medigraphic.com
ISSN 1561-297X (Print)

2018, Number 4

Next >>

Rev Cubana Estomatol 2018; 55 (4)

Behavior of severe maxillofacial trauma

Morales ND, Aguila NY, Grau LIB

Language: Spanish
References: 28
Page: 1-10
PDF size: 119.12 Kb.


ABSTRACT

Introduction: Understanding the cause, severity and distribution of facial trauma and concomitant lesions may help in the optimization of initial treatment.
Objective: To characterize severe maxillofacial trauma in the emergency department of General Calixto García University Hospital from 2015-2016.
Methods: A descriptive and cross-sectional study was carried out at General Calixto García University Hospital, from 2015-2016. The study population was constituted by patients who presented to the emergency department with a diagnosis of maxillofacial polytrauma and severe maxillofacial trauma. We used the following qualitative variables: sex, etiology, drinking of alcohol and lesions. We used the quantitative variable of age. A data collection form was prepared and the information was entered into a database. Whole numbers, percentages and statistical tables were used. Ethical principles for human research were followed.
Results: Males accounted for 73 %. The most represented age group was 18-30 years (32.4 %), followed by the 31-40 and 41-50 groups (21.6 % and 14.9 %, respectively). In 44.6 % of the patients the trauma was associated to traffic accidents. In 32.4% of the patients, the trauma was associated to interpersonal violence. Ethyl breath was detected in 50 % of the patients. Predominating wounds were larger than 2 cm, followed by those of less than that length (52.7 % and 28.4 %, respectively) and mandibular fracture (29.7 %).
Conclusions: There was a predominance of males and the age group of 18-30 years. The main etiology was traffic accident, followed by interpersonal violence. The most frequent soft-tissue lesions were wounds greater than 2 cm. The most frequent hard-tissue lesions were mandibular fractures. Half of the patients had consumed alcohol.


REFERENCES

  1. Oginni FO, Oladejo T, Alake DP, Oguntoba JO, Adebayo OF. Facial Bone Fractures in Ile-Ife, Nigeria: An Update on Pattern of Presentation and Care. J Maxillofac Oral Surg. 2016;15(2):184-90.

  2. Udeabor S, Akinmoladun VI, Olusanya A, Obiechina A. Pattern of Midface Trauma with Associated Concomitant Injuries in a Nigerian Referral Centre. Niger J Surg. 2014;20(1):26-9.

  3. Morales Navarro D, Vila Morales D. Aspectos generales del trauma maxilofacial. Rev Cubana Estomatol. 2016;53(3). Acceso: 28/02/2017. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/790

  4. Scheyerer MJ, Döring R, Fuchs N, Metzler P, Sprengel K, Werner CML, et al. Maxillofacial injuries in severely injured patients. J Trauma Manag Outcomes. 2015;9:4.

  5. Moore BK, Smit R, Colquhoun A, Thompson WM. Maxillofacial fractures at Waikato Hospital, New Zealand: 2004 to 2013. N Z Med J. 2015;128(1426):96-102.

  6. Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E, et al. Assessment of maxillofacial trauma in emergency department. World J Emerg Surg. 2014;9(1):13.

  7. Siber S, Matijević M, Sikora M, Leović D, Mumlek I, Macan D. Assessment of Oro- Maxillofacial Trauma According to Gender, Age, Cause and Type of the Injury. Acta Stomatol Croat. 2015;49(4):340-7.

  8. Osinaike BB, Gbolahan OO, Olusanya AA. Intra-Operative Airway Management in Patients with Maxillofacial Trauma having Reduction and Immobilization of Facial Fractures. Niger J Surg. 2015;21(1):26-30.

  9. Einy S, Abdel Rahman N, Siman-Tov M, Aizenbud D, Peleg K. Maxillofacial Trauma Following Road Accidents and Falls. J Craniofac Surg. 2016;27(4):857-61.

  10. Yildirgan K, Zahir E, Sharafi S, Ahmad S, Schaller B, Ricklin ME, et al. Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre. Emerg Med Int. 2016;2016:3502902.

  11. Ferreira MC, Batista AM, Ferreira FO, Ramos-Jorge ML, Marques LS. Pattern of oral-maxillofacial trauma stemming from interpersonal physical violence and determinant factors. Dent Traumatol. 2014;30(1):15-21.

