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June 1992

A Commentary on Violence

Author Affiliations

President, The American Academy of Otolaryngology—Head and Neck Surgery Inc

Arch Otolaryngol Head Neck Surg. 1992;118(6):580. doi:10.1001/archotol.1992.01880060028007

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Twenty years ago, trauma to the face, head, and neck regions was primarily due to motor vehicle accidents, occupational and sports injuries, and the occasional altercation. Over the past two decades there has been an alarming escalation in domestic and interpersonal violence that now appears to be the main cause of maxillofacial trauma. Much of the trauma is alcohol or drug related and will often involve members of the same family, whether related by blood or by marriage. Such an observation reflects poorly on the strength and stability of the family unit and directs our attention to the proper target of our rehabilitation efforts—the improvement of the family unit integrity.

As the availability of drugs increases in our society, coupled with the generally depressed economy and high unemployment, drug-related violence, whether it is associated with the sale of drugs or the use of drugs, has developed as an outward sign

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