scholarly journals The priorities and emergency treatments of multisystem injuries associated with maxillofacial traumas

2019 ◽  
Vol 31 (4) ◽  
Author(s):  
Ahmed O. Hasan
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Injuries ◽  
Female Ratio ◽  
War Injuries ◽  
Surgical Emergencies ◽  
Medical City ◽  
Surgical Treatments ◽  
Age Range ◽  
Multiple Traumas

Background: The purpose of this study is to evaluate the care of multiple trauma victims with maxillofacial injuries in terms of epidemiological distributions, types of injuries, the related different modalities of surgical treatments delivered, and their complications. Materials and Methods: This prospective study was performed on 50 patients with multiple traumas including maxillofacial injuries, caused by different etiological factors, who were brought first to the surgical emergencies department of the Medical City then referred to the Maxillofacial unit in the Specialized Surgeries Hospital, Baghdad, Iraq, during the period from April 2007 to April 2008. Information was documented prospectively from the time of the emergency call to discharge (or death). Results: the age range was from 6 to 63 years, with the most frequent age group for injury being ranged between 21-30 years. The male to female ratio was 6:1. The missile injuries accounted for 90% of multiple traumas with maxillofacial injuries, while civilian injuries accounted for 10% of the cases. The mechanisms of injury, concerning war injuries, were gunshot injuries 46% and blast injuries 44%, while concerning civilian injuries: road traffic accidents 8% and stabbing injuries 2%. Among 50 people injured, 3 (6%) died. Conclusion: The priority during initial treatment is the achievement of patent airway, hemostasis, and the maintenance of vital tissues oxygenation.

scholarly journals A study of pattern of maxillofacial fractures and its complications

2020 ◽  
Vol 7 (6) ◽  
pp. 1752
Author(s):  
Seema Mittal ◽  
Tejinder Sing Dall ◽  
Sudershan Kapoor ◽  
Raman Mittal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Etiologic Factor ◽  
Anatomical Site ◽  
Female Ratio ◽  
Number Of Patients ◽  
Maxillofacial Fractures ◽  
Strict Compliance ◽  
A Prospective Study ◽  
Age Range

Background: Incidence of maxillofacial fractures is quite high worldwide. A very important aesthetic function is served by maxillofacial skeleton moreover the prominent position of maxillofacial skeleton makes it more susceptible to fracture.Methods: A prospective study was done to assess the main etiology and pattern of maxillofacial fractures of 60 patients who came to the emergency department of Sri Guru Ram Das Institute of Medical sciences and Research between January 2018 and June 2019.Results: Total number of patients taken for this study were 60. The number of male patients were 56 (93.33%) and number of female patients were 4 (6.66%) and male to female ratio was (14:1). The age range spanned from 11 years to 70 years with (mean age=37.30 years, SD=14.27). Primary etiologic factor for maxillofacial fractures was road traffic accidents (49, 81.66%), followed by fall (8, 13.33%), and assault accounted for (3, 5%). Total 229 fractures were present in 60 patients. Concerning the anatomical site of fractures, it was explored that most common site of fractures is orbit (59, 25.72%) followed by fractures of maxilla (55, 24%) and zygomatic complex (35, 15.28%). Infection was most common complication and was present in 2 (3.33%) of the patients during hospital stay. 21 (35%) of the patients had associated head injury and maximum patients 49 (81.66%) were treated by open reduction and internal fixation.Conclusions: It is concluded, that main etiology of maxillofacial trauma is road side accidents. Therefore, strict compliance of traffic rules can avoid such injuries. 

scholarly journals Maxillofacial Trauma in Central Karnataka, India: An Outcome of 95 Cases in a Regional Trauma Care Centre

