| Peer-Reviewed

Maxillo-facial Trauma: Epidemiological Study and Legal Implications

Received: 18 January 2020    Accepted: 13 February 2020    Published: 28 February 2020
Views:       Downloads:
Abstract

In Tunisia, as all over the world, intentional traumas resulting from assaults represent a growing social scourge especially after the revolution of January 2011. Facial trauma occupies a special place due to its psychological impact on victims. This study aims to examine the demographics, pattern and management of maxillofacial injuries due to interpersonal violence. It’s about a retrospective study, interesting all cases of isolated intentional maxillofacial traumas collected in the Forensic Department of the University Hospital Habib Bourguiba of Sfax - Tunisia during six months between July and December 2017. We collected 270 cases of isolated facial trauma with a prevalence of 7.3%. Victims were mainly young men with low socio-economic class. Bruise was the most frequent lesion (67.4%). Orbital region was the most common site of lesions (52.2%). Total temporary disability (TTD) average was 10.81 days. Permanent partial disability (PPD) was predicted in 34.8% of cases. Despite the low prevalence of isolated facial trauma, it is considered as a major public health problem. Consequences of the complaint lodged by the victim depend on conclusions of medicolegal expertise.

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 6, Issue 1)
DOI 10.11648/j.ijcoms.20200601.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Interpersonal Assault, Maxillofacial Trauma, Forensic Medical Report

