The Incidence of Combined Facial and Cervical Spine Injuries

Hackl, Wolfgang; Fink, Christian; Hausberger, K.; Ulmer, Hanno; Gaßner, Robert

doi:10.1097/00005373-200101000-00007

Cited by 32 publications

(8 citation statements)

References 21 publications

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“…The most frequently affected bones were the floor of the orbit and the zygoma, confirming the data of previous surveys of our clinic 6,7 . In contrast, maxilla, orbit, and nasal bones were most frequently fractured in a survey of epidemiologic features of maxillofacial injuries among motorcyclists 5 .…”

Section: Discussionsupporting

confidence: 90%

Maxillofacial fractures masking traumatic intracranial hemorrhages

Hohlrieder

Hinterhoelzl

Ulmer

et al. 2004

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 90%

Maxillofacial fractures masking traumatic intracranial hemorrhages

Hohlrieder

Hinterhoelzl

Ulmer

et al. 2004

International Journal of Oral and Maxillofacial Surgery

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“…A number of investigations have provided data on associated injuries in MI involving SI [37][38][39][40][41][42]. We sought to broaden this knowledge employing a distinct description of injury combinations in our patients suffering from MI and SI in respect to the anatomical region of the spine injured.…”

Section: Discussionmentioning

confidence: 99%

Distribution of Spinal and Associated Injuries in Multiple Trauma Patients

Laurer

Maier²,

Saman³

et al. 2007

Eur J Trauma Emerg Surg

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Injury to the spinal column and cord are often part of life-threatening multiple trauma. Epidemiological data could help to establish an evidence-based assessment and therapy of these patients. We present a retrospective chart analysis of 590 multiple traumatized patients admitted within a 4-year-period. Patients suffering from injuries of the spinal column were analysed regarding mechanism and distribution of their injuries to all body regions. Thirty-one percent (n = 183) of polytraumatized patients displayed a spine injury. Distribution analysis showed peaks in the cervical spine and the thoraco-lumbar junction. The risk of relevant associated injuries is mainly influenced from anatomical vicinity to the injured spinal segment. Injuries to the spinal column are frequent in the multiple trauma patients population. Diagnosed injuries to distinct body regions should make the trauma team suspicious of injury to the nearby spinal column. Appropriate treatment includes thorough assessment of all injuries to clarify the damage and carry on special protection of these spinal regions preventing from deterioration.

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“…The majority of the existing studies on facial injuries focused on a single type of concomitant injury like brain or cervical spine [9–11]. Others broach the issue of concomitant injuries with a particular type of facial fracture [12, 13].…”

Section: Introductionmentioning

confidence: 99%

Maxillofacial injuries in severely injured patients

Scheyerer

Döring

Fuchs

et al. 2015

J Trauma Manage Outcomes

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BackgroundA significant proportion of patients admitted to hospital with multiple traumas exhibit facial injuries. The aim of this study is to evaluate the incidence and cause of facial injuries in severely injured patients and to examine the role of plastic and maxillofacial surgeons in treatment of this patient collective.MethodsA total of 67 patients, who were assigned to our trauma room with maxillofacial injuries between January 2009 and December 2010, were enrolled in the present study and evaluated.ResultsThe majority of the patients were male (82 %) with a mean age of 44 years. The predominant mechanism of injury was fall from lower levels (<5 m) and occurred in 25 (37 %) cases. The median ISS was 25, with intracranial bleeding found as the most common concomitant injury in 48 cases (72 %). Thirty-one patients (46 %) required interdisciplinary management in the trauma room; maxillofacial surgeons were involved in 27 cases. A total of 35 (52 %) patients were treated surgically, 7 in emergency surgery, thereof.ConclusionMaxillofacial injuries are often associated with a risk of other serious concomitant injuries, in particular traumatic brain injuries. Even though emergency operations are only necessary in rare cases, diagnosis and treatment of such concomitant injuries have the potential to be overlooked or delayed in severely injured patients.

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The Incidence of Combined Facial and Cervical Spine Injuries

Abstract: Patients sustaining cervical spine trauma have a small but real chance of injuring their face as well. The cervical spine must be examined carefully, whenever facial injuries are present.

Cited by 32 publications

References 21 publications

Maxillofacial fractures masking traumatic intracranial hemorrhages

Maxillofacial fractures masking traumatic intracranial hemorrhages

Distribution of Spinal and Associated Injuries in Multiple Trauma Patients

Maxillofacial injuries in severely injured patients

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