Retrospective study of sports-related maxillofacial fractures in a Brazilian trauma care center




Athletic injuries, Fractures, bone, Mandibular fractures, Zygomatic fractures, Nasal bone


Aim: Maxillofacial fractures occur frequently in the general population, and sports-related fractures represent some of these cases. However, few studies have been carried out in Brazilian populations aimed at sports-related maxillofacial fractures. This study assessed the demographic and fracture characteristics of patients with sports-related maxillofacial fractures who were seen at a Brazilian trauma care center. Methods: Medical records of patients with a history of sports-related maxillofacial fractures treated between January 2018 and December 2019 were retrospectively evaluated. Personal data, fracture characteristics, sport type, treatment performed and need for hospitalization were collected. The data were subjected to statistical analyses with likelihood ratio test using the Statistical Package for Social Sciences (SPSS) 25.0 (p ≤ 0.050). Results: Forty cases (4.96% of the total) of facial fractures were included. The mean age was 24.9 (± 9.8) years, with a predominance of males (92.5%). The use of protective equipment was rare. The most frequently involved sport modality was soccer (47.5%), followed by cycling (27.5%). The most frequent fracture location was nose (45%), followed by mandible (25%) and zygomatic complex (17.5%). Soccer was responsible for most nose fractures (61.1%), while cycling caused the majority of mandibular fractures (60%). Conservative treatment predominated (60%). There was only a significant difference between fracture location and the need for hospitalization (p = 0.021). Conclusion: Patients with sportsrelated maxillofacial fractures were typically young adult males, the injury was more often located in the nose and mandible and related to soccer or cycling. The use of protective equipment must be reinforced.


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Author Biographies

Julia Souza Ribeiro-dos-Santos, University of São Paulo

Research fellow, Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo, Brazil

Vinícius Paes, Hospital Municipal Doutor Arthur Ribeiro de Saboya

Resident, Department of Oral and Maxillofacial Surgery, Hospital Municipal Doutor Arthur Ribeiro de Saboya, São Paulo, Brazil.

João Gualberto Cerqueira Luz, University of São Paulo

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo, Brazil. Department of Oral and Maxillofacial Surgery, Hospital Municipal Doutor Arthur Ribeiro de Saboya, São Paulo, Brazil.


Reehal P. Facial injury in sport. Curr Sports Med Rep. 2010 Jan-Feb;9(1):27-34. doi: 10.1249/JSR.0b013e3181cd2c04.

Murphy C, O’Connell JE, Kearns G, Stassen L. Sports-related maxillofacial injuries. J Craniofac Surg. 2015 Oct;26(7):2120-3. doi: 10.1097/SCS.0000000000002109.

Mourouzis C, Koumoura F. Sports-related maxillofacial fractures: a retrospective study of 125 patients. Int J Oral Maxillofac Surg. 2005 Sep;34(6):635-8. doi: 10.1016/j.ijom.2005.01.008.

Viozzi CF. Maxillofacial and mandibular fractures in sports. Clin Sports Med. 2017 Apr;36(2):355-68. doi: 10.1016/j.csm.2016.11.007.

Elhammali N, Bremerich A, Rustemeyer J. Demographical and clinical aspects of sports-related maxillofacial and skull base fractures in hospitalized patients. Int J Oral Maxillofac Surg. 2010 Sep;39(9):857-62. doi: 10.1016/j.ijom.2010.04.006.

Park HK, Park JY, Choi NR, Kim UK, Hwang DS. Sports-related oral and maxillofacial injuries: A 5-year retrospective study, Pusan National University Dental Hospital. J Oral Maxillofac Surg. 2021 Jan;79(1):203.e1-203.e8.doi: 10.1016/j.joms.2020.07.218.

Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Budgett R, et al. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med. 2013 May;47(7):407-14. doi: 10.1136/bjsports-2013-092380.

Cerulli G, Carboni A, Mercurio A, Perugini M, Becelli R. Soccer-related craniomaxillofacial injuries. J Craniofac Surg. 2002 Sep;13(5):627-30. doi: 10.1097/00001665-200209000-00006.

Jensen AR, Maciel RC, Petrigliano FA, Rodriguez JP, Brooks AG. Injuries sustained by the mixed martial arts athlete. Sports Health. 2017;9(1):64-9. doi: 10.1177/1941738116664860.

Goldenberg DC, Dini GM, Pereira MD, Gurgel A, Bastos EO, Nagarkar P, et al. Soccer-related facial trauma: Multicenter experience in 2 Brazilian university hospitals. Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e168. doi: 10.1097/GOX.0000000000000129.

Papakosta V, Koumoura F, Mourouzis C. Maxillofacial injuries sustained during soccer: Incidence, severity and risk factors. Dent Traumatol. 2008 Apr;24(2):193-6. doi: 10.1111/j.1600-9657.2007.00536.x.

Marston AP, O’Brien EK, Hamilton GS. Nasal Injuries in sports. Clin Sports Med. 2017 Apr;36(2):337-53. doi: 10.1016/j.csm.2016.11.004.