2012 ◽  
Vol 5 (4) ◽  
pp. 197-204 ◽  
Author(s):  
Rajay A. D. Kamath ◽  
Shiva Bharani ◽  
Reshma Hammannavar ◽  
Sumit P. Ingle ◽  
Ankit G. Shah
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Trauma ◽  
Concomitant Injuries ◽  
Female Ratio ◽  
Early Return ◽  
Maxillofacial Fractures ◽  
Jaw Fractures ◽  
Age Range

Materials and Methods A 6-year retrospective analysis of 111 patients treated for maxillofacial fractures in Davangere, Karnataka from January 2004 to December 2009 was performed. Variables like age, gender, occupation, type of fracture and mechanism of injury, concomitant injury, mode of treatment, and complications were recorded and assessed. Results Men between 21 and 30 years were mostly affected (male-to-female ratio = 10:1; age range = 17.60 years; mean 31.7±9.8 [standard deviation]). Most fractures were caused by road traffic accidents (RTAs; 74.7%), followed by interpersonal violence (IPV; 15.8%), falls (4.2%), industrial hazards and animal attacks (2.1% each), and self-inflicted injury (1.1%). Forty-two cases were isolated zygomaticomaxillary complex (ZMC) fractures. The total number of facial fractures documented was 316, of which 222 were purely related to the ZMC; however, 11 were confined only to the midface. Fifty-three cases had concomitant lower jaw fractures, totaling 83. Ophthalmic injuries occurred in 30.52% of cases. Ninety-two cases were treated with open reduction and internal fixation (ORIF), and three cases were managed conservatively. The complication rate observed was 25.26%. Conclusion RTA continues to be the chief etiological factor in maxillofacial injury with males being affected predominantly. IPV and falls next contribute significantly to the incidence of such injuries. Concomitant injuries, however, require prompt recognition and appropriate management. ORIF still remains the mainstay of treatment; however, fixation devices are constantly being improved upon in an attempt to reduce immobilization time thereby facilitating early return to function with minimal morbidity. Nevertheless, future advances in maxillofacial trauma diagnosis and management are likely to reduce associated morbidity.

scholarly journals Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal

2020 ◽  
Vol 5 (2) ◽  
pp. 1099-1103
Author(s):  
Gopal Gurung ◽  
Laxmi Prasad Chapagain ◽  
Mona Pokharel ◽  
Sabana Thapa ◽  
Surya Bahadur Parajuli
Keyword(s):  
Teaching Hospital ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Soft Tissue Injury ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Female Ratio ◽  
Medical College ◽  
Common Etiology

Introduction: Maxillofacial injuries are one of the most common injuries seen in trauma patients. Road traffic accidents (RTA) are the most common cause of maxillofacial injuries all over the world. RTA are supposed to decrease due to lockdown which has become a usual phenomenon during the COVID- 19 pandemic. Changes in the etiology of maxillofacial injuries are supposed to dictate their pattern as well. Objectives: The objective of this study was to assess the pattern of maxillofacial injuries during the COVID-19 Pandemic at Birat Medical College and Teaching Hospital. Methodology: A cross-sectional study was conducted among the patients attending Birat Medical College and Teaching Hospital for the treatment of maxillofacial injuries from 1 May to 31 July 2020. Consecutive sampling was used to collect data from 52 study participants. Results: A total of 52 patients with maxillofacial injuries were studied. The age of patients ranged from 1 year to 73 years with a median age of 26 years. There were 69.2% (n=36) males with a male to female ratio of 2.25:1. The most common etiology was Road Traffic Accidents (50%, n=26). Laceration (70.7%, n=29) was the most common soft tissue injury. Parasymphysis fracture (23.8%, n=5) was the most common site of mandible fracture. The most common midface fracture was the zygomaticomaxillary complex (ZMC) fracture (40.9%, n=9). Conclusion: RTA still remains the most common etiology of maxillofacial injuries in spite of COVID-19 and the pattern of maxillofacial injuries has not changed much either.

