Incidence of Eye Injuries in Facial Fractures: An Analysis of 727 Cases

1983 ◽  
Vol 91 (3) ◽  
pp. 276-279 ◽  
Author(s):  
G. Richard Holt ◽  
Jean Edwards Holt
Keyword(s):  
Mandibular Fractures ◽  
Facial Fractures ◽  
Eye Injuries ◽  
Midfacial Fractures ◽  
Ocular Injuries ◽  
Mandible Fractures ◽  
Nasal Fractures

From 1973 to 1980, 727 patients with facial fractures received formal ophthalmologic consultation. The series included 174 mandible fractures, 29 nasal fractures, 436 midfacial fractures, and 88 frontal fractures. Of these, a total of 67% sustained some degree of ocular injuries. Seventy-nine percent of the eye injuries were categorized as temporary, 18% were serious, and 3% were blinding. Of the mandibular fractures, 29% had ocular injuries, 59% nasal fractures, 59% midfacial fractures, and 89% frontal fractures.

Secondary Management of Mandible Fractures

2019 ◽  
Vol 35 (06) ◽  
pp. 627-632
Author(s):  
Likith Reddy ◽  
Daniel Lee ◽  
Aurora Vincent ◽  
Tom Shokri ◽  
Mofiyinfolu Sokoya ◽  
...  
Keyword(s):  
Surgical Management ◽  
Surgical Intervention ◽  
Mouth Opening ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Secondary Intervention ◽  
Facial Symmetry ◽  
Common Causes ◽  
Mandible Fractures ◽  
Causes Of Failure

AbstractMandibular fractures are the most common facial fractures that need surgical intervention. If untreated, these fractures affect a patient's occlusion, degree of mouth opening, and facial symmetry, and could cause infection with significant pain. The goal of any surgical intervention is to restore the preinjury occlusion, even if the preinjury occlusion is abnormal. Initial therapies, whether surgical or conservative, are not always successful, however, and revision or delayed surgical intervention can be challenging. Herein, we review common causes of failure of primary surgical management of mandibular fractures and provide tips to successful secondary intervention.

scholarly journals Exposure to Ti4Al4V Titanium Alloy Leads to Redox Abnormalities, Oxidative Stress, and Oxidative Damage in Patients Treated for Mandible Fractures

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Jan Borys ◽  
Mateusz Maciejczyk ◽  
Bożena Antonowicz ◽  
Adam Krętowski ◽  
Danuta Waszkiel ◽  
...  
Keyword(s):  
Titanium Alloy ◽  
Oxidative Damage ◽  
Activity Concentration ◽  
Maxillofacial Surgery ◽  
Redox Balance ◽  
Passive Layer ◽  
Oxidative Modification ◽  
Mandibular Fractures ◽  
Mandible Fractures ◽  
Increased Activity

Due to the high biotolerance, favourable mechanical properties, and osseointegration ability, titanium is the basic biomaterial used in maxillofacial surgery. The passive layer of titanium dioxide on the surface of the implant effectively provides anticorrosive properties, but it can be damaged, resulting in the release of titanium ions to the surrounding tissues. The aim of our work was to evaluate the influence of Ti6Al4V titanium alloy on redox balance and oxidative damage in the periosteum surrounding the titanium miniplates and screws as well as in plasma and erythrocytes of patients with mandibular fractures. The study included 31 previously implanted patients (aged 21–29) treated for mandibular fractures and 31 healthy controls. We have demonstrated increased activity/concentration of antioxidants both in the mandibular periosteum and plasma/erythrocytes of patients with titanium mandibular fixations. However, increased concentrations of the products of oxidative protein and lipid modifications were only observed in the periosteum of the study group patients. The correlation between the products of oxidative modification of the mandible and antioxidants in plasma/erythrocytes suggests a relationship between the increase of oxidative damage at the implantation site and central redox disorders in patients with titanium miniplates and screws.

scholarly journals Intra-operative application of ultrasonoghaphy (USG) for reduction of zygomatic arch fracture

2021 ◽  
Author(s):  
Pradeep Acharya
Keyword(s):  
Zygomatic Arch ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
High Incidence ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Zygomatic arch fractures are the most common facial fractures or second in frequency after the nasal fractures. The high incidence of zygomatic fractures probably relates to its prominent position in the facial skeleton hence it is frequently exposed to fractures.

