Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey

Down, K.E.; Boot, D. A.; Gorman, D.F.

doi:10.1016/s0901-5027(05)80469-2

Cited by 125 publications

(127 citation statements)

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“…These patients sometimes needed to be primarily treated in other medical departments (27). Injuries were commonly observed to the head/brain, upper and lower extremities and chest/clavicle/rib, consistent with other studies (25)(26)(27). Although life-threatening injuries may be sometimes complicated in patients with midfacial fractures (13), no deaths were recorded in the present study.…”

Section: Discussionsupporting

confidence: 88%

“…Similarly, injuries in simple falls were not so severe, since these injuries occurred by a relatively simple and low velocity impact; however, injuries in traffic accidents, falls from a height and work-related accidents were often severe and associated with injuries to other sites of the body. Since these injuries are considered to occur by higher velocity forces, urgent treatment may be required; therefore, patients injured by these means should be carefully examined and processed for proper management (13,(25)(26)(27).…”

Section: Discussionmentioning

confidence: 99%

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Clinical Analysis of Midfacial Fractures

Yamamoto¹,

Matsusue²,

Horita³

et al. 2014

Mater Sociomed

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Purpose: To analyze the features of midfacial fractures. Methods: Data of 320 patients treated for midfacial fractures during the past 10 years were retrospectively analyzed. Results: Patients were 192 male and 128 female. Their age ranged from 1 to 96 years old with the average of 42.1. Injury most frequently occurred by traffic accidents in 168 patients, followed by falls in 78, assaults in 31 and sports in 25. Pattern of the fractures was classified into zygoma in 159 patients, alveolus in 60, multiple sites in 54, maxilla in 45 and nasal bone in 2. Facial injury severity scale ranged from 1 to 12 with the average of 1.52. Injuries to other sites of the body were found in 90 patients. Fractures of multiple sites showed higher facial injury severity scale and were associated with injuries to other sites of the body at a higher rate. Observation was most frequently chosen in 153 patients, followed by open reduction and internal fixation in 72, intramaxillary fixation in 43 and transcutaneous reduction in 26. Conclusions: Midfacial fractures showed a variety of features in terms of the site and severity and associated injuries. Understanding these features is important to manage these patients properly.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Midfacial Fractures

Yamamoto¹,

Matsusue²,

Horita³

et al. 2014

Mater Sociomed

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“…[33][34][35] The incidence of missed injuries has been reported to be higher in patients with associated severe head injuries. [33][34][35] This is explaining the high rate of undiagnosed maxillofacial injuries in our patients, most of them had associated severe head injuries.…”

Section: Discussionmentioning

confidence: 99%

Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt

Abdelrahman¹,

Abdelmaaboud²,

Hamody³

2017

Int Surg J

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Background: panfacial fractures resembles a therapeutic challenge to maxillofacial surgeons This study was carried out to determine the etiology, injury characteristics and management outcome of pan facial fractures at Sohag university hospital.Methods: A retrospective hospital based study of panfacial fractures patients was carried out at Sohag university hospital from January 2010 to December 2016. Data was collected and analyzed using SPPS.Results: 200 Panfacial Trauma Patients were analysed. Males to females by a ratio of 24:1. Their ages ranged from 13 to 63 years with a mean of 30±12 years Most injuries were due to road traffic accidents (78%), and by falling from height in 12%. Mandibular fractures were the most common type of injuries. Open reduction and internal fixation by using plates and screws was the commonest surgical technique, used in 97.8% of cases. The most common complications were limited mouth opening, malocclusion. The mean duration of hospital stay was 11.13±2.23 days.Conclusions: Road traffic accident (RTC) was the most common cause of panfacial injuries in our locality and the young adult males were the most commonly affected victims. The majority of maxillofacial fractures were treated by open reduction and internal fixation.

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“…Many studies have shown MVA as the primary cause of maxillofacial fractures 1,4,5,11,12,15,20,[29][30][31] . Ajagbe et al 2 (1977) states that MVA occur largely because of recklessness and negligence of the driver, poor maintenance of vehicles, often driving under the influence of alcohol or drugs and complete disregard of traffic laws.…”

Section: Discussionmentioning

confidence: 99%

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

Chrcanovic¹,

Freire-Maia

Souza

et al. 2004

Braz. oral res.

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A retrospective study was performed to assess facial fractures in patients treated at a public hospital in Belo Horizonte, in 2000. The data collected included age, gender, etiology, distribution of maxillofacial trauma considering day of the week and month, anatomic site of the fracture, and treatment. The analyses involved descriptive statistics and chi-squared test, Bonferroni test and analysis of variance. A total of 1,326 facial fractures were found in 911 patients. Most fractures occurred in adults with age ranging from 21 to 30 years. Men were more affected than women, with a male-female ratio of 4.69:1. Accidents causing facial fractures occurred predominantly on weekends. Bicycle and motorcycle accidents were the major cause of trauma, followed by interpersonal violence, automobile accidents, and falls. When the relation between the gender and the etiology of facial fractures was analyzed, a significant relation was noted between these variables (p < 0.001). There was also a relation between the patients' age and the site of the fractures (p = 0.0014). The mandible was found to be the most commonly fractured bone in the facial skeleton, followed by the zygomatic complex and the nose. A non-surgical approach was chosen in most cases. There were significant differences between the kind of treatment applied and the site of the fracture (p < 0.001). DESCRIPTORS: Maxillary fractures; Mandibular fractures; Facial injuries; Epidemiologic studies. RESUMO:Um estudo retrospectivo foi realizado para avaliar fraturas faciais em pacientes atendidos no ano de 2000 em um hospital público de Belo Horizonte. As informações coletadas incluíam idade, sexo, etiologia, distribuição do trauma de acordo com o dia da semana e o mês, o local anatômico da fratura e o tratamento. As análises envolveram estatísticas descritivas, teste qui-quadrado, teste Bonferroni e análise de variância. Foram encontradas 1.326 fraturas de face em 911 pacientes. A maioria das fraturas ocorreu em adultos na faixa etária de 21 a 30 anos. Os homens foram mais acometidos do que as mulheres, numa proporção homem:mulher de 4,69:1. Os traumas causadores de fraturas faciais ocorreram predominantemente nos fins de semana. Os acidentes de moto e bicicleta foram a maior causa de trauma, seguidos por violência interpessoal, acidentes automobilísticos e quedas. Quando analisada a relação entre o gênero e a etiologia das fraturas de face, observou-se uma associação estatisticamente significativa entre essas variáveis (p < 0,001). Houve também uma associação entre a idade dos pacientes e a localização das fraturas (p = 0,0014). O osso facial mais fraturado foi a mandíbula, seguida por complexo zigomático e nariz. O tratamento conservador foi realizado na maioria dos casos. Houve diferenças estatisticamente significativas entre o tipo de tratamento instituído e a localização da fratura (p < 0,001).

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Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey

Cited by 125 publications

References 3 publications

Clinical Analysis of Midfacial Fractures

Clinical Analysis of Midfacial Fractures

Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt

Facial fractures: a 1-year retrospective study in a hospital in Belo Horizonte

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