Management of maxillofacial wounds sustained by British service personnel in Afghanistan

Breeze, John; McVeigh, Kieron; Lee, J.J.; Monaghan, A.; Gibbons, Ann

doi:10.1016/j.ijom.2011.01.005

Cited by 16 publications

(5 citation statements)

References 14 publications

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“…Facial bone injuries are most commonly caused by explosions [30,31]. They account for 21%–26% of all injuries and are often multiple, affecting more than 1 bone.…”

Section: Discussionmentioning

confidence: 99%

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Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

Ziemba¹

2012

Med Sci Monit

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SummaryBackgroundThe Afghan military theatre is specifically marked by guerilla operations and massive use of IEDs (improvised explosive devices) that pose new types of threats for their victims. At the same time, the relevant literature contains only a single, fragmentary analysis on injuries suffered by soldiers serving in the Afghan mission.Material/MethodsThis is a review of medical reports of the Polish Military Contingent deployed within Operation Enduring Freedom, from 1 January 2010 to 31 December 2011; the analysis includes all cases of combat and non-combat injuries in terms of their causes.ResultsIn the period under analysis, 380 Polish soldiers were reported injured; 87.1% of cases were combat and 12.9% non-combat injuries. The structure of injuries caused as a result of IED explosions was dominated by multiple limb injuries, associated most frequently with severe body cavities/spine injuries. In the case of other incidents, both combat and non-combat, the predominant consequences were single and, most commonly, less severe injuries. The average number of injuries suffered from IED attacks (3.37) was significantly higher than the number of injuries from other attacks (1.16), and higher than the number of non-combat injuries (1.43).ConclusionsIED attacks pose a serious medical problem, considering their high number and the severity of injuries they cause.

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“…Facial bone injuries are most commonly caused by explosions [30,31]. They account for 21%–26% of all injuries and are often multiple, affecting more than 1 bone.…”

Section: Discussionmentioning

confidence: 99%

“…Breeze et al [30] stressed that while facial bone injuries account for 21% of all combat injuries, they are also the reason for 30% of medical evacuations, also relatively frequent in cases of ocular injuries (about 16%) [33]. …”

Section: Discussionmentioning

confidence: 99%

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

Ziemba¹

2012

Med Sci Monit

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Section: Methodsmentioning

confidence: 99%

Prolonged deployed hospital care in the management of military eye injuries

Dhillon

Ahmad

Breeze

2020

Eye

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Background/objectives Prolonged hospital care is described as deployed medical care, applied beyond doctrinal planning timelines and military medical planning envisages that in future conflicts, patients will have to be managed for up to 5 days without evacuation to their home country. We aimed to investigate the effect of prolonged hospital care on visual outcomes in the management of open and closed globe injures. Methods We conducted a retrospective cohort study in the setting of British military operations in Afghanistan. We included consecutive UK military patients with ocular trauma evacuated from Afghanistan between December 2005 and April 2013. We assessed outcome using best-corrected visual acuity (VA) 6-12 months after injury. Results All patients were male, with a mean age of 25. Outcomes adjusted for ocular trauma score (OTS) at presentation were similar to previous reports of military ocular trauma. The mean time to arrival at a centre with an ophthalmologist was 1.74 days. Both patients with penetrating open globe injuries and patients with hyphaema and an OTS of 3 or less displayed an association between worsening 6-12 month VA and time between injury and repair or assessment by an ophthalmologist. Conclusion Time to specialist ophthalmic care contributes to outcome after military open and closed globe injuries, supporting deployment of ophthalmologists on military operations.

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“…Cases were identified from: the UK Joint Theatre Trauma Registry; searching diagnosis codes at UHBFT for diagnosis codes of ocular trauma in military patients; emergency operating room registers at SWBH; a prospectively collected register of all cases with head and neck injury as previously reported. 19 Data were collected between July 2017 and July 2019. We recorded: patient demographics, mechanism and classification (Birmingham Eye Trauma Terminology System) of injury, presenting best-corrected visual acuity (VA), the presence of an afferent pupillary defect or traumatic infective endophthalmitis, surgical procedures performed (including primary repair and any secondary surgical interventions) and visual outcomes as best corrected visual acuity (VA).…”

Section: Methodsmentioning

confidence: 99%

Prolonged deployed hospital care in the management of military eye injuries

Dhillon

Ahmad

Breeze

2020

Preprint

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Background/Objectives: Prolonged hospital care is described as deployed medical care, applied beyond doctrinal planning timelines and military medical planning envisages that in future conflicts, patients will have to be managed for up to five days without evacuation to their home country. We aimed to investigate the effect of prolonged hospital care on visual outcomes in the management of open and closed globe injures. Methods: We conducted a retrospective cohort study in the setting of British military operations in Afghanistan. We included consecutive UK military patients with ocular trauma evacuated from Afghanistan between December 2005 and April 2013. We assessed outcome using best corrected visual acuity (VA) 6-12 months after injury. Results: All patients were male, with a mean age of 25. Outcomes adjusted for ocular trauma score (OTS) at presentation were similar to previous reports of military ocular trauma. The mean time to arrival at a centre with an ophthalmologist was 1.74 days. Both patients with penetrating open globe injuries and patients with hyphaema and an OTS of 3 or less displayed an association between worsening 6- 12 month VA and time between injury and repair or assessment by an ophthalmologist. Conclusion: Time to specialist ophthalmic care contributes to outcome after military open and closed globe injuries, supporting deployment of ophthalmologists on military operations.

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Management of maxillofacial wounds sustained by British service personnel in Afghanistan

Cited by 16 publications

References 14 publications

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

Prolonged deployed hospital care in the management of military eye injuries

Prolonged deployed hospital care in the management of military eye injuries

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