TY - CHAP M1 - Book, Section TI - Trauma to the Face A1 - Hedayati, Tarlan A1 - Amin, Dhara P. A2 - Tintinalli, Judith E. A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Stapczynski, J. Stephan A2 - Cline, David M. A2 - Thomas, Stephen H. PY - 2020 T2 - Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e AB - Assaults, motor vehicle crashes, falls, sports, and gunshot wounds account for the majority of facial fractures (in descending order of incidence), with motor vehicle crashes and gunshot wounds resulting in a higher severity of injury.1 The lack of a seat belt or air bag increases the risk of facial fractures and panfacial fracture.2 The most common fractures are to the nasal bone, followed by orbital floor, zygomaticomaxillary, maxillary sinuses, and mandibular ramus.1 Mechanisms and injury patterns vary with geography. In the urban setting, penetrating trauma and assaults result in midface and zygomatic fractures. In the rural setting, motor vehicle crashes and recreational injuries result in fractures of the mandible and nose. Males are more frequently affected than females, but domestic violence and elder and child abuse must always be considered in any patient presenting with facial trauma. The majority of abused women and children will have injuries to the head, face, and neck.3,4 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/12 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1167028185 ER -