Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study

Yu, Ha Hyun; Jeon, Minseok; Kim, Young‐Jun; Choi, Young Back

doi:10.7181/acfs.2019.00346

Cited by 14 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the hospital, which is in the South-Eastern region of Turkey, falls were the most common etiology in patients who underwent SA and TA; whereas assault was the most common cause in the IA group. In prior studies, it had been reported that assault and motor accident-related cases were more common in adults, while falls were more common in children [13]. In our study, operation time was longer in the SA group with a [14] and time between injury and operation was longer in the SA than IA and TA with 3.9±2.1 days in this study (p<0.05).…”

Section: Discussionsupporting

confidence: 60%

Nasal fractures and anesthetic applications

Sarı

2022

Marmara Medical Journal

View full text Add to dashboard Cite

Objective: The aim of this study was to review and compare the demographic characteristics, radiological findings, pain scores and the level of satisfaction of patients who underwent nasal fracture reduction (NFR) under sedation anesthesia (SA), infiltrative anesthesia (IA) or topical anesthesia (TA). Patients and Methods: Sixty patients were included in the study according to the types of anesthesia applied: SA group , IA group and TA group. Demographic data (age, gender, etiology, duration and time to NFR), radiological findings (presence of septal fracture, hematoma), pain scores, nasal patency and cosmetic satisfaction levels were analyzed. Results: The mean age of patients was 23.8 ± 19.3. The mean age of females was 23 (38.3%) and mean age of males was 37 (61.7%). The mean age of the SA group was 6.1±4. The most common etiology was falls, (39 patients 65%). Duration of the operation was higher in patients (TA group) who had closed reduction. Pain score was lowest at 0 hour in the IA group (open reduction), while it was lowest at 48 hours in the TA group. Cosmetic satisfaction level was high in the SA group (p<0.05). Septal fracture was detected in 95% of the patients and septal hematoma in 36% of the patients in tomographic evaluation. Conclusion: Sedation anesthesia was applied mostly to children, whereas, IA and TA were mostly applied to adult patients due to patient compliance. Short operation time and immediate pain control were advantages of IA.TA was preferred when cosmetic expectations were low in adults. Septal fracture and hematoma that cause nasal deformations, frequently seen in nasal fracture, may be missed by physical examination but can easily be detected by tomographic examination, but the risks of tomography should be noted.

show abstract

Section: Discussionsupporting

confidence: 60%

Nasal fractures and anesthetic applications

Sarı

2022

Marmara Medical Journal

View full text Add to dashboard Cite

show abstract

“…For this reason, interpersonal violence has shown to relatively increase as an important cause [8][9][10]. In recent studies, the most frequent cause of injury was assault, followed by falls, sport accidents, TA, work accidents, and other causes [11]. In this study, the most common injury mechanism was in the order of TA, falls, work accidents, and assault.…”

Section: Discussionmentioning

confidence: 51%

Trauma severity and mandibular fracture patterns in a regional trauma center

Lee

Kim

Choi

et al. 2020

Arch Craniofac Surg

View full text Add to dashboard Cite

Background: Mandibular fractures are one of the most common types of facial fractures, the treatment of which can be delayed due to the severity of the trauma resulting in an increase of complications; thus, early evaluation of trauma severity at the time of visit is important. In South Korea, trauma patients are triaged and intensively treated in designated regional trauma centers. This study aimed to analyze the relationship between trauma severity and mandibular fracture patterns. Methods: A medical records review was performed on patients who visited the regional trauma center at our hospital for mandibular fracture between 2009 and 2018. Epidemiologic data and mandibular fracture patterns were analyzed and compared with the conventional facial injury severity scale (FISS). Results: Among 73 patients, 51 were classified as non-severe trauma patients and 22 as severe trauma patients. A higher trauma severity was associated with older age (odds ratio [OR], 1.164; 95% confidence interval [CI], 1.057-1.404) and lower risk was associated with fractures located in the angle (OR, 0.001; 95% CI, 0-0.022), condylar process (OR, 0.001; 95% CI, 0-0.28), and coronoid process (OR, 0.004; 95% CI, 0-0.985). The risk was lower when the injury mechanism was a pedestrian traffic accident (OR, 0.004; 95% CI, 0-0.417) or fall (OR, 0.004; 95% CI, 0-0.663) compared with an in-car traffic accident. Higher FISS (OR, 1.503; 95% CI, 1.155-2.049) was associated with a higher trauma severity. The proposed model was found to predict the trauma severity better than the model using FISS (p < 0.001). Conclusion: Age, location of mandibular fractures, and injury mechanism showed significant relationships with the trauma severity. Epidemiologic data and patterns of mandibular fractures could predict the trauma severity better than FISS.

show abstract

“…Previous studies of pediatric nasal fractures have investigated the incidence, etiology, treatment options, and outcomes [3,[6][7][8], but few reports have analyzed the time interval between in-…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies of pediatric nasal fractures have investigated the incidence, etiology, treatment options, and outcomes [ 3 , 6 - 8 ], but few reports have analyzed the time interval between injury and reduction or presented objective results based on computed tomography (CT) images of pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

Kang

Han

Kim

et al. 2021

Arch Craniofac Surg

View full text Add to dashboard Cite

Background: Pediatric nasal fractures, unlike adult nasal fractures, are treated surgically as early as 7 days after the initial trauma. However, in some cases, a week or more elapses before surgery, and few studies have investigated the consequences of delayed surgery for pediatric nasal fractures. The purpose of this study was to evaluate the postoperative outcomes of pediatric nasal fractures according to the time interval between the initial trauma and surgery. Methods: The records of pediatric patients under 12 years old who underwent closed reduction of nasal bone fracture from March 2012 to February 2020 were reviewed. The interval between trauma and surgery was divided into within 7 days (early reduction) and more than 7 days (delayed reduction). Postoperative results were classified into five grades (excellent, good, moderate, poor, and very poor) based on the degree of reduction shown on computed tomography. Results: Ninety-eight patients were analyzed, of whom 51 underwent early reduction and 47 underwent delayed reduction. Forty-two (82.4%) of the 51 patients in the early reduction group showed excellent results, and nine (17.6%) showed good results. Thirty-nine (83.0%) of the 47 patients in the delayed reduction group showed excellent results and eight (17.0%) showed good results. No statistically significant difference in outcomes was found between the two groups (chi-square test p = 0.937). However, patients without septal injury were significantly more likely to have excellent postoperative outcomes (chi-square test p < 0.01). Conclusion:No statistically significant difference was found in the outcomes of pediatric nasal fractures between the early and delayed reduction groups. Successful surgical results were found even in patients who received delayed reduction (more than 7 days after trauma).

show abstract

Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study

Cited by 14 publications

References 19 publications

Nasal fractures and anesthetic applications

Nasal fractures and anesthetic applications

Trauma severity and mandibular fracture patterns in a regional trauma center

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

Contact Info

Product

Resources

About