{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:39:46Z","timestamp":1764175186729,"version":"3.37.3"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this study was to determine the frequency and patterns of maxillofacial fractures in falls due to environmental and occupational reasons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>One hundred and nineteen patients were included in this study who presented to the department of Oral and maxillofacial surgery at Khyber College of Dentistry, Peshawar. The duration of study was 3 years from January 1, 2017 to December 31, 2019. Demographic data such as age, gender and data environmental or occupational etiology of falls and pattern of fractures was noted in a customized Performa after detailed history, clinical and radiographic examination. Patients of maxillofacial fractures resulting due to falls with age ranging from 16 to 64 years were included. Those cases of falls that presented with systemic diseases or had chances of pathological fractures were excluded from the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Male population was affected more than females (60% vs. 39.4%). The mean age was 32.39\u2009SD\u2009\u00b1\u200916.031. Falls due to environmental factors were more common than occupational factors (81.5% vs 18.5%). Fracture of midface was more common (57.1%) than fracture of mandible (36.7%) in patients of falls. 5.5% had both midface and mandible fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We concluded that Environmental and work\u2010related facial fractures in falls are common in third and fourth decade of life. Falls due to stumbling, tripping and slipping, falls from height and falls from stairs most commonly result in midface fractures. Mandible fractures are commonly seen in sportsmen and laborers. Preventive strategies shall be adopted to prevent morbidity and mortality associated with such injuries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.545","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T10:11:49Z","timestamp":1648807909000},"page":"737-741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Role of environmental and occupational factors in fall\u2010related maxillofacial fractures"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8277-5250","authenticated-orcid":false,"given":"Nigam","family":"Sattar","sequence":"first","affiliation":[{"name":"Department of Oral Surgery, IIDC Riphah International University Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syeda","family":"Rabia Rahat Gillani","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery Foundation University College of Dentistry Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahwish","family":"Erkin","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery Shifa College of Dentistry Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muslim","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery Khyber College of Dentistry Peshawar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Abbas","sequence":"additional","affiliation":[{"name":"AFPGMI Rawalpindi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nimrah","family":"Khurshid khattak","sequence":"additional","affiliation":[{"name":"Bahria University Medical and Dental College Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","first-page":"245","article-title":"Pattern of mandibular fractures resulting from falls","volume":"34","author":"Ashraf N.","year":"2014","journal-title":"Pakistan Oral & Dental Journal"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1520\/JFS2004124"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.26719\/2011.17.5.375"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772315Y.0000000007"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-158-02-11"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-15-S2-S3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1549015"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.1.77"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12462"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0212-7"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v28i4.6046"},{"issue":"2","key":"e_1_2_8_13_1","first-page":"79","article-title":"Study on age and education level and their relationship with fall\u2010related injuries in Shanghai, China","volume":"26","author":"Li Y. 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