“AN ANALYSIS OF OPHTHALMIC INJURIES IN PATIENTS WITH MAXILLOFACIAL TRAUMA”

2021 ◽  
pp. 81-83
Author(s):  
Sharmila. S ◽  
Abhilash Balakrishnan ◽  
Saji Nair .A ◽  
Ajith Kumar.K
Keyword(s):  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Ocular Injury ◽  
Age Group ◽  
Facial Fractures ◽  
Periorbital Oedema ◽  
Maxillofacial Fractures ◽  
Ocular Injuries

PURPOSE OFTHE STUDY: To estimate the proportion and types of ophthalmic injuries in patients with maxillofacial fractures PATIENTS AND METHODS: All patients with maxillofacial trauma, who came to the Department of Oral and Maxillofacial surgery Government Dental college Thiruvananthapuram from November 2020 to June 2021were included in this study. The information and data collected included age, sex, mechanism of injury, type of maxillofacial fracture and type of ophthalmic injury. RESULTS: Ocular injury was sustained by 209 patients out of which 180 (86.1%) were males and 29(13.9%)were females. The largest age group of patients associated with ophthalmic injuries were 30-39 years. The etiology of facial fractures or ocular injuries showed that road trafc accidents more frequently resulted in ocular injuries 66.5% followed by assault 18.7% and self fall 14.8%. Ophthalmic injuries occurred mostly in association with orbital fractures 33.5% followed by Zygomatico maxillary complex fracture 26.8%and Maxillary sinus fractures 24.4%. Periorbital oedema was the most common ophthalmic injury accounting for 46.4%of cases followed by Periorbital ecchymosis 35.4% and Subconjuntival haemorrhage 17.2%. CONCLUSION: Mid facial trauma commonly causes ophthalmic injuries of varying degrees. Prompt ophthalmic examination of all patients with mid facial trauma is mandatory to prevent any blinding complications

scholarly journals Combat Facial Fractures Sustained During Operation Resolute Support and Operation Freedom’s Sentinel in Afghanistan

2020 ◽  
Vol 185 (9-10) ◽  
pp. 414-416
Author(s):  
John Breeze ◽  
William Gensheimer ◽  
Joseph J DuBose
Keyword(s):  
Motor Vehicle ◽  
Bacterial Load ◽  
Trauma System ◽  
Gunshot Wounds ◽  
High Energy ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Mandible Fractures ◽  
Explosive Devices

Abstract Introduction Facial fractures sustained in combat are generally unrepresentative of those commonly experienced in civilian practice. In the US military, acute trauma patient care is guided by the Joint Trauma System Clinical Practice Guidelines but currently none exists for facial trauma. Materials and methods All casualties that underwent surgery to facial fractures between January 01, 2016 and September 15, 2019 at a US deployed Military Treatment Facility in Afghanistan were identified using the operating room database. Surgical operative records and outpatient records for local Afghan nationals returning for follow-up were reviewed to determine outcomes. Results 55 casualties underwent treatment of facial fractures; these were predominantly from explosive devices (27/55, 49%). About 46/55 (84%) were local nationals, of which 32 (70%) were followed up. Length of follow-up ranged between 1 and 25 months. About 36/93 (39%) of all planned procedures developed complications, with the highest being from ORIF mandible (18/23, 78%). About 8/23 (35%) casualties undergoing ORIF mandible developed osteomyelitis, of which 5 developed nonunion. Complications were equally likely to occur in those procedures for “battlefield type” events such as explosive devices and gunshot wounds (31/68, 46%) as those from “civilian type” events such as falls or motor vehicle collisions (5/11, 45%). Conclusions Complications Rates from facial fractures were higher than that reported in civilian trauma. This likely reflects factors such as energy deposition, bacterial load, and time to treatment. Load sharing osteosynthesis should be the default modality for fracture fixation. External fixation should be considered in particular for complex high-energy or infected mandible fractures where follow-up is possible.

scholarly journals Concepts and Challenges in the Surgical Management of Edentulous Mandible Fractures: A Case Series

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1693038
Author(s):  
Venkatesh Anehosur ◽  
Twinkle Thakker ◽  
Nikhil Nagraj ◽  
Niranjan Kumar
Keyword(s):  
Mineral Content ◽  
Bone Fractures ◽  
Case Series ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Functional Rehabilitation ◽  
Edentulous Mandible ◽  
High Incidence ◽  
Choice Of Treatment ◽  
Mandible Fractures

Functional rehabilitation of complex edentulous or atrophic mandibular fractures is surgically demanding. The high incidence of bone fractures in geriatric age group is secondary to the loss of bone mineral content with age. So far, there is no consensus regarding the best treatment for repair of fractures of the severely atrophic mandible. Thus, the choice of treatment for such fractures should be based on the degree of atrophy, considering its inverse relationship to the amount of rigid fixation required. Hence, open reduction and internal fixation (ORIF) is considered to be a reliable method for treating the edentulous mandible fractures. The authors present a case series of patients treated with ORIF with load bearing (LB; reconstruction plate) and load sharing (LS; miniplates) principles. No complications related to infection, plate exposure, fibrous union, nonunion, and trismus, were observed.

