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Abstract
RÉSUMÉ
Introduction. Les accidents de la circulation routière (ACR) représentent une cause prépondérante de fractures faciales dans les contextes à ressources limitées. Cette étude visait à caractériser les profils épidémiologiques et anatomocliniques des fractures faciales post-ACR au CHU Sourô Sanou de Bobo-Dioulasso. Matériel et méthodes. Une étude transversale rétrospective a été menée du 1ᵉʳ janvier 2021 au 31 décembre 2023 incluant tous les patients présentant des fractures faciales radiologiquement confirmées (tomodensitométrie, radiographies de Blondeau/Hirtz, orthopantomogramme) consécutives à un ACR. Les données épidémiologiques, mécanismes lésionnels et lésions associées ont été analysées via Epi Info 7.2.5.0. Résultats. Parmi 340 cas inclus, une prédominance masculine (91%) et jeune (35% âgés de 20-30 ans) a été observée. Les deux-roues motorisés étaient impliqués dans 87% des accidents, avec des collisions inter-deux-roues dans 51,8% des cas. Les fractures zygomatiques constituaient la lésion faciale la plus fréquente (32,57%). Les traumatismes associés incluaient principalement des lésions crânio-encéphaliques (57,98%) et des fractures des membres (28,58%). Conclusion. Cette étude identifie les jeunes conducteurs masculins de deux-roues comme population la plus vulnérable aux fractures faciales post-ACR au Burkina Faso. Elle plaide pour un renforcement immédiat des politiques de sécurité routière et le développement urgent de transports collectifs sécurisés à Bobo-Dioulasso.
ABSTRACT
Introduction. Road traffic accidents (RTAs) constitute a leading cause of facial fractures in resource-limited settings. This study aimed to characterize the epidemiological and clinico-anatomical profiles of post-RTA facial fractures at Sourô Sanou University Hospital in Bobo-Dioulasso. Material and methods. A retrospective cross-sectional study was conducted from January 1, 2021, to December 31, 2023, including all patients with radiologically confirmed facial fractures (CT scan, Blondeau/Hirtz radiographs, orthopantomogram) secondary to RTAs. Epidemiological data, injury mechanisms, and associated lesions were analyzed using Epi Info 7.2.5.0. Results. Among 340 included cases, a male (91%) and young (35% aged 20-30 years) predominance was observed. Motorized two-wheelers were involved in 87% of accidents, with inter-two-wheeler collisions accounting for 51.8%. Zygomatic fractures were the most frequent facial injury (32.57%). Associated traumas primarily included craniocerebral injuries (57.98%) and limb fractures (28.58%). Conclusion. This study identifies young male two-wheeler riders as the most vulnerable group to post-RTA facial fractures in Burkina Faso. It advocates for immediate road safety policy reinforcement and urgent development of secure public transport in Bobo-Dioulasso.
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References
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- 2. Menon S, Sham ME, Kumar V, Archana S, Nath P, Shivakotee S, Hoda M. Maxillofacial fracture patterns in road traffic accidents. An maxillofac surg. 2019 1;9(2):345-8.
- 3. Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: A study of pattern of presentation and care. Pan Afr Med J 2017;26:218.
- 4. Choi SH, Gu JH, Kang DH. Analysis of Traffic Accident-Related Facial Trauma. J Craniofac Surg. 2016;27(7):1682-5.
- 5. Yari A, Hasheminasab M, Fasih P, Nouralishahi A, Arianezhad SM. The pattern of maxillofacial fractures associated with rollover accidents: A 7-year retrospective study. Dent Traumatol. 2024 ;40(2):213-20.
- 6. Agnihotri A, Galfat D, Agnihotri D. Incidence and pattern of maxillofacial trauma due to road traffic accidents: a prospective study. J Maxillofac Oral Surg. 2014;13(2):184-8.
- 7. Zafar SN, Canner JK, Nagarajan N, Kushner AL, Gupta S, Canner JK, et al. Road traffic injuries: Cross-sectional cluster randomized countrywide population data from 4 low-income countries, Int J Surg 2018, 52:237-242 doi: 10.1016/j.ijsu.2018.02.034.
- 8. Oginni FO, Oladejo T, Alake DP, Oguntoba JO, Adebayo OF. Facial Bone Fractures in Ile-Ife, Nigeria: An Update on Pattern of Presentation and Care. J Maxillofac Oral Surg. 2016;15(2):184-90.
- 9. Adeola AO; Amos OA; Timothy OA; Abiodun OF. Updates on the Epidemiology and Pattern of Traumatic Maxillofacial Injuries in a Nigerian University Teaching Hospital: A 12-Month Prospective Cohort In-Hospital Outcome Study. Craniomaxillofac Trauma Reconstr 2015;8:50-8.
