The role of alcohol in maxillofacial trauma—a comparative retrospective audit between the two centers

Elledge, Ross; Elledge, Rokhsareh; Aquilina, Peter; Hodson, James; Dover, Stephen

doi:10.1016/j.alcohol.2010.09.001

Cited by 19 publications

(20 citation statements)

References 23 publications

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“…One patient returned a week later with deranged occlusion due to a fall while intoxicated. Alcohol and maxillofacial trauma have a well-established relationship in the literature16.…”

Section: Discussionmentioning

confidence: 99%

A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa

Meshram

Kende

et al. 2018

JKAOMS

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ObjectivesIsolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis.Materials and MethodsPatients with isolated mandibular fractures presenting to the department of maxillofacial surgery were selected for ORIF under regional anesthesia based on occlusion, age, socioeconomic status, general condition, habits, and allied medical ailments. Standard preoperative, intraoperative, and postoperative protocols were followed. All patients were followed up for a minimum of 4 weeks up to a maximum of 1 year.ResultsOf 23 patients who received regional anesthesia, all but one had good postoperative functional occlusion. One patient was hypersensitive and had difficulty tolerating the procedure. Two patients developed an extraoral draining sinus, one of whom was managed with local curettage, while the other required hardware removal. One patient, who was a chronic alcoholic, returned 1 week after treatment with deranged fracture segments after he fell while intoxicated.ConclusionWith proper case selection following a stepwise protocol, the majority of mandibular fractures requiring ORIF can be managed with regional anesthesia and yield minimal to no complications.

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“…One patient returned a week later with deranged occlusion due to a fall while intoxicated. Alcohol and maxillofacial trauma have a well-established relationship in the literature16.…”

Section: Discussionmentioning

confidence: 99%

A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa

Meshram

Kende

et al. 2018

JKAOMS

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“…High recidivism rates in patients where facial trauma is linked to intoxication highlight the need for screening, primary health intervention and prevention programs to reduce the risk of repeat injuries and intensification of harmful drinking . Converging evidence shows that mainstream interventions cannot simply be transferred to Indigenous settings, and disseminating guidelines is insufficient to change everyday health care .…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of training in culturally specific screening and brief intervention for hospital patients with alcohol‐related injuries

Whitty

Nagel

Jayaraj

et al. 2015

Australian J Rural Health

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Targeted educational interventions can improve the knowledge and confidence of inpatient staff who manage patients at high risk of alcohol use disorder. Further research is needed to determine the duration of the effect and influence on practice behaviour. Ongoing integrated training, linked with systemic support and established quality improvement processes, is required to facilitate sustained change and widespread dissemination.

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“…Elledge [12] attempted to discern the influence of the environment and place of residence on injuries incurred under the influence of alcohol. Research was conducted in two separate centres, namely, Selly Oak Hospital in Birmingham, UK, and Westmead Hospital in Sydney, Australia.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have consistently shown the face to be a commonly targeted region in alcohol-related violence. In some countries, alcohol abuse has continued to be a major social problem playing a crucial role in dangerous situations, resulting in severe maxillofacial traumas, body injuries, permanent disability or death [7,12,13,14].…”

Section: Introductionmentioning

confidence: 99%

Maxillofacial trauma in relation to patients’ sobriety – a one-year epidemiological analysis

Gawęda¹,

Konopelko²,

Pisarski³

et al. 2014

J Pre Clin Clin Res.

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Introduction. The maxillofacial skeleton protects the areas particularly susceptible to injuries. Maxillofacial fractures occur when the force of an injury exceeds the biomechanical bone tolerance. Excessive alcohol consumption evokes violence, brutality and assault and other harmful human behaviour. Alcohol abuse seems to be crucial in evoking situations resulting in severe maxillofacial traumas or permanent disability. Objective. The aim of the study was an epidemiological analysis of patients admitted to hospital to Chair and Clinic of Maxillofacial Surgery in Medical University of Lublin in 2011 due to facial traumas. This study discusses the association between alcohol consumption and maxillofacial trauma. Materials and method. The research group constituted 226 patients admitted to hospital due to facial trauma in 2011. The following factors were considered in the study: patients' age, cause of trauma, place of residence, and alcohol consumption prior to the trauma. Conclusions. It was observed that 53% of the patients underwent maxillofacial trauma while under the influence of alcohol. Its consumption was significant in the analysis of gender, age, cause of trauma, and the place of residence of patients with maxillofacial trauma examined within one year.

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The role of alcohol in maxillofacial trauma—a comparative retrospective audit between the two centers

Cited by 19 publications

References 23 publications

A working paradigm for managing mandibular fractures under regional anesthesia

A working paradigm for managing mandibular fractures under regional anesthesia

Development and evaluation of training in culturally specific screening and brief intervention for hospital patients with alcohol‐related injuries

Maxillofacial trauma in relation to patients’ sobriety – a one-year epidemiological analysis

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