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Abstract : <p>The trauma is responsible for most of hospitalizations and deaths all over the world, emerging as a major public health problem. Within this panorama, facial trauma deserves a spotlight, once it has dramatic aesthetic and functional repercussions for the victim. This paper aims to present an epidemiological survey of facial trauma at Feira de Santana &ndash; Bahia &ndash; Brazil and its metropolitan region from 2015 to 2018. As well, intend to compare the different etiological pattern between public and private services. For this purpose, was conducted a cross-sectional study based on secondary data collected from patient files at Maxillofacial Surgery reference centers, on public and private practice, with a total of 360 files collected. On general survey 76,94% where men, most of target population were victim of motorcycle accidents (28,47%) and the mandible fracture were the most prevalent with 23,13% of cases. In comparison between services, at the public service the most prevalent etiology was the motorcycle accident with 44,76%, followed by an expressive amount of gunshot wounds with 18,09%. On the other side, at private sector, car accidents were at the top with 20,52% of cases, followed closer by falls from own height with 20%. When talking about the fracture location, mandible fractures amounted 46,25% at the public hospital, on the other hand, the zygoma fractures were the most prominent with 24,89% at private hospitals. Sensible differences were found when comparing the trauma etiology and fractures morbidity between the two sectors. It can suggest a relation between socioeconomic status and the injuries severity, once major traumas were found at public health care. The study also revealed that interpersonal violence has taken a highlight place on facial trauma epidemiology, once the traffic accidents used to be isolated the main cause. This elucidates the demand for public actions on this regard</p>

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