Patterns of brain injuries associated with maxillofacial fractures and its fate in emergency Egyptian polytrauma patients

Elbaih, Adel Hamed; Elsayed, Doaa H.; Abouzeid, Ahmed Elsayed; Elhadary, Ghada Kamal

doi:10.1016/j.cjtee.2017.12.005

Cited by 27 publications

(26 citation statements)

References 12 publications

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“…Moreover, often these fractures are in the mid-face area (the worst of the maxillofacial fractures) and are rarely in the low face area. EDHs are much less frequently associated with maxillofacial fractures and, generally, the mid-face area [ 77 , 78 ].…”

Section: Epidemiologymentioning

confidence: 99%

Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating

et al. 2021

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Epidural hematomas (EDHs) and subdural hematomas (SDHs), or so-called extra-axial bleedings, are common clinical entities after a traumatic brain injury (TBI). A forensic pathologist often analyzes cases of traumatic EDHs or SDHs due to road accidents, suicides, homicides, assaults, domestic or on-the-job accidents, and even in a medical responsibility scenario. The aim of this review is to give an overview of the published data in the medical literature, useful to forensic pathologists. We mainly focused on the data from the last 15 years, and considered the most updated protocols and diagnostic-therapeutic tools. This study reviews the epidemiology, outcome, and dating of extra-axial hematomas in the adult population; studies on the controversial interdural hematoma are also included.

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Section: Epidemiologymentioning

confidence: 99%

Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating

et al. 2021

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“…1 Patients are prone to long-standing physical deformities, neurological impairment, prolonged management, and psychiatric morbidities. 2 –4 The advent of advanced diagnostic modalities and surgical techniques has helped alleviate the otherwise devastating impact these patients may incur. However, the relatively frequent incidence coupled with the severity of injury still creates a prominent issue.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study

Cohn

Licata

Othman

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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Introduction: Assault appears to be the most frequent cause of facial fractures in certain urban trauma centers, possibly due to the ease of acquiring weapons and increasingly aggressive behavior. The objectives of this study were to identify specific demographic, socioeconomic, maxillofacial fracture, and assault patterns in urban versus suburban communities. Methods: A retrospective chart review of patients who sustained maxillofacial fractures from August 2014 through August 2016 at one urban campus, Einstein Medical Center, Philadelphia, and two suburban campuses, Einstein Medical Center Montgomery and Elkins Park. The χ2 testing was used to compare the categorical variables between the 2 groups. Results: A total of 259 maxillofacial trauma patients were identified, with 204 (79%) in the urban and 55 (21%) in the suburban environment. Patients in the urban population were more likely to be African American (70% vs 33%) and Hispanic (15% vs 6%) but less likely to be Caucasian (12% vs 55%, P < .0001). Urban patients were more likely to be single (70% vs 47%, P < .01), unemployed (64% vs 44%, P < .001), and receive Medicaid coverage (58% vs 26%, P < .001). Urban patients were more likely to be victims of assault (63% vs 44%), whereas suburban patients were more likely to sustain accidental injuries (16% vs 2%, P < .0001). Urban victims were more likely to be assaulted with an object (30% vs 12%) or gun (7% vs 0%, P = .05). Conclusion: Maxillofacial trauma patterns were shown to be significantly different in the urban versus suburban environment.

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“…29 Other associated injuries were subarachnoid hemorrhage 13 (18.5%), subdural hematoma 13 (18.5%), extradural hematoma 10 (14.2 %), contusions 16 (22.8%) and pneumocephalus 11 (15.7%), a study done by Elbaih AH et al has shown that brain injuries are commonly associated injuries with maxillofacial trauma. 30,31…”

Section: Discussionmentioning

confidence: 99%

The Role of MDCT and 3D computed tomography in the assessment of maxillofacial fractures and their types: a tertiary care hospital experience

Iqbal¹,

Yasin²,

Javeed³

et al. 2020

J Fatima Jinnah Med Univ

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Background: Maxillofacial region is a complex anatomical region that is commonly injured due to trauma and Multidetector Computed Tomography and Three-Dimensional Computed Tomography are used for accurate assessment of fractures and associated soft tissue injuries for correct clinical management. The objective of this study was to determine the frequency, various types of maxillofacial fractures and associated injuries using MDCT and 3D computed tomography (3D CT) at Sharif Medical City Hospital, Lahore. Patients and methods: This was a cross-sectional study, carried out in the Department of Diagnostic Radiology, Sharif Medical City hospital, Lahore from December 2018 to November 2019. 3D reconstructed CT images were obtained in 70 patients with maxillofacial injuries referred to the Radiology Department of Sharif Medical City Hospital, using 16 slices Toshiba® Aquillion Multidetector Computed Tomography scanner. CT images were evaluated by consultant radiologists and data was collected. Results: The maxillofacial fractures were significantly higher in the male population 61 (87%) than the female population 9 (13%). Road traffic accidents were the most common cause of injury and the mean age was 30±12 years with the most common age group were 21-30 years (32.8%). Maxilla and maxillary sinus wall fracture were commonest fracture 23 (33%) followed by orbital 20 (28%) bone fractures. Hemosinus 22 (31.4%) was the commonest associated injury. Conclusion: The complex anatomy of the facial bones requires MDCT and 3D CT which offers excellent spatial resolution, and helpful in the accurate diagnosis of the maxillofacial fractures their exact site, number, and associated injuries, and surgical planning.

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Patterns of brain injuries associated with maxillofacial fractures and its fate in emergency Egyptian polytrauma patients

Cited by 27 publications

References 12 publications

Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating

Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study

The Role of MDCT and 3D computed tomography in the assessment of maxillofacial fractures and their types: a tertiary care hospital experience

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