Abstract
The British Association of Oral and Maxillofacial Surgeons (BAOMS) and Saving Faces
undertook two national prospective surveys 11 years apart. They recorded the facial
injuries treated in UK emergency departments and collected data on 14 872 patients. In this paper, which aims to act as a feasibility study for a third
national survey of facial injuries, we have reviewed hard-tissue injuries and specifically
focused on temporal changes in their morphology. The two sets of directly comparable,
categorical, unpaired, cross-sectional data were evaluated independently for statistical
significance. In 1997, there were 1977 hard-tissue facial injuries (33%) but in 2008
this had decreased to 1899 (22%) (p < 0.05). In 1997, there were 1315 fractures (22%) and 662 dental injuries (11%) compared
with 1462 (17%) fractures and 438 (5%) dental injuries in 2008 (p < 0.05). There were proportional increases in orbital (21%), nasal (139%), and cranial
fractures (340%) (p < 0.05). The data showed a small reduction in the total number of hard-tissue injuries,
but this was a considerable reduction as a proportion of the total injuries. Analysis
of the type and subtype of injury generally pointed towards a reduction in their energy
and severity, and to likely changes in mechanism. The project has proved the feasibility
of a third national survey of facial injury.
Keywords
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Article info
Publication history
Published online: December 19, 2019
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© 2019 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.