scholarly journals OUTCOME OF CEREBRAL CONTUSIONS DUE TO TRAUMATIC BRAIN INJURY

2020 ◽  
Vol 11 (1) ◽  
pp. 39-43
Author(s):  
Zubair Ahmed Khan ◽  
Habib sultan ◽  
Amir Aziz ◽  
Shahrukh Rizvi ◽  
Tauqeer Ahmed ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hospital Stay ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Male And Female ◽  
Duration Of Hospital Stay ◽  
History Of ◽  
Age Range

ABSTRACT:BACKGROUND & OBJECTIVE: To compare the results of surgically operated vs conservatively treated patients of cerebral contusions due to traumatic brain injury. METHODOLOGY: This comparative study was conducted from January 2012 to December 2014 at the department of Neurosurgery, PGMI Lahore General Hospital, Lahore. A total of 50 patients were included in this study of both gender (male and female) and in the age range of 15-65 years. In our study 20 patients were managed conservatively while other 30 patients were operated for cerebral contusions. The mode of injury in our study was road traffic accidents and history of falls. RESULTS: Out of 50 patients, there were 41 (82%) males and 09 (18%) female patients. Their age ranged from 15 - 65 years. In this study the overall mean age is 38.36 years. The maximum numbers of patients were in their third and fourth decades of life. In our study the duration of hospital stay in conservatively managed patients was longer as compared to surgically treated patients who were discharged earlier. Mortality rate in surgically managed patients having a GCS ranged between 09 to 12 was very low contrary to the conservatively managed group, similarly the rate of delayed contusion formation and edema was also low in surgically managed patients as compared to those who were managed conservatively. CONCLUSION: Surgically managed patients of cerebral contusions in traumatic brain injury has better outcome and decreased hospital stay as compared to conservatively managed patients.

scholarly journals Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation

2017 ◽  
Vol 4 (2) ◽  
pp. 685 ◽  
Author(s):  
Maria Noor ◽  
Yaser Ishaq ◽  
Malik Adeel Anwar
Keyword(s):  
Internal Fixation ◽  
Nerve Injury ◽  
Open Reduction ◽  
Road Traffic ◽  
Maxillofacial Injuries ◽  
Female Ratio ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Nerve Recovery ◽  
Zygomaticomaxillary Complex

Background: Maxillofacial injuries are on the rise and the etiology of maxillofacial injuries varies from one country to another because of social, cultural and environmental factors. Road traffic accidents (RTAs) are still the most common cause of maxillofacial injuries. Nerve injury following fracture may involve traction, pressure, ischemia, inflammation and physical damage; therefore fractures of Zygomaticomaxillary complex (ZMC) are characterized by sensory neuropathy in the area of innervation of infra-orbital nerve both as presenting symptom and as a postop complication. The objectives of the study were to investigate the frequency of infra-orbital nerve paresthesia following ZMC fractures and determine the frequency of functional nerve recovery in patients with paresthesia treated with open reduction and internal fixation.Methods: Patients (n = 75) qualifying our inclusion criteria were selected, examined, reduced by surgery and followed up.Results: A total of 75 patients were included in the study with male: female ratio of 5:3. Mean age was 37.43±3.78 years, with majority of patients (72 %) presenting with RTAs. Infra-orbital nerve paraesthesia was found to be positive in 70.67% (n = 53) patients with 62.26% (n = 33) patients with functional nerve recovery after 3 months.Conclusions: Prognosis of infra-orbital nerve recovery after a Zygomaticomaxillary complex fracture can be enhanced by open reduction and internal fixation.

scholarly journals Effect of law enforcement system (Saher) on maxillofacial injuries caused by road traffic accidents in Riyadh

2019 ◽  
Vol 6 (2) ◽  
pp. 88
Author(s):  
RaedS Almanea ◽  
Nasser Alasseri ◽  
MohammedS Algarni ◽  
SaudS Alajmi ◽  
WaleedS Jeleudan ◽  
...  
Keyword(s):  
Law Enforcement ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries

scholarly journals Epidemiology of Maxillofacial Injuries in “Heratsi” No 1 University Hospital in Yerevan, Armenia: A Retrospective Study

