Violence-related facial trauma: analysis of multidetector computed tomography findings of 727 patients

Abstract

Objectives: The multidetector CT (MDCT) findings of facial trauma in victims of interpersonal violence were assessed. Methods: All MDCT requests for suspected facial injury during a 62 month period were retrieved; 727 cases met the inclusion criteria. Images were interpreted by two researchers by consensus. Results: Of the 727 patients (aged 15-86 years old, mean 37), 583 (80.2%) were male and 144 (19.8%) female. Of all the patients, 74% had a fracture, and of these 44% had multiple non-contiguous fractures. Conclusions: Violence is a very common cause of facial injury. Nasal and orbital fractures predominate. Males are more often involved; they are younger, sustain fractures more often and significantly more often present with high-energy fracture patterns. LeFort fractures are often unilateral or asymmetrical, and are frequently accompanied by other, clinically significant fractures. Up to 25% of patients with fractures do not have paranasal sinus effusions.

Le Fort Fractures: A Collective Review

“…In developing countries, MVCs represented a higher proportion of fractures compared to all other causes [14]. Facial trauma that occurred secondary to assault commonly resulted in isolated low-energy nasal, orbital or ZMC fractures, however Le Fort I, II, and III fractures were identified in 6%, 5%, 3% of cases [23,24]. Falls resulting in facial trauma had a 43.9% incidence of Le Fort fractures, occurred from an average height of 7.3 meters, and were associated with extremity, head, or chest injuries 9.8% of the time [25][26][27].…”

Evaluation of Influencing Factors and commonly Involving Side in Maxillofacial Injuries in Road Traffic Accidents by Motorized Two Wheelers: A Cross-sectional Study

“…In our study population, the male/female participants proportion was 3.1:1; in Chakranarayan et al, 9 Salonen et al 10 have…”

“…[4][5][6][7] Some authors have reported that right-side injuries were common than the left side. [8][9][10] A retrospective study was conducted in our center about the pattern and etiology of the maxillofacial injuries. The percentage of the right-side injuries was higher than the left side, and was statistically significant.…”

<b>Characteristic Multidetector CT Findings of Mandibular Fractures: Comparison with Falls and Violence </b>

“…Falls are frequent cause of injury, especially in the elderly, causing disability, morbidity and increased health care utilization (2,3). Violence can result in various injuries, and the head and neck are regions often the most affected (4). Fracture morphology of facial injury as a result of violence is often complex, the radiologist should be familiar with the imaging findings.…”