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Analysis of Facial Injuries in Motor Vehicle Accidents According to the Location of the Seat and Seat-Belt Use

Kim, Sue Min MD, PhD; Ha, Non Hyeon MD*; Hahn, Hyung Min MD*; Lee, Il Jae MD, PhD*; Park, Myong Chul MD, PhD*; Park, Dong Ha MD*

doi: 10.1097/SCS.0000000000005568
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The purpose of this study was to evaluate facial trauma in accidents involving a passenger car. In particular, the authors assessed differences in types of facial trauma and severity according to the location of the seat and seat-belt use. A 7-year retrospective review of data was conducted for 419 patients with facial trauma resulting from motor vehicle accidents. Patients who used a seat belt faced a lower risk of severe soft-tissue injury in comparison with having mild soft-tissue injury than patients who did not use a seat belt (P = 0.0129). Additionally, patients who used a seat belt had a lower risk of accompanying facial bone fracture requiring surgical operation than patients who did not use a seat belt (P = 0.0168). In terms of facial bone fracture according to seat location, patients who had sat in the back seat had more risk of accompanying facial bone fracture than patients who had sat in the passenger's seat (P = 0.0392). In terms of facial bone fractures requiring surgical operation, the patients who had sat in a back seat faced more risk of needing a surgical operation than patients who had sat in the driver's seat (P = 0.0479). The results of the study reveal that wearing a seat belt effectively reduces severe facial soft-tissue injury and facial bone fracture requiring surgical operation. In particular, the authors note that sitting in a back seat is riskier in terms of facial bone injury than sitting in a front seat.

*Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon

Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea.

Address correspondence and reprint requests to Dong Ha Park, Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Worldcup-ro 164, Yeongtong-gu, Suwon, Gyeonggi-do, 443-721, Korea; E-mail: growhand@hanmail.net

Received 24 October, 2018

Accepted 12 March, 2019

The authors have no conflicts of interest to disclose.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).

© 2019 by Mutaz B. Habal, MD.