Citation

Cohn JE, Smith KC, Licata JJ, Michael A, Zwillenberg S, Burroughs T, Arosarena OA. Ann. Otol. Rhinol. Laryngol. 2019; ePub(ePub): ePub.

Affiliation

Department of Otolaryngology-Head and Neck Surgery, Temple University Lewis Katz School of Medicine, Philadelphia, PA, USA.

Copyright

(Copyright © 2019, Annals Publishing)

DOI

10.1177/0003489419878457

PMID

31559862

Abstract

OBJECTIVES: We aimed to determine whether certain maxillofacial fracture patterns and injury mechanisms were more prevalent in an urban environment. In addition, we aimed to determine if maxillofacial trauma incidence correlated with income.

METHODS: Data was collected from Einstein Healthcare Network and Temple University Health System. These data were compared to the 2016 National Trauma Data Bank© (NTDB©) using chi-square analysis. Multivariate analysis was used to identify correlations between demographic variables and fracture patterns. Sociodemographic data was further characterized utilizing neighborhood mapping.

RESULTS: A total of 252 patients from our urban campuses and 14 447 patients from the NTDB© were identified with facial fractures. Maxillofacial trauma patients in the urban population were more likely to be minorities and less likely to be Caucasian compared to the NTDB© (P <.001). Patients in the urban setting were more likely to sustain mandibular and orbital fractures, and less likely to sustain maxillary fractures and multiple fractures (P <.001). Urban maxillofacial trauma patients were more likely to sustain assault and sporting injuries, and less likely to sustain injuries from motor vehicle accidents and self-harm (P <.001).

CONCLUSIONS: Maxillofacial trauma patterns and injury mechanisms were shown to be significantly different in an urban environment as compared to national data.

[SafetyLit note: The National Trauma Data Bank is a registered trademark of the American College of Surgeons and is not under "copyright" as indicated by the authors and journal editor.]

Language: en

Keywords

Philadelphia; incidence; maxillofacial injuries; social class; urban population