2021 ◽  
Author(s):  
Lusine V. Aleksanyan ◽  
Anna Yu Poghosyan ◽  
Martin S. Misakyan ◽  
Armen M. Minasyan ◽  
Aren Yu Bablumyan ◽  
...  
Keyword(s):  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Nasal Bone ◽  
Fracture Site ◽  
University Hospital ◽  
Maxillofacial Injuries ◽  
Cross Sectional ◽  
Injury Site ◽  
Maxillofacial Fractures

Abstract Background: The aim of this study was to perform a retrospective analysis of the prevalence, etiologies, and types of maxillofacial injuries (MFI) and sites of maxillofacial fractures (MFF) and their management in Yerevan, Armenia.Methods: A retrospective cross-sectional study was conducted. Data including age, sex, date of referral, mode of injury, etiology, radiology records and treatment methods were extracted. Study outcomes were measured using percentages, means, standard deviations and tests of proportions. P <.05 was considered significant.Results: A total of 204 patients had a mean age of 36.26 ±1.08 years (156 males and 48 females), and a total of 259 MFIs were recorded between 2017 and 2020. Interpersonal violence (IV) was found to be the most common etiology of MFFs in this study (42.1%), followed by road traffic accidents (RTAs) (27.9%) and falls (18.6%). The nasal bone was the most common injury site (47.5%), followed by the mandible (31.4%) and zygomatic complex (11.7%). The most common fracture site was the mandibular angle (37.9%), followed by the symphysis/parasymphysis (28.1%) and body (12.6%). The majority of MFFs were treated by open reduction and internal fixation.Conclusion: Interpersonal violence, followed by RTAs and falls, was the most common cause of MFIs. The nasal bone was the most common injury site, followed by the mandible and zygomatic complex. Social education with the objective of reducing aggression and interpersonal conflict should be improved, and appropriate RTA prevention strategies should be strengthened and implemented.

scholarly journals Analysis of forensic autopsies in year 2018 at forensic medicine department, Faisalabad Medical University, Faisalabad.

2020 ◽  
Vol 27 (10) ◽  
pp. 2199-2202
Author(s):  
Muhammad Qasim ◽  
Muhammad Sharjeel Khalid ◽  
Muhammad Danyal Amjad ◽  
Mobin Inam Pal
Keyword(s):  
Forensic Medicine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Preventive Strategy ◽  
Post Mortem ◽  
Female Ratio ◽  
Gender Based ◽  
Medical University

Objectives: The study was aimed to audit autopsies in the year 2018 and promoting statistical approach in Forensic Medicine. Also to study the gender based distribution of cases and study shifting trends in weapon of offence. Study Design: Retrospective Study. Setting: Post Mortem Unit of the Department of Forensic Medicine & Toxicology, Faisalabad Medical University, Faisalabad. Period: From 1st January, 2018 to 31st December, 2018. Material & Methods: Autopsy was performed on 248 cases reported to Post Mortem Unit. Study Material was collected from the Post Mortem Unit of Allied Hospital and DHQ Hospital Faisalabad which are referral tertiary care teaching hospitals affiliated with Faisalabad Medical University, Faisalabad. Results: Out of a total 248 autopsies conducted 178 (71.77%) were males and 70 (28.23%) were females. The male to female ratio was 2.54:1. Most used weapon of offence was Firearm. Followed by firearm the second major cause of death was road traffic accidents which were followed by Asphyxia (12.9% of total autopsies). Conclusion: Ban on illegal possession of Firearms - educational lectures to Public and steps to raise the literacy rate along with the improvement of socioeconomic status of the society. Preventive-strategy to create an awareness of safe traveling practices especially among the groups at high risk.

Sign in / Sign up

Export Citation Format

Share Document