{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T23:15:35Z","timestamp":1784243735568,"version":"3.55.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Motorcycles are used as a common means of transportation, and motorcycle accidents are responsible for a major portion of trauma injuries.<\/jats:p><jats:p>\n          Objectives\u2003The purpose of this study was to analyze the patterns of facial injuries in motorcyclists, to evaluate the types of injuries, and to investigate if the accident-related factors had any impact on the characteristics of the injuries.<\/jats:p><jats:p>\n          Methods\u2003This retrospective observational study included 74 patients with maxillofacial injuries following motorcycle-related accidents. Investigated data were divided into four main categories: sociodemographic, accident-related, injury-related, and treatment-related.<\/jats:p><jats:p>\n          Results\u2003All the patients were males with a mean age (\u00b1SD) of 25.03 (\u00b19.986) years. Most accidents (n\u2009=\u200944, 59.4%) occurred in the evening. Most of the patients (n\u2009=\u200940, 54%) were traveling on motorcycle models that had maximum speed of over 120\u2009km\/h. Furthermore, 15 patients (18.9%) were under the influence of alcohol during the crashes and only one patient was wearing a helmet. Fractures of the maxillofacial bones were observed in 50 (67.5%) crash victims; 24 of them (48%) had middle third fractures, 11 (22%) had mandibular fractures, and 15 patients (30%) presented with a combination of lower, middle, and upper third fractures.<\/jats:p><jats:p>\n          Conclusion\u2003Almost all patients were not wearing helmets at the moment of the crash. The most common fractured site was the maxilla. The majority of the patients received surgical treatment. Increased enforcement of safety measures for riders and raising awareness about the dangers of motorcycle crashes are required measures to improve traffic safety and, ultimately, population health.<\/jats:p>","DOI":"10.1055\/s-0042-1744256","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:35:22Z","timestamp":1682721322000},"page":"e309-e315","source":"Crossref","is-referenced-by-count":8,"title":["Patterns of Maxillofacial Injures Caused by Motorcycle Accidents"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9870-3393","authenticated-orcid":false,"given":"Imad S.","family":"Noorali","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Al-Yarmouk Teaching Hospital, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0444-0858","authenticated-orcid":false,"given":"Marwa A.","family":"Attyia","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Al-Yarmouk Teaching Hospital, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7283-2197","authenticated-orcid":false,"given":"Mudher M. 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A single-center, retrospective study","volume":"15","author":"S S Granieri","year":"2020","journal-title":"World J Emerg Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"158","DOI":"10.5005\/jp-journals-10030-1251","article-title":"Maxillofacial Fractures among Motorcycle Crash Victims Attended at a Tertiary Hospital in Tanzania","volume":"8","author":"K S Sohal","year":"2019","journal-title":"Panam J Trauma Crit Care Emerg Surg"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4314\/ahs.v14i1.12","article-title":"Dentofacial injuries in commercial motorcycle accidents in Cameroon: pattern and cost implication of care","volume":"14","author":"A M Agbor","year":"2014","journal-title":"Afr Health Sci"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"s-0038","DOI":"10.1055\/s-0038-1660434","article-title":"Occurrence and Pattern of Maxillofacial Injuries Caused by Motorcycle Crashes Presenting at Two Major Referral Hospitals in Nairobi, Kenya","volume":"2","author":"S Nyameino","year":"2018","journal-title":"Craniomaxillofac Trauma Reconstr Open"},{"issue":"05","key":"ref20","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1007\/s00068-013-0280-8","article-title":"Motorcycle injuries at a tertiary referral hospital in Kenya: injury patterns and outcome","volume":"39","author":"H Saidi","year":"2013","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"02","key":"ref21","first-page":"33","article-title":"Boda-boda injuries a health problem and a burden of disease in Uganda: A tertiary hospital survey","volume":"14","author":"M JJ Galukande","year":"2009","journal-title":"East Cent Afr J Surg"},{"issue":"01","key":"ref22","first-page":"25","article-title":"Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries. Injury. 1999;30(5):357\u201363, Worrall SF. Mechanisms, pattern and treatment costs of maxillofacial injuries","volume":"22","author":"T K Ong","year":"1991","journal-title":"Injury"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1067\/mem.2003.1","article-title":"Facial trauma and the risk of intracranial injury in motorcycle riders","volume":"41","author":"J F Kraus","year":"2003","journal-title":"Ann Emerg Med"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.5272\/jimab.2016222.1120","article-title":"Maxillofacial fractures in patients with multiple injuries and polytrauma","volume":"22","author":"E Deliverska","year":"2016","journal-title":"J of IMAB"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/S0300-9785(86)80005-9","article-title":"Maxillofacial fractures sustained in bicycle accidents","volume":"15","author":"C Lindqvist","year":"1986","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/j.joms.2006.09.013","article-title":"Craniomaxillofacial injuries in the United Arab Emirates: a retrospective study","volume":"65","author":"T Al-Khateeb","year":"2007","journal-title":"J Oral Maxillofac Surg"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1746-160X-1-7","article-title":"Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature","volume":"1","author":"W L Adeyemo","year":"2005","journal-title":"Head Face Med"},{"issue":"06","key":"ref28","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/j.jcms.2013.12.008","article-title":"A ten-year analysis of the traumatic maxillofacial and brain injury patient in Amsterdam: incidence and aetiology","volume":"42","author":"E G Salentijn","year":"2014","journal-title":"J Craniomaxillofac Surg"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1744256.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:40:33Z","timestamp":1682721633000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1744256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":27,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,28]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1744256","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}