scholarly journals ANGKA KEJADIAN PENDERITA FRAKTUR TULANG FASIAL DI SMF BEDAH BLU RSU PROF. R.D. KANDOU PERIODE JANUARI 2012 – DESEMBER 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Christo Kairupan ◽  
A. Monoarfa ◽  
J. Ngantung
Keyword(s):  
Bone Fracture ◽  
Medical Records ◽  
Traffic Accidents ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Bones ◽  
Mandibular Bone ◽  
Number Of Patients ◽  
The Face

Abstract: Facial Trauma, also known as maxillofacial trauma, is a forced to the face. Trauma maxillofacial occurred about 6% of all trauma. Trauma Facial causing fractures facial that happen a lot. Facial fractures occur because of trauma load that is greater than facial bones resistance. Facial fractures are divided into several parts, the nasal bone fracture, fracture zygoma and zygoma arch, maxilla fractures, orbital fractures and fractures of the mandible. With the increase of people’s mobilization and a growing level of transportation, causing accident that led to increased facial trauma. The research objective was to determine the incidence of facial fractures in patients SMF BLU Surgical Hospital Prof. R. D. Kandou the period January 2012 to December 2012. Research method: Retrospective descriptive study of the medical records in SMF BLU Surgical Hospital Prof. Dr. R.D. Kandou Manado from January 2012 to December 2012 is used in this paper. Result: Number of patients with facial fractures who were treated at the Surgical SMF period January 2012-December 2012 as many as 156 cases (5.60%) of the total of 2786 treated facial trauma. Most facial fractures age are 20-29 years that is 78 (50.00%), men are more than women that 132 cases (84.62%); most private sector employees work as many as 40 cases (25.64%), the highest in the District Malalayang by 49 cases (31.41%), the most common cause of traffic accidents as many as 82 cases (52.56%), as well as the location of the mandibular bone fracture is the most, 72 cases (39.77%). Conclusion: Trauma face causing facial fractures that went on SMF Surgical Hospital Prof R. D. Kandou still quite high, so it is necessary to continually educate people to avoid the possibility of injury in day-to-day activities. Keywords: facial trauma, facial fractures, facial bones.   Abstrak: Trauma fasial disebut juga trauma maksilofacial adalah trauma akibat ruda paksa terhadap wajah. Trauma maksilofacial terjadi sekitar 6% dari seluruh trauma. Trauma fasial menyebabkan fraktur fasial yang banyak terjadi. Fraktur tulang fasial terjadi karena beban trauma yang lebih besar dari tahanan tulang fasial. Fraktur fasial dibagi menjadi beberapa bagian, yaitu fraktur tulang hidung, fraktur zigoma dan arkus zigoma, fraktur maksila, fraktur orbita dan fraktur mandibula. Dengan peningkatan mobilisasi penduduk serta tingkat transportasi yang berkembang, menyebabkan insiden kecelakaan yang menyebabkan trauma fasial meningkat. Tujuan penelitian adalah Untuk mengetahui angka kejadian penderita fraktur tulang fasial di SMF Bedah BLU RSU Prof. R. D. Kandou periode Januari 2012 sampai Desember 2012. Metode penelitian: metode retrospektif deskriptif melalui penelitian data rekam medik di SMF Bedah BLU RSU Prof. Dr. R.D. Kandou Manado periode Januari 2012 sampai Desember 2012. Hasil penelitian: Jumlah penderita fraktur fasial yang dirawat di SMF Bedah periode Januari 2012-Desember 2012 sebanyak 156 kasus (5,60%) dari total 2786 trauma fasial yang dirawat. Usia terbanyak fraktur fasial 20-29 tahun yaitu 78 (50,00%); pria lebih banyak wanita yaitu 132 kasus (84,62%); dari pekerjaan paling banyak pegawai swasta sebanyak 40 kasus (25,64%); terbanyak di Kecamatan Malalayang sebesar 49 kasus (31,41 %); penyebab terbanyak akibat kecelakaan lalulintas yaitu sebanyak 82 kasus (52,56 %); serta lokasi fraktur terbanyak adalah tulang mandibula sebanyak 72 kasus (39,77 %). Simpulan: Trauma wajah yang menyebabkan fraktur fasial yang masuk di SMF bedah RSU Prof R. D. Kandou masih cukup tinggi, sehingga diperlukan edukasi terus menerus kepada masyarakat agar menghindari kemungkinan terjadinya trauma, dalam kegiatan sehari-hari. Kata kunci: trauma fasial, fraktur fasial, tulang-tulang wajah.

scholarly journals Functional recovery time after facial fractures: characteristics and associated factors in a sample of patients from southern Brazil

2021 ◽  
Vol 48 ◽  
Author(s):  
VINÍCIUS AZEREDO MULLER ◽  
GUSTAVO KRUMMENAUER BRUKSCH ◽  
GIORDANO SANTANA SÓRIA ◽  
KAREN DA ROSA GALLAS ◽  
FLÁVIO RENATO REIS DE-MOURA ◽  
...  
Keyword(s):  
Medical Records ◽  
Recovery Time ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Prevention Strategies ◽  
Factors Associated ◽  
Elapsed Time ◽  
The Face ◽  
Cox Analysis

ABSTRACT Understanding the cause, severity, and elapsed time for the restoration of the functions of maxillofacial injuries can contribute to the establishment of clinical priorities aiming at effective treatment and further prevention of facial trauma. The objective of this study was to understand the factors associated with the restoration of mastication, ocular, and nasal functions in the face of trauma victims, estimating their recovery time after surgical treatment. We analyzed 114 medical records of patients treated at the Hospital Montenegro, who attended follow-up consultations for up to 180 days. For analysis of the recovery time, we performed survival analysis, followed by COX analysis. We observed that half of the patients recovered their functions within 20 days. The average time for recovery from trauma in the zygomatic-orbital-malar-nasal complex was 11 days, and in the maxillary-mandibular complex, 21 days (HR: 1.5 [0.99 2.3], p = 0.055). Although functional reestablishment has reached high rates after the surgical approach, it is necessary to analyze the failing cases, as well as the economic impacts and the prevention strategies associated with facial trauma, to improve the service to the population.

