed by abrasions (41.9%), fractures (14.0%), and dental injuries (5.7%). Maxillofacial fractures occurred more often in unrestrained drivers without airbag deployment (18.4%) and less often in restrained drivers with airbag deployment (4.3%). The incidences of fractures caused by impacts with areas other than the steering wheel were markedly decreased using any safety device (35.5% to 0%).
Combined use of seat belts and airbags by occupants decreases fractures compared with completely unrestrained occupants. Furthermore, wearing a seat belt prevents the free flight of drivers within a vehicle and contact with the interior of a vehicle (other than the steering wheel). Although the anatomic Injury Severity Score of maxillofacial injuries was relatively low, because these injuries are also associated with socioeconomic costs, the correct use of safety devices and further development of more effective injury prevention systems are needed. |
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| AbstractList | Purpose To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed. Materials and Methods From the Institute for Traffic Accident Research and Data Analysis in-depth data for 1993 through 2005, data were collected for 226 individuals with maxillofacial injuries who were adult passengers involved in frontal motor vehicle collisions. The accident information, a subject's medical data, and anatomic Injury Severity Scores were examined. Results The median Injury Severity Score was 2, and the mean equivalent barrier speed of the vehicles was 35.2 ± 13.0 km/hour. The most common maxillofacial injuries were lacerations (46.7%), followed by abrasions (41.9%), fractures (14.0%), and dental injuries (5.7%). Maxillofacial fractures occurred more often in unrestrained drivers without airbag deployment (18.4%) and less often in restrained drivers with airbag deployment (4.3%). The incidences of fractures caused by impacts with areas other than the steering wheel were markedly decreased using any safety device (35.5% to 0%). Conclusion Combined use of seat belts and airbags by occupants decreases fractures compared with completely unrestrained occupants. Furthermore, wearing a seat belt prevents the free flight of drivers within a vehicle and contact with the interior of a vehicle (other than the steering wheel). Although the anatomic Injury Severity Score of maxillofacial injuries was relatively low, because these injuries are also associated with socioeconomic costs, the correct use of safety devices and further development of more effective injury prevention systems are needed. To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed. From the Institute for Traffic Accident Research and Data Analysis in-depth data for 1993 through 2005, data were collected for 226 individuals with maxillofacial injuries who were adult passengers involved in frontal motor vehicle collisions. The accident information, a subject's medical data, and anatomic Injury Severity Scores were examined. The median Injury Severity Score was 2, and the mean equivalent barrier speed of the vehicles was 35.2 ± 13.0 km/hour. The most common maxillofacial injuries were lacerations (46.7%), followed by abrasions (41.9%), fractures (14.0%), and dental injuries (5.7%). Maxillofacial fractures occurred more often in unrestrained drivers without airbag deployment (18.4%) and less often in restrained drivers with airbag deployment (4.3%). The incidences of fractures caused by impacts with areas other than the steering wheel were markedly decreased using any safety device (35.5% to 0%). Combined use of seat belts and airbags by occupants decreases fractures compared with completely unrestrained occupants. Furthermore, wearing a seat belt prevents the free flight of drivers within a vehicle and contact with the interior of a vehicle (other than the steering wheel). Although the anatomic Injury Severity Score of maxillofacial injuries was relatively low, because these injuries are also associated with socioeconomic costs, the correct use of safety devices and further development of more effective injury prevention systems are needed. To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed.PURPOSETo clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident Research and Data Analysis, Japan, were retrospectively analyzed.From the Institute for Traffic Accident Research and Data Analysis in-depth data for 1993 through 2005, data were collected for 226 individuals with maxillofacial injuries who were adult passengers involved in frontal motor vehicle collisions. The accident information, a subject's medical data, and anatomic Injury Severity Scores were examined.MATERIALS AND METHODSFrom the Institute for Traffic Accident Research and Data Analysis in-depth data for 1993 through 2005, data were collected for 226 individuals with maxillofacial injuries who were adult passengers involved in frontal motor vehicle collisions. The accident information, a subject's medical data, and anatomic Injury Severity Scores were examined.The median Injury Severity Score was 2, and the mean equivalent barrier speed of the vehicles was 35.2 ± 13.0 km/hour. The most common maxillofacial injuries were lacerations (46.7%), followed by abrasions (41.9%), fractures (14.0%), and dental injuries (5.7%). Maxillofacial fractures occurred more often in unrestrained drivers without airbag deployment (18.4%) and less often in restrained drivers with airbag deployment (4.3%). The incidences of fractures caused by impacts with areas other than the steering wheel were markedly decreased using any safety device (35.5% to 0%).RESULTSThe median Injury Severity Score was 2, and the mean equivalent barrier speed of the vehicles was 35.2 ± 13.0 km/hour. The most common maxillofacial injuries were lacerations (46.7%), followed by abrasions (41.9%), fractures (14.0%), and dental injuries (5.7%). Maxillofacial fractures occurred more often in unrestrained drivers without airbag deployment (18.4%) and less often in restrained drivers with airbag deployment (4.3%). The incidences of fractures caused by impacts with areas other than the steering wheel were markedly decreased using any safety device (35.5% to 0%).Combined use of seat belts and airbags by occupants decreases fractures compared with completely unrestrained occupants. Furthermore, wearing a seat belt prevents the free flight of drivers within a vehicle and contact with the interior of a vehicle (other than the steering wheel). Although the anatomic Injury Severity Score of maxillofacial injuries was relatively low, because these injuries are also associated with socioeconomic costs, the correct use of safety devices and further development of more effective injury prevention systems are needed.CONCLUSIONCombined use of seat belts and airbags by occupants decreases fractures compared with completely unrestrained occupants. Furthermore, wearing a seat belt prevents the free flight of drivers within a vehicle and contact with the interior of a vehicle (other than the steering wheel). Although the anatomic Injury Severity Score of maxillofacial injuries was relatively low, because these injuries are also associated with socioeconomic costs, the correct use of safety devices and further development of more effective injury prevention systems are needed. |
| Author | Hitosugi, Masahito Nagai, Toshiaki Tokudome, Shogo Mizuno, Koji |
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| Copyright | 2011 American Association of Oral and Maxillofacial Surgeons American Association of Oral and Maxillofacial Surgeons 2015 INIST-CNRS Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
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| Snippet | To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic Accident... Purpose To clarify the incidence and mechanisms of maxillofacial injuries sustained by motor vehicle passengers, in-depth data from the Institute for Traffic... |
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| SubjectTerms | Accidents, Traffic Accidents, Traffic - classification Accidents, Traffic - statistics & numerical data Adolescent Adult Aged Aged, 80 and over Air Bags Air Bags - statistics & numerical data Automobiles Automobiles - statistics & numerical data Biological and medical sciences Facial Injuries Facial Injuries - epidemiology Female Humans Incidence Injury Severity Score Japan Japan - epidemiology Lacerations Lacerations - epidemiology Male Mandibular Fractures Mandibular Fractures - epidemiology Maxillary Fractures Maxillary Fractures - epidemiology Maxillofacial Injuries Maxillofacial Injuries - epidemiology Medical sciences Middle Aged Nasal Bone Nasal Bone - injuries Orbital Fractures Orbital Fractures - epidemiology Otorhinolaryngology. Stomatology Retrospective Studies Seat Belts Seat Belts - statistics & numerical data Skull Fractures Skull Fractures - epidemiology Surgery Tooth Injuries Tooth Injuries - epidemiology Young Adult Zygomatic Fractures Zygomatic Fractures - epidemiology |
| Title | Analysis of Maxillofacial Injuries of Vehicle Passengers Involved in Frontal Collisions |
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