TY - JOUR ID - 62265 TI - Effectiveness of Bicycle Safety Helmets in Preventing Facial Injuries in Road Accidents JO - Archives of Trauma Research JA - ATR LA - en SN - 2251-953X AU - Stier, Rebecca AU - Otte, Dietmar AU - Müller, Christian AU - Petri, Maximilian AU - Gaulke, Ralph AU - Krettek, Christian AU - Brand, Stephan AD - Department of Cranio Maxillofacial Surgery, Hannover Medical School, Hannover, Germany AD - Department for Accident Research, Hannover Medical School, Hannover, Germany AD - Trauma Department, Hannover Medical School, Hannover, Germany Y1 - 2016 PY - 2016 VL - 5 IS - 3 SP - EP - KW - Bicyclist KW - Bicycle Helmet KW - Facial Injury KW - Mid-face Fracture KW - Mandibular Fracture DO - 10.5812/atr.30011 N2 - Background The effectiveness of bicycle safety helmets in preventing head injuries is well- documented. Recent studies differ regarding the effectiveness of bicycle helmets in preventing facial injuries, especially those of the mid-face and the mandible. Objectives The present study was conducted to determine the protective effect of a bicycle helmet in preventing mid-face and mandibular fractures. Patients and Methods Data from an accident research unit were analyzed to collect technical collision details (relative collision speed, type of collision, collision partner, and use of a helmet) and clinical data (type of fracture). Results Between 1999 and 2011, 5,350 bicycle crashes were included in the study. Of these, 175 (3.3%) had fractures of the mid-face or mandible. In total, 228 mid-face or mandibular fractures were identified. A significant correlation was found between age and relative collision speed, and the incidence of a fracture. While no significant correlation was found between the use of a helmet and the incidence of mid-facial fractures, the use of a helmet was correlated with a significantly increased incidence of mandibular fractures. Conclusions Higher age of cyclists and increasing speed of the accident opponent significantly increase the likelihood of sustaining facial fractures. The use of bicycle helmets does not significantly reduce the incidence of mid-facial fractures, while being correlated with an even increased incidence of mandibular fractures. UR - https://archtrauma.kaums.ac.ir/article_62265.html L1 - https://archtrauma.kaums.ac.ir/article_62265_38ee1a2936558f15330edcff0bb284fb.pdf ER -