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A Retrospective Review of Facial Fractures in Wales

General Surgical Department, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK
ENT Head and Neck surgery department, Morrison Hospital, Swansea SA6 6NL, UK
Author to whom correspondence should be addressed.
Reports 2018, 1(3), 24;
Received: 17 October 2018 / Revised: 12 November 2018 / Accepted: 15 November 2018 / Published: 19 November 2018
PDF [1848 KB, uploaded 19 November 2018]


Facial fractures are the third most common type of fracture, with the nose most frequently involved. In the United Kingdom, their incidence is rising among young males particularly, and recent reports suggest that nasal injuries in females are becoming more common, which is attributed to “ladette” culture. The aim of this study was to investigate if there is any correlation in Wales with the rise in female facial fractures reported in England. A retrospective analysis of National Health Service Wales Informatics Service data (NHS WIS) shows that facial fractures were more likely to occur in males, in their teens or twenties, most commonly caused by assault and linked to alcohol consumption in this demographic. The most common cause of facial fracture in Wales was due to an accident which differs from England. The overall number of facial fractures in both males and females did not change significantly. It may be that the binge drinking culture is not as prevalent in Wales as it is in England. The reasons for this may be mutifactorial, reflecting geographical, cultural and socio-economic factors. Our findings do not correlate with the literature regarding the epidemiology of facial fractures. We suggest that binge drinking and “ladette culture” is not seen as commonly in Wales from the point of view of the ill effects of alcohol consumption. View Full-Text
Keywords: facial injuries; nasal bones; social behaviour; Wales facial injuries; nasal bones; social behaviour; Wales

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George, J.; Brahmabhatt, P.; Farboud, A.; Marnane, C. A Retrospective Review of Facial Fractures in Wales. Reports 2018, 1, 24.

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