Maxillofacial injuries and violence against women

Arch Facial Plast Surg. 2009 Jan-Feb;11(1):48-52. doi: 10.1001/archfacial.2008.507.

Abstract

Objective: To determine if patterns of facial injuries differed between those of female assault victims with maxillofacial injuries and those of female patients with maxillofacial injuries from other causes.

Methods: We reviewed the medical and dental records of 326 adult female facial trauma patients treated by otolaryngologists and oral/maxillofacial surgeons at the University of Kentucky Medical Center. Information abstracted included date of injury, dates of presentation for medical attention, mechanism(s) of injury, diagnoses, and treatments.

Results: While victims of intimate partner violence were more likely to have zygomatic complex fractures, orbital blow-out fractures, and intracranial injuries than were other patients with facial trauma, women assaulted by unknown or unidentified assailants were more likely to have mandible fractures (P = .004).

Conclusion: These results in conjunction with other presenting circumstances, such as delay in presentation, can assist the surgeon treating patients with maxillofacial injury in recognizing interpersonal violence against women.

MeSH terms

  • Adult
  • Craniocerebral Trauma / epidemiology*
  • Craniocerebral Trauma / etiology
  • Female
  • Humans
  • Incidence
  • Kentucky / epidemiology
  • Maxillofacial Injuries / epidemiology*
  • Maxillofacial Injuries / etiology
  • Middle Aged
  • Sex Factors
  • Spouse Abuse / diagnosis
  • Spouse Abuse / statistics & numerical data*
  • Violence / statistics & numerical data
  • Young Adult