References
[1] Brink O, Vester A, Jensen J. Pattern of injuries due to interpersonal violence. Injury 1998; 29: 705–709.
[2] [2] Nouma. Y et al. “L'incapacité totale temporaire: évaluation et conséquences médicolégales”. Journal International De Victimologie. 2012, 2–2014.
[3] Diallo, Alpha Oumar, FA Itiere Odzili, A Keita, ML Bah, HM Alloh, A Kourouma, B Conde, SAT Camara, AV Sylla, & G Ondzotto. "Traumatismes Isolés de la Face à Conakry: Considérations Épidémiologiques et Prise en Charge." HEALTH SCIENCES AND DISEASES [Online], 18.4 (2017): n. pag. Web. 9 Sep. 2018.
[4] Keïta A, Diallo AO, Condé M, Fofana M, Barry AO, Diallo MT, Camara S. Les urgences ORL au CHU de Conakry. Guinée Méd. 2013; 81: 19-26.
[5] Laski R, Ziccardi VB, Broder HL, Janal M. Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofac Surg 2004; 62: 685–688.
[6] Boffano, Paolo et al. “European Maxillofacial Trauma (EURMAT) project: a multicentre and prospective study.” Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery 43 1 (2015): 62-70.
[7] HWANG, Kun et YOU, Sun Hye. Analysis of facial bone fractures: An 11-year study of 2,094 patients. Indian journal of plastic surgery: Official publication of the Association of Plastic surgeons of India, 2010, vol. 43, no 1, p. 42.
[8] Gadre, K. S., Halli, R., Joshi, S., Ramanojam, S., Gadre, P. K., Kunchur, R.,... & Kaul, D. (2013). Incidence and pattern of cranio-maxillofacial injuries: a 22 year retrospective analysis of cases operated at major trauma hospitals/centres in Pune, India. Journal of maxillofacial and oral surgery, 12 (4), 372-378.
[9] Gassner, R., Tuli, T., Hächl, O., Rudisch, A., & Ulmer, H. (2003). Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21 067 injuries. Journal of cranio-maxillofacial surgery, 31 (1), 51-61.
[10] Lee KH, Snape L, Steenberg LJ, Worthington J. Comparasion between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg. 2007; 77: 695-8.
[11] Rajendra PB, Mathew TP, Agrawal A, Sabharawal G. Characteristics of associated craniofacial with head injuries: An experience with 100 cases. J Emerg Trauma Shock. 2009; 2: 89-94.
[12] Zargar M, Khaji A, Karbakhsh M, Zarei MR. Epidemiology study of facial injuries during a 13 month of trauma registry in Tehran. Indian J Med Sci. 2004; 58: 109-14.
[13] Lee KH. La violence interpersonnelle et des fractures du visage. J Oral Maxillofac Surg. 2009; 67: 1878-1883.
[14] Al-Dajani, M., et al. Epidemiology of maxillofacial injuries in Ontario, Canada. J Oral Maxillofac Surg, 2015. 73 (4): p. 693 e1-9.
[15] Kebina, B. K. les traumatismes maxillo-faciaux: étude rétrospective de 1255 cas colligés au chu ARISTIDE LE DANTEC DE DAKAR de janvier 2004 à décembre 2006. 2008, UNIVERSITE CHEIKH ANTA DIOP DE DAKAR.
[16] Olasoji H. O., Tahir A., Arotiba G. T. Changing picture of facial fractures in northern Nigeria. (2002) British Journal of Oral and Maxillofacial Surgery, 40 (2), pp. 140-143.
[17] Kapoor, Pranav, and Namita Kalra. "A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi." International journal of critical illness and injury science 2.1 (2012): 6.
[18] Lee, Kai. "Global trends in maxillofacial fractures." Craniomaxillofacial trauma & reconstruction 5.4 (2012): 213.
[19] Subhashraj, K., N. Nandakumar, and C. Ravindran. "Review of maxillofacial injuries in Chennai, India: a study of 2748 cases." British Journal of Oral and Maxillofacial Surgery 45.8 (2007): 637-639.
[20] Lee, Jung Hoon, Byung Ki Cho, and Woo Jin Park. "A 4-year retrospective study of facial fractures on Jeju, Korea." Journal of Cranio-Maxillofacial Surgery 38.3 (2010): 192-196.
[21] Hutchison, I. L., et al. "The BAOMS United Kingdom survey of facial injuries part 1: aetiology and the association with alcohol consumption." British Journal of Oral and Maxillofacial Surgery 36.1 (1998): 3-13.
[22] Ogundare, Bolaji O., Andrea Bonnick, and Neil Bayley. "Pattern of mandibular fractures in an urban major trauma center." Journal of Oral and Maxillofacial Surgery 61.6 (2003): 713-718.
[23] Mabrouk, Amr, et al. "Incidence, etiology, and patterns of maxillofacial fractures in Ain-Shams University, Cairo, Egypt: A 4-year retrospective study." Craniomaxillofacial trauma & reconstruction 7.3 (2014): 224.
[24] Eggensperger, Nicole, et al. "A 3-year survey of assault-related maxillofacial fractures in central Switzerland." Journal of Cranio-Maxillofacial Surgery 35.3 (2007): 161-167.
[25] J. Pouillard: Les certificats médicaux. UNAFORMEC. 2005. pp 2-4.
[26] G. Lorin de la Grandmaison, Michel Durigon. Incapacité totale de travail: proposition d’un barème indicatif. LA REVUE DU PRATICIEN–MÉDECINE GÉNÉRALE. TOME 20. Janvier 2006. pp. 7 1 8-7 1 9.
[27] P. Chariot, F. Dedouit, C. R-Salmon, N. Bourokba, C. R-Maillart, G. Tournel. Examen médical des personnes victimes de violence: fréquence des facteurs aggravants au sens du Code pénal, hétérogénéité des pratiques. La Presse Médicale, Volume 41, Issue 11, November 2012, pp e553–e558.
[28] E. Baccino. Médecine de la violence: prise en charge des victimes et des agresseurs. Chapitre 4: victimes des violences physiques (aspects pénaux), pp 76–139.
[29] Code pénal tunisien (CPT).
[30] Base de données: la législation du secteur de la sécurité en Tunisie. Loi n° 69-33 du 12 juin 1969, réglementant l'introduction, le commerce, la détention et le port des armes.
Cite This Article
  • APA Style

    Sami Bardaa, Hanen Dhouib, Hassen Ennouri, Zouhir Hammami, Samir Maatoug. (2020). Maxillo-facial Trauma: Epidemiological Study and Legal Implications. International Journal of Clinical Oral and Maxillofacial Surgery, 6(1), 1-6. https://doi.org/10.11648/j.ijcoms.20200601.11

    Copy | Download

    ACS Style

    Sami Bardaa; Hanen Dhouib; Hassen Ennouri; Zouhir Hammami; Samir Maatoug. Maxillo-facial Trauma: Epidemiological Study and Legal Implications. Int. J. Clin. Oral Maxillofac. Surg. 2020, 6(1), 1-6. doi: 10.11648/j.ijcoms.20200601.11