scholarly journals External Fixation of Unstable, “Flail” Nasal Fractures

2012 ◽  
Vol 5 (2) ◽  
pp. 99-105 ◽  
Author(s):  
George E. Anastassov ◽  
Ali Payami ◽  
Zain Manji
Keyword(s):  
External Fixation ◽  
Closed Reduction ◽  
Nasal Septum ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Facial Fractures ◽  
Kirschner Wires ◽  
Nasal Bones ◽  
External Stabilization ◽  
Nasal Fractures

Nasal bone fractures are the most common among facial fractures. Usually these are adequately treated with closed reduction and internal and/or external stabilization with splints. However, there are clinical situations where the nasal bones are severely displaced, the nasal septum fractured and displaced, or there are external drape lacerations which preclude the use of nasal splints. If the nasal bones are reducible but unstable we consider them “flail” and in this case transmucosal, endonasal Kirschner wires are used for dorsal support until sufficient healing occurs. The technique is simple, quick, and predictable and causes minimal discomfort to the patients.

Isolated Tympanic Plate Fracture Frequency and Its Relationship to Mandibular Trauma

2014 ◽  
Vol 65 (4) ◽  
pp. 360-365 ◽  
Author(s):  
Canan Altay ◽  
Nezahat Erdoğan ◽  
Ozan Batkı ◽  
Erdem Eren ◽  
Sedat Altay ◽  
...  
Keyword(s):  
Ct Images ◽  
Maxillofacial Trauma ◽  
Mandibular Fractures ◽  
Condylar Process ◽  
Plate Fracture ◽  
Maxillofacial Fractures ◽  
Significant Difference ◽  
Mandible Fractures ◽  
The Right ◽  
Communications System

PurposeThis study evaluated the prevalence of isolated tympanic fractures and their correlation with mandibular fractures by using maxillofacial computed tomography (CT).Materials and MethodsWe retrospectively evaluated the maxillofacial CT of 1590 patients who presented to our emergency department with maxillofacial trauma between December 2010 and December 2012. Maxillofacial CT was used as the criterion standard for evaluating patients with maxillofacial fractures. The CT images were evaluated by using an electronic picture archiving and communications system and interpreted independently by 2 radiologists.ResultsThe maxillofacial CT images revealed mandibular fractures in 167 of the patients and isolated tympanic plate fractures in 35 of these 167 patients. Four patients (11%) had a bilateral tympanic plate fracture, and 31 patients (89%) had unilateral tympanic plate fracture. Of all the tympanic plate fractures, 19 (54%) were on the right side and 16 (46%) were on the left side ( P > .05). In our results, a significant correlation between the presence of a right-sided tympanic plate fracture and fracture of the ipsilateral condylar process was found ( P = .036). However, a statistically significant difference between the presence of a tympanic plate fracture and other mandible fractures, additional soft-tissue findings, or the number of fractures was not determined ( P > .05). Sex had no impact on the presence of tympanic plate fracture ( P > .05).ConclusionThe frequency of isolated tympanic plate fractures in maxillofacial trauma is low, but it is an important anatomic location. Condyle fractures are significantly associated with isolated tympanic plate fractures. The presence of these injuries should raise suspicion of a concomitant isolated tympanic plate fracture.

scholarly journals FRATURA DE CÔNDILO MANDIBULAR: TRATAMENTO CIRÚRGICO OU CONSERVADOR?

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Alana Behrens Oriá ◽  
Lívia Prates Soares Zerbinati ◽  
Eugenio Arcadinos Leite
Keyword(s):  
Bone Growth ◽  
Pediatric Patients ◽  
Dental Occlusion ◽  
Facial Fractures ◽  
Car Accidents ◽  
First Choice ◽  
Fall From Height ◽  
And Gender ◽  
Mandible Fractures ◽  
Condylar Fractures

The type and severity of trauma injury; and the etiology of facial fractures is different according to the population studied. With the more stringent traffic laws, there was a reduction of facial fractures caused by automobiles accidents, but it still appears as the main cause and the prevalence of male and facial fractures. These fractures of the mandible condyle correspond 25-35% of mandible fractures diagnosed through radiographs projection Towne, panoramic and computed tomography. The same feature as the main etiological factors trauma by direct assault, car accidents, bicycle fall, fall from height and injury by firearms. Diagnosis of condylar fractures in pediatric patients should be very strict by the difficulty of obtaining information about the history of trauma, especially due to age of the patients affected. The etiology of condylar fractures in pediatric patients varies according to the stage of the child’s life (the 0-6 year of life and from the 6th year of life). The treatment of these fractures, especially in pediatric, when mishandled can cause permanent deformity. The treatment can be surgical or conservative, and should be made after the analysis of the age and gender of the patient, etiology and clinical conditions of fracture, time from the trauma, and dental occlusion. In pediatric patients, in most cases, the of first choice treatment is the conservative approach, because the ability of bone growth and bone remodeling that occurs.

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