The patterns of maxillofacial fractures in traumatic head injury patients in Songklanagarind hospital: a retrospective study.

Abstract

Background: Maxillofacial injury was usually found in low to middle countries moreover it commonly associated with brain injury, the major etiological factors are traffic collision, violence, and fall from hight. The incidence and etiology was important to developed treatment moreover to improve patient care in the future. The aim of this study was to analyze the incidence of the pattern of maxillofacial fracture in a patient with a traumatic head injury and to measure the incidence of the cause of injury, age, and gender distribution Methods: This is a retrospective study in Songhklanagarind hospital. We evaluate all patients who presented with a concomitant maxillofacial and traumatic head injury in Songklanagarind hospital between 2007 and 2016. Results: 859 patients consisting of 73.3% male and 22.7% female. The mean age was 39.5 years.The severity of the traumatic head injury was mild traumatic head injury 70.15%. Moreover the alcohol consumption was significantly related to a mild and severe traumatic head injury (P < 0.05). The most frequent was maxilla bone. 33.9% of patients were undergone the operation. Conclusion: In this retrospective study, the maxilla bone fracture was the most frequent site involved. The patients with mild traumatic head injury are related to the coronoid process of mandible, Le Fort fracture type II and type III, moderate traumatic head injury is only related to the coronoid process of mandible and severe traumatic head injury are related to Le Fort fracture type II and III. Keyword: traumatic head injury, maxillofacial fracture

Patterns of Associated Injuries in Patients with Mild/Moderate Head Injuries

“…Of the maxillofacial injuries, maxilla bone fractures were most common, occurring in 33.9% of patients, and these fractures were associated with the coronoid process of the mandible (fracture), Le fort fracture type II and type III. Moderate head Injuries were only associated with fractures of the coronoid process of the mandible [24]. Use of helmets in motorcycle riders was generally found to reduce the severity of head Injuries, hence maxillofacial injuries too.…”

“…In a retrospective study of the patterns of maxillofacial fractures in 859 patients with a traumatic head injury, 70.15% of patients had mild traumatic brain injury [24]. Of the maxillofacial injuries, maxilla bone fractures were most common, occurring in 33.9% of patients, and these fractures were associated with the coronoid process of the mandible (fracture), Le fort fracture type II and type III.…”

“…Use of helmets in motorcycle riders was generally found to reduce the severity of head Injuries, hence maxillofacial injuries too. The time of arrival at the hospital was also important in eventual outcomes [19,24].…”