Management of Maxillofacial Trauma in Road Traffic Accident (RTA) at Tertiary Care Center

Sinha, Vikas; Chaudhary, Nitin; Jha, Sushil G.; Chaudhari, Nirav; rathva, Kajalben R.

doi:10.1007/s12070-020-02299-6

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Переломи середньої зони обличчя є серйозною проблемою щелепно-лицевої травматології [1][2][3][4], що пов'язане з постійним зростанням кількості травм кісток лицевого черепу, збільшенням ступеня їх тяжкості, а також кількості посттравматичних ускладнень. Зростання кількості травм кісток обличчя зумовлене зростанням злочинності, алкоголізму, розповсюдженням зброї серед населення, збільшенням кількості дорожньотранспортних пригод, а також травм, отриманих в зоні бойових дій [3,[5][6][7][8][9][10].…”

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Support System of Doctor’s Decision-Making on the Choice of a Method for Treating Fractures of the Midface Area

Kochina¹,

Firsov²

2021

Ukr. ž. med. bìol. sportu

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The purpose of the study is to develop a support system of doctor’s decision-making on the choice of a method for treating fractures of the midface are. Materials and methods. The study includes the results of examination and treatment of 112 patients with fractures of the midface area, who were undergoing inpatient treatment in the Department of Head and Neck Surgery of the Municipal Noncommercial Enterprise of Kharkiv Regional Council «Regional Clinical Hospital», Kharkiv. All patients at hospitalization underwent examination according to the local protocol. The diagnosis was based on the results of cone-beam computed tomography, or multislice computed tomography. To determine the initial condition, as well as to assess the functional and cosmetic effects in the treatment process (1st, 3rd, 5th and 7th days) a visual analogue scale was used, at hospitalization we also used a visual analogue scale modified by us, which contains a point evaluation of the patient's condition for 12 signs of trauma. The Scilab computer algebra system was used to develop models for predicting the results of treatment of the midface area fractures using various methods, and a graphical application for the Windows operating system was developed for the practical use of the support system of doctor’s decision-making, in which the Sugeno fuzzy inference machine was integrated into the developed models Results and discussion. To predict the displacement of bone fragments that will remain after the surgery, the following indicators and signs were used: the nature of the fracture, the presence of paraesthesia in the infraorbital area, the presence of hemosinus; method of treatment; indicator by the modified visual analogue scale. To predict the indicator on a visual analogue scale a day after the surgery, the following indicators and signs were used: the nature of the fracture, the presence of paraesthesia in the infraorbital area, the presence of hemosinus; method of treatment, the number of plates in the case of metal osteosynthesis, the indicator by a visual analogue scale before surgery. To predict indicators by a visual analogue scale in the subsequent terms, the values of indicators by this scale in the previous terms are added to the input indicators of the model. Conclusion. As a result of the research it was found that the following can be used as the functional and cosmetic results of treatment of the midface area fracture in the development of predicting models: the amount of displacement of bone fragments, which was determined by computed tomography after surgery, and the values of indicators by a visual analogue scale after a day, 3, 5 and 7 days after surgery. The developed models for predicting functional and cosmetic results of treatment as a result of testing using indicators of 112 patients with fractures of the midface area showed an overall accuracy of 91.6%, sensitivity – 95%, specificity –96.4%.

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Support System of Doctor’s Decision-Making on the Choice of a Method for Treating Fractures of the Midface Area

Kochina¹,

Firsov²

2021

Ukr. ž. med. bìol. sportu

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Association of maxillofacial injuries with traumatic brain injuries in paediatric patients: a case–control study

Suprabha,

Wilson,

Baptist

et al. 2024

BMC Oral Health

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Background Traumatic brain injuries (TBIs) are among the most challenging conditions to accurately diagnose in children, and many TBIs are underdiagnosed. Patients with maxillofacial injury may be at risk for TBI. The objective of this study was to analyse the association between maxillofacial injuries and TBI among paediatric patients. Analysis of the factors associated with the occurrence of TBI among paediatric patients with maxillofacial injuries was the secondary objective. Method This case-control study included 192 cases defined as paediatric patients with maxillofacial injuries and 192 controls defined as all paediatric patients with traumatic injuries to other body locations and with no maxillofacial injuries. The medical records of patients aged 0–18 years, who underwent treatment at a tertiary care hospital were screened. Patient demographic data, causes of trauma, and the presence, type, and severity of TBI were recorded. For the cases, the presence of facial fracture, type and severity of the maxillofacial injuries were recorded. The odds ratio was obtained to determine the association between maxillofacial injuries and TBI. Multiple logistic regression analysis was performed to study the associations of all the recorded study variables with the occurrence of TBI in patients with maxillofacial injuries. Results A statistically significant difference was seen between the cases and controls for TBI occurrence, with 53% of cases recording TBI, compared to 32% among controls, with an odds ratio of 2.5. Multiple logistic regression analysis with the presence/absence of TBI among the cases as the dependent variable revealed a significant association of road traffic accidents (RTA), longer duration of hospital stays, and dentoalveolar fracture with TBI. Conclusion Paediatric patients with maxillofacial injuries need to be screened for TBI, as the risk of occurrence of TBI is 2.5 times greater in these patients than in those with injuries involving other parts of the body. RTA and prolonged hospitalization are factors associated with TBI among paediatric patients with maxillofacial injuries. The presence of only dentoalveolar injuries decreases the likelihood of a TBI.

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Management of Maxillofacial Trauma in Road Traffic Accident (RTA) at Tertiary Care Center

Cited by 2 publications

References 20 publications

Support System of Doctor’s Decision-Making on the Choice of a Method for Treating Fractures of the Midface Area

Support System of Doctor’s Decision-Making on the Choice of a Method for Treating Fractures of the Midface Area

Association of maxillofacial injuries with traumatic brain injuries in paediatric patients: a case–control study

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