Remember the Vessels! Craniofacial Fracture Predicts Risk for Blunt Cerebrovascular Injury

Varjonen, Elina; Bensch, Frank V.; Pyhältö, Tuomo; Koivikko, Mika P.; Snäll, Johanna

doi:10.1016/j.joms.2018.03.035

Cited by 11 publications

(5 citation statements)

References 26 publications

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“…The mean age of the participants with CMF fractures in our study was 23.94 ± 17.40 years, which is similar to the average of 25.75 ± 15.5 years found in another study [17]. Upper facial fractures were the least prevalent type of CMF fractures, a finding corroborated by two other studies to date [18,19].…”

Section: Discussionsupporting

confidence: 90%

The Relationship Between Cerebrovascular Injuries and Craniomaxillofacial Fractures: Findings From a Tertiary Hospital in Saudi Arabia

Babtain¹,

Alsahly²,

Alkhail³

et al. 2021

Cureus

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Background and objectiveBlunt cerebrovascular injuries (BCVIs) can lead to serious outcomes, particularly because they are difficult to detect in the acute phase. There are studies that have described the association between cerebrovascular injuries and craniomaxillofacial (CMF) fractures; however, no such study has been conducted among a Saudi population. In light of this, we conducted this study to evaluate the correlation between BCVI and CMF fractures among the local population in Saudi Arabia. In addition, the most common types of fractures associated with BCVI were identified. MethodsThis retrospective cohort study was conducted at the King Abdulaziz Medical City, a tertiary hospital in Riyadh, Saudi Arabia. All eligible patients with CMF fractures who were hospitalized at the King Abdulaziz Medical City were included. Consecutive patients were screened; no sampling or randomization was required. Patients with penetrating or avulsive mechanisms of injury were excluded. ResultsOut of a total of 1,560 patients included in the study, 1,537 (98.5%) had CMF fractures, while 23 (1.5%) had BCVIs. None of the patients with CMF fractures had BCVIs. Among the patients with BCVIs, 12 (52.2%) were men and 11 (47.8%) were women. The mean age of these patients was 46.91 ± 17.04 years. Among patients with CMF fractures, 1,071 (69.7%) were men and 466 (30.3%) were women. Their mean age was 23.93 ± 17.36 years. ConclusionThe study did not identify any correlation between BCVI and CMF fractures; however, further studies with larger samples across multiple centers are needed to validate our findings and gain deeper insight into the relationship between BCVI and CMF fractures.

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Section: Discussionsupporting

confidence: 90%

The Relationship Between Cerebrovascular Injuries and Craniomaxillofacial Fractures: Findings From a Tertiary Hospital in Saudi Arabia

Babtain¹,

Alsahly²,

Alkhail³

et al. 2021

Cureus

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“…In our study, 15.4% of patients sustained a cranial fracture whereas 17.9% of patients had severe head and neck injuries. Blunt cerebrovascular injuries require particular attention, as they seem to be more prevalent in the facial fracture population than previously conceived 22,23 . This finding raises further concern about the lack of safety gear protecting the neck region.…”

Section: Discussionmentioning

confidence: 99%

Craniofacial Fractures in Equine-Related Injuries: What Should a Maxillofacial Surgeon Expect?

Puolakkainen

Marttila

Thorén

et al. 2021

Journal of Craniofacial Surgery

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Patients with equine-related injuries (ERI) have high rates of hospitalization and often require surgical treatment. This study aimed to clarify the injury profiles of patients sustaining ERIrelated craniofacial fractures and their relationship with other severe head and neck injuries.This retrospective study included all patients with craniofacial fractures admitted to a tertiary trauma center during 2013 to 2018. Out of 3256 patients, a total of 39 patients were included in the study (1.2%). Demographic and clinically relevant variables were reported and statistically evaluated.Males represented only 7.7% of the study population. Isolated facial fractures were over-represented in this study population at 84.6% whereas only 7.7% of patients sustained isolated cranial fractures and 7.7% of patients sustained combined craniofacial fractures, respectively. Surgical intervention for craniofacial fractures was required in 48.7% of patients. In total, 17.9% of patients sustained severe head and neck injuries. Periods of unconsciousness and/or post-traumatic amnesia were seen in 41% of patients. Helmet use could only be confirmed in 17.9% of patients.As trauma mechanisms behind ERI are often multifactorial and patients are at a high risk of sustaining associated injuries, attentive examination, and exclusion of serious life-threatening injuries through a multi-disciplinary approach is imperative for this specific patient population.

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“…In a previous study concerning BCVIs among a polytrauma patient population, craniofacial fractures were strongly represented. BCVIs occurred in nearly one fifth of craniofacial fracture patients when all craniofacial fracture types were considered 19 . However, in the present study BCVIs were also detected in patients with low-energy mechanisms.…”

Section: Discussionmentioning

confidence: 99%

“…For example, the current Denver guidelines suggest Le Fort II and III fractures, as well as isolated mandibular fractures, to be independent risk factors for BCVI 8 . Moreover, a recent publication highlighted a correlation between BCVI and craniofacial fractures 19 . However, the true significance of each specific fracture type on BCVI remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Blunt cerebrovascular injuries in the craniofacial fracture population—Are we screening the right patients?

Puolakkainen

Vähäsilta

Bensch

et al. 2021

International Journal of Oral and Maxillofacial Surgery

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Remember the Vessels! Craniofacial Fracture Predicts Risk for Blunt Cerebrovascular Injury

Abstract: Craniofacial fractures are a serious risk factor for BCVI. This research suggests that in patients with any craniofacial fracture and suspected polytrauma, rigorous imaging of cervical arteries in search of BCVI is essential.

Cited by 11 publications

References 26 publications

The Relationship Between Cerebrovascular Injuries and Craniomaxillofacial Fractures: Findings From a Tertiary Hospital in Saudi Arabia

The Relationship Between Cerebrovascular Injuries and Craniomaxillofacial Fractures: Findings From a Tertiary Hospital in Saudi Arabia

Craniofacial Fractures in Equine-Related Injuries: What Should a Maxillofacial Surgeon Expect?

Blunt cerebrovascular injuries in the craniofacial fracture population—Are we screening the right patients?

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