- 10. Traore I, Coulibaly TA, Yanogo WAA, Goumbane B, Bayala J-P, Béogo R. Les Fractures Zygomatiques au Centre Hospitalier Universitaire Sourô Sanou de Bobo-Dioulasso : Épidémiologie et Prise en Charge. Health Sci. Dis: Vol 25 (2) 2024 :61-5.
- 11. Piccolino P, Buonaccorsi S, Cerulli G, Corbetta C, Pitino F, Tedaldi M, et al. E-Scooter-Related Maxillofacial Fractures: A New Emerging Epidemic During the COVID-19 Period in the Province of Rome, Lazio, Italy: A monocentric study review of 843 patients compared with the pre-COVID-19 two-year period. J Craniofac Surg. 2024, 35(2):510-14.
- 12. Alghnam S, Alsulaim HA, BinMuneif YA, Al-Zamil A, Alahmari A, Alshafi A, Alsaif A, Albabtain I. Injuries following motorcycle crashes at a level-1 trauma center in Riyadh. Ann Saudi Med. 2019;39(3):185-91.
- 13. Abhinandan Patel KN, Sneha TR, Reddy KR, Girish G, Nikhila G. Changing Trends in the Pattern of Maxillofacial Injuries in Helmeted Motorcycle Accident Patients when Compared to Non-helmeted Motorcycle Accident Patients. J Maxillofac Oral Surg. 2023;22(1):18-24
References
1. Carvalho TBO, Cancian LRL, Marques CG, Piatto VB, Maniglia JV, Molina FD. Six years of facial trauma care: an epidemiological analysis of 355 cases. Braz j otorhinolaryngol. 2010;76:565‐74.
2. Menon S, Sham ME, Kumar V, Archana S, Nath P, Shivakotee S, Hoda M. Maxillofacial fracture patterns in road traffic accidents. An maxillofac surg. 2019 1;9(2):345-8.
3. Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: A study of pattern of presentation and care. Pan Afr Med J 2017;26:218.
4. Choi SH, Gu JH, Kang DH. Analysis of Traffic Accident-Related Facial Trauma. J Craniofac Surg. 2016;27(7):1682-5.
5. Yari A, Hasheminasab M, Fasih P, Nouralishahi A, Arianezhad SM. The pattern of maxillofacial fractures associated with rollover accidents: A 7-year retrospective study. Dent Traumatol. 2024 ;40(2):213-20.
6. Agnihotri A, Galfat D, Agnihotri D. Incidence and pattern of maxillofacial trauma due to road traffic accidents: a prospective study. J Maxillofac Oral Surg. 2014;13(2):184-8.
7. Zafar SN, Canner JK, Nagarajan N, Kushner AL, Gupta S, Canner JK, et al. Road traffic injuries: Cross-sectional cluster randomized countrywide population data from 4 low-income countries, Int J Surg 2018, 52:237-242 doi: 10.1016/j.ijsu.2018.02.034.
8. Oginni FO, Oladejo T, Alake DP, Oguntoba JO, Adebayo OF. Facial Bone Fractures in Ile-Ife, Nigeria: An Update on Pattern of Presentation and Care. J Maxillofac Oral Surg. 2016;15(2):184-90.
9. Adeola AO; Amos OA; Timothy OA; Abiodun OF. Updates on the Epidemiology and Pattern of Traumatic Maxillofacial Injuries in a Nigerian University Teaching Hospital: A 12-Month Prospective Cohort In-Hospital Outcome Study. Craniomaxillofac Trauma Reconstr 2015;8:50-8.
10. Traore I, Coulibaly TA, Yanogo WAA, Goumbane B, Bayala J-P, Béogo R. Les Fractures Zygomatiques au Centre Hospitalier Universitaire Sourô Sanou de Bobo-Dioulasso : Épidémiologie et Prise en Charge. Health Sci. Dis: Vol 25 (2) 2024 :61-5.
11. Piccolino P, Buonaccorsi S, Cerulli G, Corbetta C, Pitino F, Tedaldi M, et al. E-Scooter-Related Maxillofacial Fractures: A New Emerging Epidemic During the COVID-19 Period in the Province of Rome, Lazio, Italy: A monocentric study review of 843 patients compared with the pre-COVID-19 two-year period. J Craniofac Surg. 2024, 35(2):510-14.
12. Alghnam S, Alsulaim HA, BinMuneif YA, Al-Zamil A, Alahmari A, Alshafi A, Alsaif A, Albabtain I. Injuries following motorcycle crashes at a level-1 trauma center in Riyadh. Ann Saudi Med. 2019;39(3):185-91.
13. Abhinandan Patel KN, Sneha TR, Reddy KR, Girish G, Nikhila G. Changing Trends in the Pattern of Maxillofacial Injuries in Helmeted Motorcycle Accident Patients when Compared to Non-helmeted Motorcycle Accident Patients. J Maxillofac Oral Surg. 2023;22(1):18-24