In the emergency department

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Soft Tissue Injuries ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Soft Tissue Infections ◽  
Penetrating Injuries ◽  
Orbital Floor Fractures ◽  
Zygomatic Fractures

This chapter discusses oral and maxillofacial surgery in the A&E department, including, The paediatric OMFS patient, Overview of maxillofacial trauma, Mandibular fractures, Zygomatic fractures, Orbital floor fractures, Maxillary fractures, Nose, naso-ethmoidal, and frontal bone fractures, Face and scalp soft tissue injuries, Penetrating injuries to the neck, Intra-oral injuries, Dento-alveolar trauma, Dento-alveolar infections, Post-extraction complications, Head and neck soft tissue infections, Salivary gland diseases, and Miscellaneous conditions

In the emergency department

2011 ◽  
pp. 59-104
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Bone Fractures ◽  
Soft Tissue Injuries ◽  
Frontal Bone ◽  
Maxillofacial Trauma ◽  
Mandibular Fractures ◽  
Penetrating Injuries ◽  
Orbital Floor Fractures ◽  
Zygomatic Fractures

OMFS in the emergency department 60 The paediatric OMFS patient 62 Overview of maxillofacial trauma 64 Mandibular fractures 66 Zygomatic fractures 70 Orbital floor fractures 72 Maxillary fractures 74 Nose, naso-ethmoidal, and frontal bone fractures 76 Face and scalp soft tissue injuries 78 Penetrating injuries to the neck ...

In the clinic

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Head And Neck ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Soft Tissue Injuries ◽  
Oral And Maxillofacial Surgery ◽  
Oral Lesions ◽  
Skin Tumours ◽  
Orbital Floor Fractures ◽  
Mandible Fractures ◽  
Work Up

This chapter discusses oral and maxillofacial surgery in the clinic, including, Mandible fractures, Orbital floor fractures, Zygoma fractures, Maxillary fractures, Nose, naso-ethmoidal, and frontal bone fractures, Face and scalp soft tissue injuries, Dento-alveolar: assessment for extractions, Dento-alveolar: impacted teeth, Dento-alveolar: jaw pathologies, Temporomandibular joint problems, Oral and facial pain, Management of oral lesions, Management of neck lumps, Skin tumours, Work-up for major head and neck oncoplastic surgery, Reviewing head and neck cancer patients, Salivary gland diseases, Orthognathic patients, and Miscellaneous conditions in the clinic

In the theatre

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Maxillofacial Surgery ◽  
Trauma Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Head And Neck Oncology ◽  
Facial Plastic Surgery ◽  
Orbital Floor Fractures ◽  
Facial Plastic ◽  
Zygomatic Fractures ◽  
Salivary Gland Surgery

This chapter discusses oral and maxillofacial surgery in the theatre, including operations, Overview of maxillofacial trauma surgery -Mandibular fractures, Zygomatic fractures, Orbital floor fractures, Other fractures, Dento-alveolar surgery, Head and neck oncology and reconstructive surgery, Salivary gland surgery, Orthognathic surgery, Facial plastic surgery, and Miscellaneous operations

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

2020 ◽  
Author(s):  
Juncar Raluca Iulia ◽  
Paul Andrei Tent ◽  
Juncar Mihai ◽  
Arghir Ioan Anton ◽  
Arghir Cristina Oana ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Nominal Data ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Zygomatic Fracture

Abstract Background: The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods: A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium;53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p<0.025 was considered statistically significant.Results: The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n=179 (73.9%), closed n=179 (73.9%) and complete n=219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n=102 (42.1%) regardless of the fracture pattern (p=1.000). Complete zygomatic fracture (OR – 2.68; p=0.035) and fractures with displacement (OR – 3.66; p=0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p=0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions: Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

scholarly journals Evaluation Of Clinical Features And Treatment Of Zygomatic Bone Fractures: A 10-Year Retrospective Study

2020 ◽  
Author(s):  
Juncar Raluca Iulia ◽  
Paul Andrei Tent ◽  
Juncar Mihai ◽  
Arghir Ioan Anton ◽  
Arghir Cristina Oana ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Features ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Treatment Method ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Soft Tissue Lesions

Abstract Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions, which make clinical diagnosis and therapeutic indications difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue lesions, in order to improve the diagnosis and the establishment of the correct treatment. We also aimed to assess the type of treatment methods applied depending on the fracture pattern of the zygomatic bone, as well as their effectiveness depending on the incidence rate of postoperative complications. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.90%), closed n = 179 (73.90%) and complete n = 219 (90.50%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.15%) regardless of the fracture pattern (p = 1.000). The incidence of lacerations and excoriations was statistically higher in the case of complete (laceration p = 0.0028/ excoriation p = 0.037), displaced and comminuted zygomatic fractures (laceration p = 0.015/ excoriation p = 0.001). The most frequent type of treatment applied was Gillies reduction (61.98%), followed by ORIF (30.99%). The most frequent postoperative complication was malunion secondary to Gillies treatment (p = 002). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. The most effective treatment method in the case of displaced, open or comminuted fractures was ORIF, while in the case of non-displaced and closed fractures, conservative treatment was the most effective.

