The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes
<i>Background and Objectives</i>: Maxillofacial trauma represents a significant global health challenge with substantial physical, psychological, and socioeconomic consequences. <i>Materials and Methods:</i> This narrative review analyzed 112 articles published between 2000 a...
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2025-05-01
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| author | Antonino Maniaci Mario Lentini Luigi Vaira Salvatore Lavalle Salvatore Ronsivalle Francesca Maria Rubulotta Lepanto Lentini Daniele Salvatore Paternò Cosimo Galletti Massimiliano Sorbello Jerome R Lechien Luigi La Via |
| author_facet | Antonino Maniaci Mario Lentini Luigi Vaira Salvatore Lavalle Salvatore Ronsivalle Francesca Maria Rubulotta Lepanto Lentini Daniele Salvatore Paternò Cosimo Galletti Massimiliano Sorbello Jerome R Lechien Luigi La Via |
| author_sort | Antonino Maniaci |
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| description | <i>Background and Objectives</i>: Maxillofacial trauma represents a significant global health challenge with substantial physical, psychological, and socioeconomic consequences. <i>Materials and Methods:</i> This narrative review analyzed 112 articles published between 2000 and 2024 examining epidemiology, prevention, economics, and outcomes of maxillofacial trauma in critical care settings. <i>Results</i>: Road traffic accidents remain the primary cause globally, followed by interpersonal violence and occupational injuries. Effective prevention strategies include seat belt laws, helmet legislation, and violence prevention programs. Economic burden encompasses direct healthcare costs (averaging USD 55,385 per hospitalization), productivity losses (11.8 workdays lost per incident), and rehabilitation expenses (USD 3800–18,000 per patient). Surgical management has evolved toward early intervention, minimally invasive approaches, and advanced techniques using computer-aided design and 3D printing. Complications affect 3–33% of patients, with significant functional disabilities and psychological sequelae (post-traumatic stress disorder in 27%, depression/anxiety in 20–40%). <i>Conclusion</i>: Maxillofacial trauma management requires multidisciplinary approaches addressing both immediate treatment and long-term rehabilitation. Despite technological advances, disparities in specialized care access persist globally. Future efforts should implement evidence-based prevention strategies, reduce care disparities, and develop comprehensive approaches addressing physical, psychological, and socioeconomic dimensions through collaboration among healthcare professionals, policymakers, and community stakeholders. |
| format | Article |
| id | doaj-art-6c7805b957554fabbcd802f1b35406de |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-6c7805b957554fabbcd802f1b35406de2025-08-20T03:48:02ZengMDPI AGMedicina1010-660X1648-91442025-05-0161591510.3390/medicina61050915The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and OutcomesAntonino Maniaci0Mario Lentini1Luigi Vaira2Salvatore Lavalle3Salvatore Ronsivalle4Francesca Maria Rubulotta5Lepanto Lentini6Daniele Salvatore Paternò7Cosimo Galletti8Massimiliano Sorbello9Jerome R Lechien10Luigi La Via11Department of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyStudy Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), 75001 Paris, FranceDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyDepartment of General Surgery and Medical-Surgical Specialties, CHIRMED University of Catania, 95123 Catania, ItalyDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyASP Ragusa, 97100 Ragusa, ItalyDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyDepartment of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, ItalyStudy Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), 75001 Paris, FranceDepartment of Anesthesia and Intensive Care 1, University Hospital Policlinico “G. Rodolico-San Marco”, 95123 Catania, Italy<i>Background and Objectives</i>: Maxillofacial trauma represents a significant global health challenge with substantial physical, psychological, and socioeconomic consequences. <i>Materials and Methods:</i> This narrative review analyzed 112 articles published between 2000 and 2024 examining epidemiology, prevention, economics, and outcomes of maxillofacial trauma in critical care settings. <i>Results</i>: Road traffic accidents remain the primary cause globally, followed by interpersonal violence and occupational injuries. Effective prevention strategies include seat belt laws, helmet legislation, and violence prevention programs. Economic burden encompasses direct healthcare costs (averaging USD 55,385 per hospitalization), productivity losses (11.8 workdays lost per incident), and rehabilitation expenses (USD 3800–18,000 per patient). Surgical management has evolved toward early intervention, minimally invasive approaches, and advanced techniques using computer-aided design and 3D printing. Complications affect 3–33% of patients, with significant functional disabilities and psychological sequelae (post-traumatic stress disorder in 27%, depression/anxiety in 20–40%). <i>Conclusion</i>: Maxillofacial trauma management requires multidisciplinary approaches addressing both immediate treatment and long-term rehabilitation. Despite technological advances, disparities in specialized care access persist globally. Future efforts should implement evidence-based prevention strategies, reduce care disparities, and develop comprehensive approaches addressing physical, psychological, and socioeconomic dimensions through collaboration among healthcare professionals, policymakers, and community stakeholders.https://www.mdpi.com/1648-9144/61/5/915maxillofacial traumafacial injuriesprevention strategiesroad safety measureseconomic burdensurgical management |
| spellingShingle | Antonino Maniaci Mario Lentini Luigi Vaira Salvatore Lavalle Salvatore Ronsivalle Francesca Maria Rubulotta Lepanto Lentini Daniele Salvatore Paternò Cosimo Galletti Massimiliano Sorbello Jerome R Lechien Luigi La Via The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes Medicina maxillofacial trauma facial injuries prevention strategies road safety measures economic burden surgical management |
| title | The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes |
| title_full | The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes |
| title_fullStr | The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes |
| title_full_unstemmed | The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes |
| title_short | The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes |
| title_sort | global burden of maxillofacial trauma in critical care a narrative review of epidemiology prevention economics and outcomes |
| topic | maxillofacial trauma facial injuries prevention strategies road safety measures economic burden surgical management |
| url | https://www.mdpi.com/1648-9144/61/5/915 |
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