A retrospective analysis of the relationship between facial injury and mild traumatic brain injury

Razak, Nurliza Abdul; Nordin, Rosdiadee; Rahman, Normastura Abd; Ramli, Roszalina

doi:10.1111/edt.12355

Cited by 18 publications

(14 citation statements)

References 28 publications

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“…Similar results were found in other studies, in which individuals presented with traumatic brain injuries associated with facial trauma resulting from motorcycle accidents, ranging from 34.4% to 40%‐45% of cases. Abdul Razak et al verified that the majority of the patients with mild traumatic brain injuries were aged between 18 and 25 years. Conversely, a recent study also investigated oral and maxillofacial trauma in motorcyclists in an Iranian subpopulation, with 85.75% of patients aged 21‐30 years.…”

Section: Discussionmentioning

confidence: 99%

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

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Background/Aims Very few studies have been performed to evaluate cranio‐maxillofacial trauma diagnosed in hospitals in children and adolescents. The aim of this study was to perform an analysis of oral and cranio‐maxillofacial trauma in the aforementioned population. Materials and Methods A hospital‐based retrospective study, which reviewed 1438 patient records, was conducted at the “Teresina Emergency Hospital”, Brazil. Data regarding demographics, day of the week on which trauma occurred, type of injury, etiology, anatomic trauma site, time of hospital admission, and associated comorbidities (or injuries) were collected. Results There were 1092 (75.9%) males and 346 (24.1%) females. The largest group was adolescents aged between 13 and 18 years (956, 66.5%). The majority lived in urban areas (69%). Trauma occurred most frequently during the week. The most prevalent etiology was road traffic accidents involving motorcycles (771, 53.6%) causing facial and skull fractures (598, 41%). The most prevalent soft tissue lesions were facial abrasions (49%), followed by injuries to the cheek (16.7%). Comorbidities associated with craniofacial trauma were present in 82%, with complications from traumatic brain injuries being the most prevalent (65.6%) Dental trauma was recorded in only 81 cases (5.6%). Conclusion Male adolescents living in urban areas were most affected by craniofacial trauma. The most common cause was road traffic accidents involving motorcycles, resulting in facial and skull fractures. Complications from traumatic brain injuries were the most common associated injuries.

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Section: Discussionmentioning

confidence: 99%

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Rêgo

Vilarinho

Rodrigues

et al. 2019

Dental Traumatology

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“…TBI is a leading cause of death and disability among patients with craniofacial fractures. 14-16 This pattern is found within FAIs, especially among self-inflicted injuries. One study found that from 2008 to 2017 firearm-related suicides accounted for 48% of the increase in absolute incidence of TBI-related death.…”

Section: Introductionmentioning

confidence: 79%

Characterizing Firearms-Related Injuries and Craniofacial Fractures: A TQIP Study

Bourdillon

Dobrow

Steren

et al. 2021

FACE

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Background: Interest in firearm injuries (FAIs), from medical and public health perspectives continues to grow. Few studies have analyzed the relationship of FAIs, craniofacial fractures, and traumatic brain injuries (TBIs). Methods: FAIs were isolated from national data from the American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP) 2014 to 2016 using external cause encodings. Pertinent demographic, injury, and hospital characteristics were extracted to characterize trends and statistically significant outcomes. Results: Thirty-two thousand eight hundred ninety-three (out of 829 805 cases) FAIs were captured, with a majority of patients being male and non-Hispanic/Latino Black. Multivariate linear regression revealed that race/ethnicity, age, hospital size, hospital region, intent of injury, and ISS significantly contributed to risk of mortality, increased hospital length of stay (LOS), and intensive care unit (ICU) duration. Five thousand nine hundred ten (18.0%) FAIs had at least 1 craniofacial fracture, and among these 75.1% (4441) incurred a traumatic brain injury (TBI). Mortality rate among patients with craniofacial FAI was 43.8% (2586/5910), compared to 9.7% (2618/26 983) without. Delayed surgical repair significantly increased hospital LOS ( P < .01), but not mortality ( P = .09). Conclusion: FAIs with craniofacial injury have significantly higher mortality rates than those without craniofacial injury. FAI-associated craniofacial injuries are frequently associated with TBI which is associated with significant morbidity and mortality. Such findings pose important public health and economic implications.

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“…Razak et al reported the presence of mild traumatic brain injury in patients with facial lacerations to be as high as 41.4%. 7…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Complicated Facial Lacerations: Challenges in the Repair and Management of Complications by a Facial Trauma Team

Sagar

Dave

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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Face is our window to the world. It conveys our emotions and represents our identity. Any deformity of the face has profound impact on the social and psychological aspect of a person’s life. Therefore, management of any facial wound is of paramount importance. Most of the facial injuries are usually managed and repaired by emergency care physician or emergency surgeon. While basic surgical principles are applied in repairing such wounds, certain wounds require specialized knowledge and care owing to the complicated nature of these wounds and involvement of important structures. We present our experience in managing such complicated wounds over a period of 1 year at a level 1 trauma center by a dedicated facial trauma team consisting of a plastic surgeon, a trauma surgeon and a maxillofacial surgeon. We put forward the difficulties associated with such wounds and emphasize on specific aspects to be looked for and surgical principles in managing the same that can be applied by emergency care physicians or alert them regarding further complications.

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A retrospective analysis of the relationship between facial injury and mild traumatic brain injury

Abstract: Mild traumatic brain injury should be suspected in patients with facial injuries and particularly those with lower face lacerations, midface fractures, moderate to severe facial injury and presence of multiple injuries.

Cited by 18 publications

References 28 publications

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

Characterizing Firearms-Related Injuries and Craniofacial Fractures: A TQIP Study

Complicated Facial Lacerations: Challenges in the Repair and Management of Complications by a Facial Trauma Team

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