Concomitant Injuries in Patients With Panfacial Fractures

Follmar, Keith E.; DeBruijn, Marklieke; Baccarani, Alessio; Bruno, Anthony; Mukundan, Srinivasan; Erdmann, Detlev; Marcus, Jeffrey R.

doi:10.1097/ta.0b013e3181492f41

Cited by 73 publications

(65 citation statements)

References 10 publications

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“…While motor vehicle accident is the leading etiology in most of the studies in the literature, [1,6,13,14,16,[18][19][20][21] there are also studies available reporting that sports injuries [8,15] or assaults [2,3] are the most common etiologies in maxillofacial trauma. In many studies, while the risk of head trauma accompanying facial fractures has been reported to increase significantly, [8,16,18,22] Hohlrieder et al [17] reported that traffic accidents did not increase the risk of intracranial hemorrhage in 2195 patients with facial fractures.…”

Section: Discussionmentioning

confidence: 99%

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Presence of accompanying head injury in patients with maxillofacial trauma

Işık

Gönüllü²,

Karadaş³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇMaksillofasiyal kırığı bulunan hastalar, bu travmaya eşlik eden kafa travması geçirme konusunda yüksek risk altın-dadırlar. Bu hastalarda kafa travmasının erken anlaşılma-sı hastanın sağkalımı ve iyileşmesi için kritik öneme sahiptir. GEREÇ VE YÖNTEMOcak 2006 ile Eylül 2009 tarihleri arasında hastanemizin acil servisine maksillofasiyal kırık nedeniyle gönderilen 246 hastanın kayıtları geriye dönük olarak tarandı. Hastaların yaş, cinsiyet, maksillofasiyal travmanın nedeni, tipi, yerleşimi ve kafa travması analiz edildi. BULGULARHastaların yaşlarının ortalaması 23,61±16,75 idi (%83,3 erkek, %16,7 kadın). Kraniyal yaralanma maksillofasiyal travmalı 38 hastada gözlendi. Hastalar arasında tek yüz kemiği kırığı bulunanlarda kafa travması riski çoklu kırıklı hastalara göre 3,44 kat daha az gözlenirken (p<0,001), yüz kemiği çoklu kırılan hastalarda kafa travması geçirme riski anlamlı derecede artmıştı (p<0,001). İçinde nazal kemik, maksiller kemik, mandibular kemik ve frontal bölge kırığı bulunan hastalarda kafa travması riski önemli derecede artmıştı (p<0,05 her bir grupta). SONUÇÇoklu yüz kemik kırığı bulunan hastalarda klinik bulguları olmasa dahi kafa travması yönünden araştırılmaları gerekir.Anahtar Sözcükler: Maksillofasiyal travma; kafa travması; yüz kemik kırığı.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3] A close relationship between maxillofacial fracture and intracranial injury has been reported in many articles. [3][4][5][6][7][8] In many countries, cranial injury has been found to be the most common accompanying organ injury in patients with maxillofacial trauma.…”

mentioning

confidence: 99%

Presence of accompanying head injury in patients with maxillofacial trauma

Işık

Gönüllü²,

Karadaş³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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“…This aetiology results from the search for tropical fruits such as mango, and wood for domestic use as it is easy to climb trees in the savannah zone. The significant association between multiple facial fractures and road traffic accidents may be explained by the high velocity of trauma and its distribution to a large body region in motor vehicles accidents [19].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of facial fractures: an analysis of 349 patients

Béogo¹,

Dakouré²,

Coulibaly³

et al. 2014

Med Buccale Chir Buccale

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-Introduction: Facial fractures epidemiology varies with geographic region. Patients and methods:This study reports the frequency, demographic characteristics and aetiologies of facial fractures in a 5-year retrospective survey, in Burkina Faso. Results: In 349 patients, the fracture involved the mandible (44.5%), the zygomatic complex (38.9%), the maxilla (13.8%) or the naso-fronto-orbito-ethmoidal complex (2.8%). The peak of frequency (58.2%) was recorded between 20 and 39 years and the male to female ratio was 7.1:1. The aetiologies of the fractures were road traffic crashes (80.5%), assaults (9.7%), falls (8.3%), and sport accidents (1.5%). In 80% of the road traffic accidents, a two-wheeled vehicle was involved and 75.9% of falls were from a tree height. There was a significant association between multiple facial fractures and road traffic accidents. Discussion: Epidemiology of facial fractures in this study is similar to that generally reported in developing countries. Frequency of falls from trees height constitutes however a particularity. These findings illustrate the necessity of enforcement of road traffic security, as well as a development of program of prevention of falls from trees, in Burkina Faso.Résumé -Épidémiologie des fractures faciales : l'analyse de 349 patients. Introduction : L'épidémiologie des fractures a une variation géographique. Patients et méthodes : Une étude rétrospective sur 5 ans rapporte la fré-quence, les caractéristiques démographiques et les étiologies des fractures faciales au Burkina Faso. Résultats : Chez 349 patients, la fracture intéressait la mandibule (44,5 %), le complexe zygomatique (38,9 %), le maxillaire (13,8 %) ou le complexe ethmoido-naso-fronto-orbitaire (2,8 %). Le pic de fréquence (58,2 %) était observé entre 20 et 39 ans et le rapport homme/femme était de 7.1:1. Les étiologies des fractures étaient les accidents de la circulation routière (80,5 %), les agressions (9,7 %), les chutes (8,3 %) et les accidents de sport (1,5 %). Dans 80 % des accidents de trafic, un véhicule à 2 roues était impliqué et 75,9 % des accidents par chute étaient des chutes du haut d'un arbre. Les fractures faciales multiples étaient significativement associées aux accidents de la route. Discussion : L'épidémiologie des fractures faciales dans cette étude est similaire à celle généralement rapportée dans les pays en développement. La fréquence des accidents par chute du haut d'un arbre constitue cependant une particularité. Ces résultats illustrent la nécessité d'un renforcement de la sécurité routière ainsi que d'un déve-loppement de programmes de prévention des accidents par chute du haut d'un arbres, au Burkina Faso.

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“…Existing literature on the correlation of traumatic head injuries and maxillofacial trauma Is highly controversial. Some suggest that it is the facial skeleton that absorbs the energy of the trauma, protecting the brain from injury, whereas, others suggest that high energy trauma causing maxillofacial injury are high enough to cause concomitant head injury 1,2,3,4 . The purpose of this study was to evaluate the pattern of head injuries in Patients with maxillofacial trauma and to co relate the relationship between them.…”

Section: Introductionmentioning

confidence: 99%

“…Maxillofacial trauma can occur as an isolated injury or in combination with other severe injuries 1 . Patients with maxillofacial trauma may present with associated intracranial, pulmonary, intra-abdominal or extremity injuries 2,3 . A close relationship between maxillofacial fracture and intracranial injury has been reported in many articles [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%