A1 Refereed original research article in a scientific journal
Occurrence and Types of Associated Injuries in Patients With Fractures of the Facial Bones
Authors: Thoren H, Snall J, Salo J, Suominen-Taipale L, Kormi E, Lindqvist C, Tornwall J
Publisher: W B SAUNDERS CO-ELSEVIER INC
Publication year: 2010
Journal: Journal of Oral and Maxillofacial Surgery
Journal name in source: JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
Journal acronym: J ORAL MAXIL SURG
Volume: 68
Issue: 4
First page : 805
Last page: 810
Number of pages: 6
ISSN: 0278-2391
DOI: https://doi.org/10.1016/j.joms.2009.09.057
Abstract
Purpose: To identify the occurrence, types, and severity of associated injuries outside the facial region among patients diagnosed with facial fractures, and to analyze whether there arc any factors related to associated injuries.Materials and Methods: This was a cross-sectional study of 401 patients diagnosed with facial fractures during the 2-year period from 2003 to 2004.Results: Associated injuries were observed in 101 patients (25.2%). The most common type of injury was a limb injury (13.5%), followed by brain (11.0%), chest (5.5%), spine (2.7%), and abdominal (0.8%) injuries. Multiple associated injuries were observed in 10% and polytrauma in 7.5%. The mortality rate was 0.2%. The occurrence of associated injury correlated significantly with trauma mechanism and fracture type; high-speed accidents and severe facial fractures were significant predictors of associated injury.Conclusions: Associated injuries are frequent among patients who have sustained facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment, but also the importance of arranging appropriate clinical rotations for maxillofacial residents in training. (C) 2010 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 68:805-810, 2010
Purpose: To identify the occurrence, types, and severity of associated injuries outside the facial region among patients diagnosed with facial fractures, and to analyze whether there arc any factors related to associated injuries.Materials and Methods: This was a cross-sectional study of 401 patients diagnosed with facial fractures during the 2-year period from 2003 to 2004.Results: Associated injuries were observed in 101 patients (25.2%). The most common type of injury was a limb injury (13.5%), followed by brain (11.0%), chest (5.5%), spine (2.7%), and abdominal (0.8%) injuries. Multiple associated injuries were observed in 10% and polytrauma in 7.5%. The mortality rate was 0.2%. The occurrence of associated injury correlated significantly with trauma mechanism and fracture type; high-speed accidents and severe facial fractures were significant predictors of associated injury.Conclusions: Associated injuries are frequent among patients who have sustained facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment, but also the importance of arranging appropriate clinical rotations for maxillofacial residents in training. (C) 2010 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 68:805-810, 2010
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