  12. Olusanya AA, Adeleye AO, Aladelusi TO, Fasola AO. Updates on the Epidemiology and Pattern of Traumatic Maxillofacial Injuries in a Nigerian University Teaching Hospital: A 12-Month Prospective Cohort In-Hospital Outcome Study. Craniomaxillofac Trauma Reconstr. 2015;8(1):50-8.

  13. Roccia F, Savoini M, Ramieri G, Zavattero E. An analysis of 711 victims of interpersonal violence to the face, Turin, Italy. J Craniomaxillofac Surg. 2016;44(8):1025-8.

  14. Khan IQ, Khan NU, Naeem RN, Kerai S, Allen K, Zia N, et al. Bomb blast injuries: an exploration of patient characteristics and outcome using Pakistan National Emergency Departments Surveillance (Pak-NEDS) data. BMC Emerg Med. 2015;15(Suppl 2):S7.

  15. Kannus P, Niemi S, Parkkari J, Sievänen H. Rising incidence of fall-induced maxillofacial injuries among older adults. Aging Clin Exp Res. 2016;28(6):1127-31.

  16. Shah A, Nautiyal V, Gupta A, Ramola V. Trends of maxillofacial fractures in the Garhwal Himalayas at Government Medical College, Srinagar, Uttarakhand. Natl J Maxillofac Surg. 2016;7(1):80-5.

  17. Choi SH, Gu JH, Kang DH. Analysis of Traffic Accident-Related Facial Trauma. J Craniofac Surg. 2016;27(7):1682-5.

  18. Lee W, Shim YS, Chung J. Endovascular Treatment to Stop Life-threatening Bleeding from Branches of the External Carotid Artery in Patients with Traumatic Maxillofacial Fracture. J Cerebrovasc Endovasc Neurosurg. 2016;18(2):83-9.

  19. Ogunmuyiwa SA, Gbolahan OO, Ayantunde AA, Odewabi AA. Patterns, Severity, and Management of Maxillofacial Injuries in a Suburban South Western Nigeria Tertiary Center. Niger J Surg. 2015;21(1):38-42.

  20. Jose A, Nagori SA, Agarwal B, Bhutia O, Roychoudhury A. Management of maxillofacial trauma in emergency: An update of challenges and controversies. J Emerg Trauma Shock. 2016;9(2):73-80.

  21. Lee K, Olsen J, Sun J, Chandu A. Alcohol-involved maxillofacial fractures. Aust Dent J. 2017;62(2):180-5.

  22. Díaz Fernández JM, Díaz Cardero AL. Perfil de severidad lesional del trauma esquelético maxilofacial. MEDISAN [Internet] 2014;18(7):954-61. Acceso: 08/03/2017. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192014000700011&lng=es

  23. Rau C-S, Liu H-T, Hsu S-Y, Cho TY, Hsieh C-H. Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system. BMJ Open. 2014;4(10):e005947.

  24. Gagliardi Lugo AF, Contreras Ravago MG, Gudiño Martinez RA. Motivo de consulta de urgencias por cirugía maxilofacial en un hospital venezolano desde 2006 hasta 2012: estudio retrospectivo. Rev Esp Cirug Oral y Maxilofac. 2015;37(4):215-9. Acceso: 22/02/2017. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130- 05582015000400007&lng=pt

  25. Poorian B, Bemanali M, Chavoshinejad M. Evaluation of Sensorimotor Nerve Damage in Patients with Maxillofacial Trauma; a Single Center Experience. Bull Emerg Trauma. 2016;4(2):88-92.

  26. Chen C, Yang Y, Gong X, He Y, An J, Zhang Y. A retrospective study of 1 009 patients with oral and maxillofacial fresh trauma. Zhonghua Kou Qiang Yi Xue Za Zhi. 2015;50(11):650-5.

  27. Díaz Fernández JM, Inclán Acosta A. Perfil clinicoepidemiológico del politrauma maxilofacial. MEDISAN 2014;18(3). Acceso: 15/11/2017. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192014000300004&lng=es&nrm=iso&tlng=es

  28. Gadicherla S, Sasikumar P, Gill SS, Bhagania M, Kamath AT, Pentapati KC. Mandibular Fractures and Associated Factors at a Tertiary Care Hospital. Arch Trauma Res. 2016;5(4):e30574.




2020     |     www.medigraphic.com