This review of the effect of helmet use on the incidence of maxillofacial injuries due to cycling, e-bike, scooter, and e- scooter accidents included 14 studies. The findings suggest a significant reduction in the risk of maxillofacial injury with helmet use Odds ratio = 0.682 (95%CI; 0.565 to 0.822). Although all but 2 of the studies were retrospective and only 5 studies were considered to be of high quality .
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This review of whether helmet use and the type of helmet reduce facial fractures in motorcycle accidents included • 26 cross-sectional studies involving 68,594 patients. The findings suggest fewer upper and mid-face fracture in helment wearers.
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This review of the effect of bicycle helmet use on facial injuries included 9 observational studies involving 23,461 patients. Those wearing helmets were less likely to sustain a facial injury (OR = 0.69, 95%CI; 0.63– 0.75)
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