Although maxillofacial injuries account for a large number of hospital
admissions, there appear to be only a few reports detailing the etiol
ogy and pattern of facial injuries in women. To delineate this problem
, we performed a retrospective chart review of all women admitted to U
niversity of California, Davis Medical Center with traumatic facial in
juries from July 1, 1990, to June 30, 1992. Motor vehicle accidents we
re the primacy etiology, followed by assaults. The mandible was the mo
st commonly injured facial bone. In a closer evaluation of female pati
ents injured by assault, we found inadequate documentation describing
the circumstances surrounding their facial injuries. This indicates th
at domestic violence and other forms of assaults against women may be
severely underreported and has important implications for health care
professionals who must always suspect physical abuse in any woman who
presents with maxillofacial injuries without an obvious, known etiolog
y.