- 作者：Carlos Eduardo Lopes Albuquerque ; Francisco Pl谩cido Nogueira Arcanjo ; Gerardo Cristino-Filho ; Ant么nio Mont'Alverne Lopes-Filho ; Paulo Cesar de Almeida ; Roberto Prado ; Cec铆lia Luiz Pereira-Stabile
- 刊名：Journal of Oral and Maxillofacial Surgery
- 出版年：March, 2014
- 年：2014
- 卷：72
- 期：3
- 页码：542-549
- 全文大小：229 K
Purpose
Motorcycle crash helmets do not totally prevent head and facial trauma. The aim of this study was to investigate if protection offered by helmets differs according to helmet type.Materials and Methods
In this retrospective cohort study, outpatient records of motorcyclists were analyzed for the Facial Injury Severity Scale (FISS), traumatic brain injury (TBI), facial fractures, and helmet use. Statistical analysis was conducted using the Fisher and Bonferroni tests, bivariate regression analysis, and 1-way analysis of variance.
Results
There were 253 motorcyclists who sustained craniomaxillofacial injuries and were referred for outpatient treatment (men, 88.9%; mean age, 29.64 卤 11.6 yr); 60.1% had up to 9 years of formal education; 156 patients reported not using crash helmets, 51 were using open-face helmets, and 46 were using full-face helmets. The mean FISS score was significantly higher for unhelmeted riders compared with full-face helmet riders (P聽= .047), with no difference between unhelmeted riders and open-face helmet users (P聽= 1.00). Results for TBI were statistically greater for those wearing open-face helmets compared with full-face helmets (P聽= .035).
Conclusion
In this study, a large percentage of motorcyclists had facial fractures and TBI, and crash helmets did not always offer adequate protection against craniomaxillofacial injury, especially open-face helmets. Thus, further investigation into helmet types and quality of protection offered is recommended.