{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T18:15:42Z","timestamp":1783620942880,"version":"3.55.0"},"reference-count":114,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maxillofacial injuries cause significant morbidity and contribute greatly to the global healthcare burden, yet epidemiological estimates from Bangladesh are lacking. This is the first population-level study to provide nationally representative estimates of the epidemiology, healthcare burden, and economic impact of such injuries in Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary analysis was conducted using data from the Bangladesh Health and Injury Survey 2016, a national cross-sectional survey that utilised multistage cluster sampling to collect data from 292,217 individuals across all age groups with a six-month recall period. Annualised incidence rates (IRs) and incidence rate ratios (IRRs), with 95% confidence intervals (CIs), were estimated and stratified by sociodemographic, injury, and healthcare-related characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The annual IR of non-fatal maxillofacial injuries was 793 (95% CI 760.3\u2013824.8) per 100,000 population in 2016. Males (IR 989.1 per 100,000; 95% CI 938.1\u20131040.2), children aged 0\u20134 years (IR 1577.9 per 100,000; 95% CI 1414.9\u20131740.9), urban residents (IR 826.1 per 100,000; 95% CI 748.1\u2013904.2), and auto-rickshaw\/bus\/truck drivers (IR 1632.7 per 100,000; 95% CI 1205.0\u20132060.3) experienced higher rates. Falls and road traffic accidents accounted for most cases, and 56.9% of injured individuals sustained concomitant injuries. Moreover, 47.4% of the injured did not receive any treatment, while 15.1% required hospital admission. The mean inpatient out-of-pocket (OOP) expenditure was USD 470.5 [standard deviation (SD) 1497.1]. Extrapolating the BHIS 2016 estimates to the 2026 national population projected an increase in non-fatal maxillofacial injury cases from 1.27 to 1.41 million.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high incidence rate, a substantial treatment gap, and significant OOP costs underscore critical gaps in maxillofacial injury care in Bangladesh. Alongside reinforcing the country\u2019s infrastructure, we call for targeted policy reforms to strengthen injury prevention, treatment, rehabilitation, and financial protection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0353183","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:29:36Z","timestamp":1783618176000},"page":"e0353183","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology and healthcare burden of non-fatal maxillofacial injuries in Bangladesh: Evidence from Bangladesh Health and Injury Survey (BHIS), 2016"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4732-1841","authenticated-orcid":true,"given":"Ruksana Sharmin","family":"Swarna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Zamila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imteaz","family":"Mahmud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1330-2268","authenticated-orcid":true,"given":"Israt Jahan","family":"Bushra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monjur","family":"Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salim Mahmud","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1443-6257","authenticated-orcid":true,"given":"Mohammad Delwer Hossain","family":"Hawlader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saidur Rahman","family":"Mashreky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"pone.0353183.ref001","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/978-0-85729-253-7_2","article-title":"The Face as a Sensory Organ","author":"MZ Siemionow","year":"2011","journal-title":"The Know-How of Face Transplantation. 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