    Copy | Download

    AMA Style

    Sami Bardaa, Hanen Dhouib, Hassen Ennouri, Zouhir Hammami, Samir Maatoug. Maxillo-facial Trauma: Epidemiological Study and Legal Implications. Int J Clin Oral Maxillofac Surg. 2020;6(1):1-6. doi: 10.11648/j.ijcoms.20200601.11

    Copy | Download

  • @article{10.11648/j.ijcoms.20200601.11,
      author = {Sami Bardaa and Hanen Dhouib and Hassen Ennouri and Zouhir Hammami and Samir Maatoug},
      title = {Maxillo-facial Trauma: Epidemiological Study and Legal Implications},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {6},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijcoms.20200601.11},
      url = {https://doi.org/10.11648/j.ijcoms.20200601.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20200601.11},
      abstract = {In Tunisia, as all over the world, intentional traumas resulting from assaults represent a growing social scourge especially after the revolution of January 2011. Facial trauma occupies a special place due to its psychological impact on victims. This study aims to examine the demographics, pattern and management of maxillofacial injuries due to interpersonal violence. It’s about a retrospective study, interesting all cases of isolated intentional maxillofacial traumas collected in the Forensic Department of the University Hospital Habib Bourguiba of Sfax - Tunisia during six months between July and December 2017. We collected 270 cases of isolated facial trauma with a prevalence of 7.3%. Victims were mainly young men with low socio-economic class. Bruise was the most frequent lesion (67.4%). Orbital region was the most common site of lesions (52.2%). Total temporary disability (TTD) average was 10.81 days. Permanent partial disability (PPD) was predicted in 34.8% of cases. Despite the low prevalence of isolated facial trauma, it is considered as a major public health problem. Consequences of the complaint lodged by the victim depend on conclusions of medicolegal expertise.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Maxillo-facial Trauma: Epidemiological Study and Legal Implications
    AU  - Sami Bardaa
    AU  - Hanen Dhouib
    AU  - Hassen Ennouri
    AU  - Zouhir Hammami
    AU  - Samir Maatoug
    Y1  - 2020/02/28
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcoms.20200601.11
    DO  - 10.11648/j.ijcoms.20200601.11
    T2  - International Journal of Clinical Oral and Maxillofacial Surgery
    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2472-1344
    UR  - https://doi.org/10.11648/j.ijcoms.20200601.11
    AB  - In Tunisia, as all over the world, intentional traumas resulting from assaults represent a growing social scourge especially after the revolution of January 2011. Facial trauma occupies a special place due to its psychological impact on victims. This study aims to examine the demographics, pattern and management of maxillofacial injuries due to interpersonal violence. It’s about a retrospective study, interesting all cases of isolated intentional maxillofacial traumas collected in the Forensic Department of the University Hospital Habib Bourguiba of Sfax - Tunisia during six months between July and December 2017. We collected 270 cases of isolated facial trauma with a prevalence of 7.3%. Victims were mainly young men with low socio-economic class. Bruise was the most frequent lesion (67.4%). Orbital region was the most common site of lesions (52.2%). Total temporary disability (TTD) average was 10.81 days. Permanent partial disability (PPD) was predicted in 34.8% of cases. Despite the low prevalence of isolated facial trauma, it is considered as a major public health problem. Consequences of the complaint lodged by the victim depend on conclusions of medicolegal expertise.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Forensic Department, Habib Bourguiba University Hospital, Sfax, Tunisia; Medicine Faculty, University of Sfax, Sfax, Tunisia

  • Forensic Department, Habib Bourguiba University Hospital, Sfax, Tunisia; Medicine Faculty, University of Sfax, Sfax, Tunisia

  • Forensic Department, Habib Bourguiba University Hospital, Sfax, Tunisia; Medicine Faculty, University of Sfax, Sfax, Tunisia

  • Forensic Department, Habib Bourguiba University Hospital, Sfax, Tunisia; Medicine Faculty, University of Sfax, Sfax, Tunisia

  • Forensic Department, Habib Bourguiba University Hospital, Sfax, Tunisia; Medicine Faculty, University of Sfax, Sfax, Tunisia

  • Sections