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Interpersonal violence and facial fractures
1Maxillofacial and Dental Department, Waikato Hospital, Hamilton, New Zealand. klee1@gmp.usyd.edu.au
Summary
Interpersonal violence increasingly causes facial fractures, particularly in young men, often linked to alcohol. Prevention programs are crucial for this public health hazard.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Public Health
Background:
- Interpersonal violence is a significant cause of emergency department trauma.
- Maxillofacial fractures are a common consequence of interpersonal violence.
Purpose of the Study:
- To analyze trends in maxillofacial fractures resulting from interpersonal violence.
- To identify demographic and etiological factors associated with these fractures.
Main Methods:
- Retrospective analysis of patients treated at Christchurch Hospital's Oral and Maxillofacial Surgery Unit (1996-2006).
- Examination of patient demographics, fracture types, injury mechanisms, and treatments.
Main Results:
- An increase in violence-related facial fractures was observed over the study period.
- Young males (mean age 28, 9:1 male-to-female ratio) were most affected, with 87% alcohol involvement.
- Mandible and zygoma fractures were most common; 59% of patients were hospitalized, 56% required surgery.
Conclusions:
- Violence-related facial fractures are a growing concern, disproportionately affecting young males.
- Alcohol is a major contributing factor, highlighting the need for public awareness and prevention.
- Effective management includes hospitalization and surgical intervention for many patients.
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