Evaluation of Facial Trauma Severity in Cipto Mangunkusumo Hospital Using FISS Scoring System

Abstract

Many scoring systems were introduced to search prognostic value in trauma patients. Facial trauma is a special trauma because it can cause many disabilities in facial function. There have been several reports on facial severity scoring system, such as Facial Injury Severity Score (FISS) and Maxillofacial Injury Severity Score (MFISS). Although these scoring systems have been introduced in many journals, they are not yet used by many clinicians because of their unawareness of its beneficiary. In this study, we want to introduce and apply these scoring systems in our maxillofacial data, thus it can be used for documentation system, as a research tool, and have prediction value for prognosis We retrospectively collected data on patients with facial trauma in Cipto Mangunkusumo Hospital in 2009. The data collected were age, gender, etiology, use of helmet, type of fracture and treatment given. Each patient then evaluated by FISS score to obtain their degree of severity. Using FISS score introduced by Bagheri, we found the average FISS score ini this evaluation was 3,37 ± 1,9, with minimum value 1 and maximum value 9. Most patients have FISS score 2 (24,7%). From FISS scoring system, we found that most of maxillofacial trauma in Cipto Mangunkusumo hospital in 2009 was mild trauma. In order to evaluate if FISS scoring system has predictive value for prognosis, a large sample and complete maxillofacial database are needed.

Facial Injury Severity Scale Score as a Predictor of Length of Stay for Maxillofacial Fracture at Sanglah General Hospital, Denpasar, Bali, Indonesia

“…It might be due to the exclusion criteria in this study, which excluding multitrauma patients that certainly require a longer hospitalization period. However, the results of this research are in line with the previous studies conducted in Manado and Jakarta [9], [10].…”

Economical treatment-related burden assessment of maxillofacial trauma among Ukrainians patients

“…Originally FISS was described as anatomically-based by the methodology of calculation in many of previously published studies 1,2,7,[10][11][12] , but considering specific categorization of such grading trauma system, we could resume that this criteria is also partially functionally-oriented, even if such traumatic functional association is not so directly represented, as in MFISS methodology. For example, Le Fort III fracture gains greater score than Le Fort I or Le Fort II, which is logical, because such fracture is causing greater anatomical disruption, but it should be noted that Le Fort III fracture is also associated with more pronounced functional alterations.…”

“…Due to the number of previously published studies it is argumentative to resume that maxillofacial injury severity scoring system (MFISS) and facial injury severity scoring system (FISS) are considered as ones of the most prevalent among researchers' use 1,6,7,[9][10][11][12] , while in one of the studies such conclusion even was solidly clarified 2 . Taking into account original scoring methodologies of MFISS and FISS scores and available literature data on their use with research objective, the first one is considered to be more functionally-oriented, while second -anatomically-based 1,2,6,7,[9][10][11] . On the other hand number of publications revealed that both of these scores demonstrated comparatively analogical statistical associations with treatment duration, rehabilitation charges, injury severity, complication rates and some other parameters 1,2,7,[10][11][12] .…”

“…Taking into account original scoring methodologies of MFISS and FISS scores and available literature data on their use with research objective, the first one is considered to be more functionally-oriented, while second -anatomically-based 1,2,6,7,[9][10][11] . On the other hand number of publications revealed that both of these scores demonstrated comparatively analogical statistical associations with treatment duration, rehabilitation charges, injury severity, complication rates and some other parameters 1,2,7,[10][11][12] .…”

Correlation of Facial Injury Severity Scale (Fiss) With Length Of Stay, the Need for Surgery and the Involvement of Other Specialists In Maxillofacial Trauma Patients at H. Adam Malik General Hospital Medan

“…A study from Bangun in 2009 in Ciptomangunkusumo Hospital found that from FISS scoring system, they found that most of maxillofacial trauma in Cipto Mangunkusumo hospital in 2009 was mild trauma. This is probably due to the mechanism of trauma which was low velocity injury of motorcyclist (Bangun et al 2012). A study from Ramalingam found that based on the results of his study, maxillofacial injury severity measured by MFISS and FISS scores are predictable indicators of the economic burden to the patients (Ramalingam 2015).…”