A ten-year analysis of midfacial fractures

Salentijn, E.G.; Bergh, Bart van den; Forouzanfar, Tymour

doi:10.1016/j.jcms.2012.11.043

Cited by 61 publications

(49 citation statements)

References 26 publications

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“…According to this study, road traffic accidents remain the leading cause of injuries in both males and females, although the numbers of females injured by road traffic accidents and by interpersonal violence are practically equal (35 versus 34) (Figure 1). In contrast to other previous reports [2, 9, 11, 12], violence-related fractures proved to be higher in females (25.6%) than in males (21.4%). In this study, interpersonal violence is the main cause of maxillofacial fractures in patients between 18 and 44 years while falls were the most common cause in children (<18 years) and the elderly (>65 years) (Figure 2).…”

Section: Discussioncontrasting

confidence: 99%

“…Among road traffic accidents, two wheelers were responsible for the majority of maxillofacial fractures (59 patients; 72.8% of RTAs); these results were similar to previous studies reported in the literature [2, 3, 10, 11] and can be explained by the fact that bicycles and motorcycles are very popular as means of transport in our province because of its geographical and climatic features.…”

Section: Discussionsupporting

confidence: 90%

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Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

Ascani

Cosimo

Costa

et al. 2014

ISRN Otolaryngology

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The aim of the present study was to assess the etiology and pattern of maxillofacial fractures in the Province of Pescara, Abruzzo, Central Italy. Was performed a retrospective review of patients treated at the Department of Maxillofacial Surgery of Spirito Santo Hospital from January 2010 to December 2012. Data collected and analyzed included sex, age, cause of injury, site of fracture, monthly distribution, and alcohol misuse. A total of 306 patients sustaining 401 maxillofacial fractures were treated. There were 173 males (56.5%) and 133 females (43.5%). Most of the patients (36.9%) were in the age group of 18–44 years. The most common causes of injuries were road traffic accidents (26.4%); the second leading cause was interpersonal violence (23.2%), followed by injuries associated with falls (19.2%). Fractures of the mandible (31%) and zygoma (23%) were the most common maxillofacial fractures in our study. The monthly distribution peaked in the summer (July and August, 30.4%) and in October (13.1%). In conclusion, this study confirms the close correlation between the incidence and etiology of facial fractures and the geographical, cultural, and socioeconomic features of a population. The data obtained provide important information for the design of future plans for injury prevention and for education of citizens.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

Ascani

Cosimo

Costa

et al. 2014

ISRN Otolaryngology

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“…Blumer Michael, MD 1) , Gander Thomas, MD, DMD 2) , Kruse Gujer Astrid, MD, DMD 2) , Seifert Burkhardt, Prof. Dr. 4) , Rücker Martin, MD, DMD 5) , Lübbers Heinz-Theo, MD, DMD …”

Section: Influence Of Mirrored Ct Scans On Decision-making For Revisimentioning

confidence: 99%

Influence of Mirrored Computed Tomograms on Decision-Making for Revising Surgically Treated Orbital Floor Fractures

Blumer

Gander

Gujer

et al. 2015

Journal of Oral and Maxillofacial Surgery

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PURPOSE This study evaluated whether intraoperative imaging with computer-assisted virtual reconstruction would be advantageous in reconstructions of orbital floor fractures. The surgeon's intention to revise a reconstructed primary orbital floor fracture by evaluating a postoperative mirrored computed tomographic (CT) scan was analyzed intraoperatively before wound closure, during inpatient hospitalization, and after hospitalization. The inter-rater agreement and the match of intention to revise and actual revision were analyzed. MATERIALS AND METHODS Fifty-one anonymized postoperative CT scans of patients with a unilateral orbital floor fracture were mirrored using software. These computer-assisted virtual reconstructions were consecutively examined by 4 examiners. Seven of these patients underwent a revision. In the first part, the inter-rater agreements for all 3 times were analyzed. In the second part, the examiners' intentions to revise were compared with the actual performed revisions. RESULTS The overall inter-rater agreements were 0.69 for the intraoperative phase, 0.55 for the in-hospital phase, and 0.39 for the post-hospital phase. The intraoperative inter-rater agreement for each examiner was 0.58 to 0.80. The Fleiss value for the in-hospital and post-hospital phases was lower. The comparison of the examiners' intention to revise and the actual revisions showed that 15 to 24 additional would have been revised. In contrast, 6 of 7 actual revisions would have been revised intraoperatively. The missed actual revision was the same case by all 4 examiners. The accordance of intention to revise with the actual revisions decreased during hospitalization and even more after hospitalization. This study showed strong agreement among examiners for revising anatomically incorrectly reduced orbital floor fractures intraoperatively by evaluating postoperative mirrored CT scans. During the in-hospital and post-hospital phases, the restraints against revision seemed to increase, thus leading to poorer interrater agreement. This analysis of postoperative CT scans with computer-assisted virtual reconstructions of the orbit would have led to considerably more revisions intraoperatively, but all actual revisions were detected except for 1 case. This case was the same for all 4 examiners. Operation time would have been prolonged in the additional revised cases, but a better anatomic reconstruction would have been achieved. Furthermore, the intraoperative result of the reconstruction would have been controlled instantly and corrected immediately, if needed. CONCLUSION This study showed that of 6 of 7 actual revisions, implant placement would have been revised intraoperatively by all 4 examiners, if intraoperative imaging with computer-assisted virtual reconstruction of the orbit would have been applied. Therefore, the authors suggest that intraoperative imaging with computer-assisted virtual reconstruction could be advantageous in the prevention of later revisions of orbital floor fractures. In this study, the t...

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“…An understanding of the cause, site, severity and the associated injuries of maxillofacial fractures greatly helps to develop more effective management; however, only a few studies in a relatively large number of patients have focused on midfacial fractures (14)(15)(16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

Clinical Analysis of Midfacial Fractures

Yamamoto¹,

Matsusue²,

Horita³

et al. 2014

Mater Sociomed

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Purpose: To analyze the features of midfacial fractures. Methods: Data of 320 patients treated for midfacial fractures during the past 10 years were retrospectively analyzed. Results: Patients were 192 male and 128 female. Their age ranged from 1 to 96 years old with the average of 42.1. Injury most frequently occurred by traffic accidents in 168 patients, followed by falls in 78, assaults in 31 and sports in 25. Pattern of the fractures was classified into zygoma in 159 patients, alveolus in 60, multiple sites in 54, maxilla in 45 and nasal bone in 2. Facial injury severity scale ranged from 1 to 12 with the average of 1.52. Injuries to other sites of the body were found in 90 patients. Fractures of multiple sites showed higher facial injury severity scale and were associated with injuries to other sites of the body at a higher rate. Observation was most frequently chosen in 153 patients, followed by open reduction and internal fixation in 72, intramaxillary fixation in 43 and transcutaneous reduction in 26. Conclusions: Midfacial fractures showed a variety of features in terms of the site and severity and associated injuries. Understanding these features is important to manage these patients properly.

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A ten-year analysis of midfacial fractures

Cited by 61 publications

References 26 publications

Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

Maxillofacial Fractures in the Province of Pescara, Italy: A Retrospective Study

Influence of Mirrored Computed Tomograms on Decision-Making for Revising Surgically Treated Orbital Floor Fractures

Clinical Analysis of Midfacial Fractures

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