Featured Research

from universities, journals, and other organizations

Operators Of All-Terrain Vehicles Are At High Risk For Severe Injuries To The Jawbone And Face

Date:
September 21, 1998
Source:
American Academy Of Otolaryngology-Head And Neck Surgery
Summary:
Two West Virginia otolaryngologist-head and neck surgeons have conducted a retrospective review of 153 patients with all-terrain vehicle accidents to assess the severity of injuries to the jawbone and face. The conclusions of their research effort provide evidence which recommends increased aged-based restrictions and formal training requirements in the use of this vehicle as well as wearing helmets and alcohol avoidance.

San Antonio, TX -- The use of all-terrain vehicles (ATVs) is minimally regulated by the federal government and most state agencies. Consequently, a number of operators assume that the medical risks associated with the use of this recreational vehicle are minimal. Two West Virginia otolaryngologist-head and neck surgeons have conducted a retrospective review of 153 patients with all-terrain vehicle accidents to assess the severity of injuries to the jawbone and face. The conclusions of their research effort provide evidence which recommends increased aged-based restrictions and formal training requirements in the use of this vehicle as well as wearing helmets and alcohol avoidance.

B. Joseph Touma, MD, and Hassan H. Ramadan, MD, both from the Department of Otolaryngology-Head and Neck Surgery at West Virginia University conducted this research. Their findings were presented before 1998 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting and OTO Expo, which is being held September 13-16 at the Henry B. Gonzalez Convention Center in San Antonio, TX.

Background

All-terrain vehicles were introduced into the United States in the late 1970s and have become a popular form of motorized recreation, particularly in off-road areas. These vehicles can weigh up to 500 lbs. and exceed speeds 65 mph. Three and four wheel vehicles were available until 1988 when the federal government banned the former due to high rates of death and injury.

Between January 1982 and June 1995, the U. S. Consumer Product and Safety Commission reported 2,638 deaths nationwide due to ATV accidents of which 73 occurred in West Virginia. While the death rate has declined, there are still significant injuries requiring emergency room treatment. In 1994, 59,200 such injuries were reported; 24,800 were for patients under 16 years of age. This research study is the first of its kind addressing maxillofacial (jaws and face) injuries due to ATV accidents.

Methodology

The study was a retrospective review of 153 patients admitted to the West Virginia University hospital system between January, 1990, and June, 1996. Of this group, 33 suffered at least one maxillofacial injury (facial and scalp lacerations were not included). Data obtained included patient age, time of accident, type of vehicle, scene of accident, helmet status, use of alcohol, injuries, and length of stay in the intensive care unit and hospital.

Results

Of the 33 patients with maxillofacial injuries, the average age was 28.2 years versus 25.9 years for those injured without facial trauma. Other data included:

All the accidents occurred off-road. Most occurred in May, June, and July; Saturday night was the most common night for accidents. Males exceeded females at a rate of nearly five to one.

Twenty one percent of those suffering maxillofacial injuries were under 16 years old. Children had higher injury severity scores and a higher rate of ICU admission than adults. Slightly more than half of the nighttime accidents and one fifth of the day accidents were alcohol related.

The most common maxillofacial injuries were mandible ( a u-shaped bone in the lower jaw) fractures followed by orbital floor (part of the bony cavity containing the eyeball) fractures. More than one fourth of patients with maxillofacial injuries required treatment in the intensive care unit, twice the rate of those without facial trauma. The average hospital stay for facial and jaw injuries was 6.52 days compared to 4.8 days for other injuries.

Surgery was performed on 25 of the 33 patients with maxillofacial injuries with the most common procedure being intermaxillary fixation (wiring one's jaw together). Ten patients required one procedure, seven patients two, seven patients required three, and two patients required four procedures.

Injury rates, time in the intensive care unit, and length of hospital stay were all higher for children than adults.

Only one of the 33 patients with facial injuries reviewed had a helmet on and no alcohol involved.

Conclusion

The researchers conclude that the severity of maxillofacial injuries and the extensive treatment required should be major factor when one is considering purchasing an ATV, especially for a minor. Additionally, the injury rate suggests that formal training in operating the vehicles should be made mandatory.

The American Academy of Otolaryngology-Head and Neck Surgery Foundation Annual Meeting and OTO Expo is being held in San Antonio, TX, from September 13-16. More than 8,000 participants are expected for scientific sessions, exhibits, posters, and a research program.


Story Source:

The above story is based on materials provided by American Academy Of Otolaryngology-Head And Neck Surgery. Note: Materials may be edited for content and length.


Cite This Page:

American Academy Of Otolaryngology-Head And Neck Surgery. "Operators Of All-Terrain Vehicles Are At High Risk For Severe Injuries To The Jawbone And Face." ScienceDaily. ScienceDaily, 21 September 1998. <www.sciencedaily.com/releases/1998/09/980919121509.htm>.
American Academy Of Otolaryngology-Head And Neck Surgery. (1998, September 21). Operators Of All-Terrain Vehicles Are At High Risk For Severe Injuries To The Jawbone And Face. ScienceDaily. Retrieved September 18, 2014 from www.sciencedaily.com/releases/1998/09/980919121509.htm
American Academy Of Otolaryngology-Head And Neck Surgery. "Operators Of All-Terrain Vehicles Are At High Risk For Severe Injuries To The Jawbone And Face." ScienceDaily. www.sciencedaily.com/releases/1998/09/980919121509.htm (accessed September 18, 2014).

Share This



More Health & Medicine News

Thursday, September 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

What HealthKit Bug Means For Your iOS Fitness Apps

What HealthKit Bug Means For Your iOS Fitness Apps

Newsy (Sep. 18, 2014) Apple has delayed the launch of the HealthKit app platform, citing a bug. Video provided by Newsy
Powered by NewsLook.com
Residents Vaccinated as Haiti Fights Cholera Epidemic

Residents Vaccinated as Haiti Fights Cholera Epidemic

AFP (Sep. 18, 2014) Haitians receive the second dose of the vaccine against cholera as part of the UN's vaccination campaign. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Artificial Sweetener Could Promote Diabetes

Artificial Sweetener Could Promote Diabetes

Newsy (Sep. 17, 2014) Doctors once thought artificial sweeteners lacked the health risks of sugar, but a new study says they can impact blood sugar levels the same way. Video provided by Newsy
Powered by NewsLook.com
Ebola Vaccine Trial Gets Underway at Oxford University

Ebola Vaccine Trial Gets Underway at Oxford University

AFP (Sep. 17, 2014) A healthy British volunteer is to become the first person to receive a new vaccine for the Ebola virus after US President Barack Obama called for action against the epidemic and warned it was "spiralling out of control." Duration: 01:02 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins