Facial fractures in work-related injuries

Background

Accidents at work can cause serious physical injuries and can occur as a result of poor attention, equipment failure or inappropriate use of machinery. This study presents data on work-related facial fractures and its associated injuries over an 11-year period.

Methods

A retrospective database of patients presenting to the Oral and Maxillofacial Surgery service at Christchurch Hospital during an 11-year period was reviewed. Variables examined included demographics, types of fractures, mode of injury, other associated injuries and treatment outcome.

Results

A total of 55 patients were identified to have work-related facial fractures. Male accounted for 96% of all patients, with the 31–45 years old group accounting for 33% of patients. Construction workers accounted for 31% of all patients. Sixty seven percent of all fractures involved the mid-face and 28% involved the mandible. Most common mechanism of injuries was due to blow by falling objects. Sixty two percent of all patients required hospitalisation and 49% were treated surgically, with open reduction and internal fixation required in most of the cases.

Conclusion

Accidents at work place can result in serious facial injuries. Men with professions that involve high physical strain and use of machinery and tools are at higher risk. These injuries frequently require hospitalization and surgical treatment.