Frontera RR, Zanin L, Ambrosano GM, Flório FM. Orofacial trauma in Brazilian basketball players and level of information concerning trauma and mouthguards. Dent Traumatol. 2011 Jun;27(3):208-16. doi: 10.1111/j.1600-9657.2009.00781.x.

Bergman L, Milardović Ortolan S, Žarković D, Viskić J, Jokić D, Mehulić K. Prevalence of dental trauma and use of mouthguards in professional handball players. Dent Traumatol. 2017 Jun;33(3):199-204. doi: 10.1111/edt.12323.

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: A 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg. 2003 Feb;31(1):51-61. doi: 10.1016/s1010-5182(02)00168-3.

Ji SY, Kim SS, Kim MH, Yang WS. Surgical methods of zygomaticomaxillary complex fracture. Arch Craniofac Surg. 2016 Dec;17(4):206-10. doi: 10.7181/acfs.2016.17.4.206.

Jeon M, Kim Y. Correlation between the existing classifications of nasal bone fractures and subjective patient satisfaction. J Craniofac Surg. 2018 Oct;29(7):1825-8. doi: 10.1097/SCS.0000000000005043.

Roccia F, Diaspro A, Nasi A, Berrone S. Management of sport-related maxillofacial injuries. J Craniofac Surg. 2008 Mar;19(2):377-82. doi: 10.1097/SCS.0b013e318163e3d7.

Kraft A, Abermann E, Stigler R, Zsifkovits C, Pedross F, Kloss F, et al. Craniomaxillofacial trauma: synopsis of 14,654 cases with 35,129 injuries in 15 years. Craniomaxillofac Trauma Reconstr. 2012 Mar;5(1):41-50. doi: 10.1055/s-0031-1293520.

Bocchialini G, Castellani A. Facial trauma: A retrospective study of 1262 patients. Ann Maxillofac Surg. 2019 Jan-Jun;9(1):135-9. doi: 10.4103/ams.ams_51_19.

Leles JLR, dos Santos EJ, Jorge FD, da Silva ET, Leles CR. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample. J Appl Oral Sci. 2010 Jan-Feb;18(1):23-9. doi: 10.1590/s1678-77572010000100006.

Biazevic MGH, Crosato EM, Detoni A, Klotz R, Souza ER, Queluz DP. Orofacial injuries in sports and use of mouthguards among university students. Braz J Oral Sci. 2010 Jul/Sep;9(3):380-3. doi: 10.20396/bjos.v9i3.8641814.

Cannon CR, Cannon R, Young K, Replogle W, Stringer S, Gasson E. Characteristics of nasal injuries incurred during sports activities: Analysis of 91 patients. Ear Nose Throat J. 2011 Aug;90(8):E8-12. doi: 10.1177/014556131109000816.

Chrcanovic BR, Freire-Maia B, de Souza LN, de Araújo VO, de Abreu MH. Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte. Braz Oral Res. 2004 Oct-Dec;18(4):322-8. doi: 10.1590/s1806-83242004000400009.

Rodrigues L, Leite-de-Lima NS, Landes C, Luz JGC. Changes in admission laboratory tests in patients with maxillofacial fractures and the influence of dento-alveolar trauma. Dent Traumatol. 2020 Jun;36(3):291-7. doi: 10.1111/edt.12540.

Boffano P, Roccia F, Gallesio C, Karagozoglu KH, Forouzanfar T. Bicycle-related maxillofacial injuries: a double-center study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Sep;116(3):275-80. doi: 10.1016/j.oooo.2013.03.004.

Bobian MR, Hanba CJ, Svider PF, Hojjat H, Folbe AJ, Eloy JA, et al. Soccer-related facial trauma: A nationwide perspective. Ann Otol Rhinol Laryngol. 2016 Dec;125(12):992-6. doi: 10.1177/0003489416668195.

Cohenca N, Roges RA, Roges R. The incidence and severity of dental trauma in intercollegiate athletes. J Am Dent Assoc. 2007 Aug;138(8):1121-6. doi: 10.14219/jada.archive.2007.0326.

Correa MB, Knabach CB, Collares K, Hallal PC, Demarco FF. Video analysis of craniofacial soccer incidents: a prospective study. J Sci Med Sport. 2012 Jan;15(1):14-8. doi: 10.1016/j.jsams.2011.07.011.

Saperi BS, Ramli R, Ahmed Z, Nur AM, Ibrahim MI, Rashdi MF, et al. Cost analysis of facial Injury treatment in two university hospitals in Malaysia: A prospective study. Clinicoecon Outcomes Res. 2017 Feb 7;9:107-13. doi: 10.2147/CEOR.S119910.




How to Cite

Ribeiro-dos-Santos JS, Santos VP de A, Luz JGC. Retrospective study of sports-related maxillofacial fractures in a Brazilian trauma care center. Braz. J. Oral Sci. [Internet]. 2021 Feb. 9 [cited 2022 Jun. 27];20(00):e211615. Available from:



Original Research