scholarly journals Epidemiology of mandibular fractures treated in a Brazilian level I Trauma Public Hospital in the city of São Paulo, Brazil

2006 ◽  
Vol 17 (3) ◽  
pp. 243-248 ◽  
Author(s):  
Marcelo Zillo Martini ◽  
André Takahashi ◽  
Humberto Gomes de Oliveira Neto ◽  
José Pereira de Carvalho Júnior ◽  
Ricardo Curcio ◽  
...  
Keyword(s):  
Physical Aggression ◽  
Motor Vehicle ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Sao Paulo ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
São Paulo ◽  
Hospitalization Period ◽  
The City

This article reviews cases of mandibular fractures treated at the Service of Oral and Maxillofacial Surgery of the Hospital Complex of Mandaqui (SUS/SP), which is a reference hospital complex for trauma in the northern area of the city of São Paulo, Brazil. Ninety-eight patients with mandibular fractures were seen at the hospital between January and December, 2001. Out of this total, 91 cases whose files were deemed adequate in terms of data accuracy and completeness were reviewed. The following data were collected for the study: age, gender, etiology, anatomical fracture site, treatment modality, relation to other facial bone fractures, hospitalization time and posttrauma complications. Motorcycle accident was the major cause of mandibular fractures followed by physical aggression and height fall. The mandibular anatomical sites of higher fracture incidence were: body, symphysis and condyle. The most commonly performed treatment modes were conservative approach or open reduction and intraosseous fixation. In conclusion, motorcycle accidents were associated with a larger number of facial fractures and most predominantly affect 21-30 year-old males. On the average, motor vehicle accident victims had more (and more severe) fractures than physical aggression victims. Complications were mostly associated with angle fractures and hospitalization period. Polytraumatized patients presented greater morbidity for complications.

scholarly journals Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Raluca Iulia Juncar ◽  
Paul Andrei Tent ◽  
Mihai Juncar ◽  
Ioan Anton Arghir ◽  
Oana Cristina Arghir ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Nominal Data ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Zygomatic Fracture

Abstract Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium; 53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p < 0.025 was considered statistically significant. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.9%), closed n = 179 (73.9%) and complete n = 219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.1%) regardless of the fracture pattern (p = 1.000). Complete zygomatic fracture (OR – 2.68; p = 0.035) and fractures with displacement (OR – 3.66; p = 0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p = 0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

In the clinic

2011 ◽  
pp. 105-144
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Soft Tissue ◽  
Temporomandibular Joint ◽  
Facial Pain ◽  
Bone Fractures ◽  
Soft Tissue Injuries ◽  
Frontal Bone ◽  
Orbital Floor ◽  
Impacted Teeth ◽  
Orbital Floor Fractures ◽  
Mandible Fractures

OMFS clinics 106 Mandible fractures 108 Orbital floor fractures 110 Zygoma fractures 112 Maxillary fractures 114 Nose, naso-ethmoidal, and frontal bone fractures 116 Face and scalp soft tissue injuries 118 Dento-alveolar: impacted teeth 122 Dento-alveolar: jaw pathologies 124 Temporomandibular joint problems 126 Oral and facial pain ...

Injuries to the Face and Jaw

2015 ◽  
Author(s):  
Mark E. Engelstad ◽  
Richard A. Hopper
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Mandibular Fractures ◽  
External Ear ◽  
Lacrimal Duct ◽  
Parotid Duct ◽  
Maxillofacial Fractures ◽  
The Face ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Facial injuries occur most often through violence or vehicular accident. The main priorities after injury are to assess the airway and check for hemorrhage, followed by assessment of vision, a check for bony trauma or malocclusion, followed by assessment for soft tissue injuries. Most facial injury survey will be done via inspection, palpation, or diagnostic imaging, which includes plain radiography, CT scan, or MRI. Injuries to the face and jaw can be of the soft tissue variety. These include injuries to the facial and trigeminal nerve, parotid duct, scalp, eyelid, lacrimal duct, eyebrow, external ear, nasal passages, or lips. Treatment of maxillofacial fractures include dentoalveolar injuries, mandibular fractures, maxillary fractures, zygomatic fractures, orbital fractures, nasal fractures, nasoorbitoethmoid fractures, and frontal sinus fractures. Figures show common injuries and fractures. This chapter includes 28 references.

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