THE ROLE OF MULTI DETECTOR COMPUTERIZED TOMOGRAPHY (MDCT) IN EVALUATION OF MAXILLOFACIAL FRACTURES.

2021 ◽  
pp. 55-58
Author(s):  
P. Mamatha ◽  
V. Venkatarathnam ◽  
R. Ramesh Kumar ◽  
Hameed Arafath
Keyword(s):  
Computerized Tomography ◽  
Surgical Planning ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Maxillofacial Region ◽  
Number Of Patients ◽  
Maxillofacial Fractures ◽  
Classi Cation

Objective: The purpose of our study was to assess the role of Multidetector Computerized tomography in the evaluation of maxillofacial fractures and to describe the frequency and types of fractures that underwent CT scans. Subjects And Methods: The study included 50 patients suspected of facial trauma referred from the emergency unit from PESIMSR ,Kuppam. All patients were subjected to non contrast MDCT in axial cuts and images are transferred to workstation then coronal and sagittal reconstruction obtained. Results: There were 37 male and 13 female patients. The maximum number of patients fall into 21-40 years followed by 41 to 60 years .50 patients had total 170 fractures. It was found that the maxillary sinus is the most common to be fractured (found in 24 cases) followed by nasal bone (18) , zygomatic arch (17), mandible (13) ,greater wing of sphenoid (9), sphenoid sinus (8), frontal sinus (7) ,pterygoid plates (7), bony nasal septum (6) ,ethmoid sinus (3).Among complex facial fractures orbital fractures are the most frequent (found in 47 cases), followed by zygomatico-maxillary junction fractures (4) ,Tripod fractures( 4) , and Naso-orbito-ethmoid region fractures (3). Conclusion: Maxillofacial trauma is one of the most common emergency requiring accurate and early diagnosis. MDCT is useful diagnostic tool for the identication and classication of maxillofacial region fractures and aiding in surgical planning.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

2021 ◽  
Vol 03 (01) ◽  
pp. 55-66
Author(s):  
Iftikhor Obidjonovich Nigmatov ◽  
◽  
Shukhrat Abdujalilovich Boymuradov ◽  
Jamolbek Abdukakhkhorovich Djuraev ◽  
Yusupov Shokhrukh Shukhratovich ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Soft Tissues ◽  
Road Traffic ◽  
Craniocerebral Trauma ◽  
High Growth ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Number Of Patients ◽  
The Face ◽  
Post Traumatic

The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.

scholarly journals Medicolegal aspects of Nasal Bone Fractures

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Tahir Qadeer Khan ◽  
Khawja Khurshid Ahmad ◽  
Asim Shaukat ◽  
Yasser Yamin ◽  
Sarfraz Ahmad ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Clinical Suspicion ◽  
Medicolegal Aspects ◽  
X Ray ◽  
The Face

Conducted in the Department of Radiology, Lahore in collaboration with Surgeon Medico Legal and his team, this study contained 50 patients who presented with trauma to the face and the clinical suspicion was of Nasal Bone fracture. All the patients underwent X ray examination of the Nose. The x ray examination showed that all of the patients did not have Fractures 40 patients had fracture of Nasal bone and this changed the management as well as the severity of the injury and hence the punishment

scholarly journals Tratamento de fratura nasal pediátrica: relato de caso clínico

2019 ◽  
Vol 7 (12) ◽  
Author(s):  
Júlio Leite de Araújo-Júnior ◽  
Elma Mariana Verçosa de Melo-Silva ◽  
Anderson Maikon de Souza-Santos ◽  
Tiburtino José de Lima-Neto ◽  
Murilo Quintão dos Santos ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Motor Vehicle ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Bone Deformity ◽  
Vehicle Collisions ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Introdução: Os ossos nasais são os mais proeminentes do esqueleto facial, tornando esses os mais frequentes nas fraturas faciais, sendo o terceiro osso mais comumente fraturado do esqueleto humano. Objetivo: Apresentar um relato de caso de fratura nasal em um paciente pediatrico tratado com redução incruenta. Método: Estudo descritivo com um paciente que apresentou diagnóstico clínico/imaginológico de fratura nasal. Conclusão: O tratamento através de redução incluenta mostrou-se adequado em pacientes pediatricos. A ocorrência de traumatismos e lesões associadas a fraturas nasais reforça a importância de uma abordagem multidisciplinar.Descritores: Fraturas Ósseas; Osso Nasal; Traumatismos Faciais.ReferênciasMa L, Shen SH, Hu P, Wu ZQ. The observation of curative effect on closed reduction of nasal bone fracture under ultrasound guidance: report of 38 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(12):933-35.Schoinohoriti O, Igoumenakis D, Rallis G. Fractures of the nasal bones: is external splinting really warranted? J Craniofac Surg. 2017;28(8):e760-e63.Kang CM, Han DG. Correlation between Operation Result and Patient Satisfaction of Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(1):25-9.Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of postoperative outcomes between monitored anesthesia care and general anesthesia in closed reduction of nasal fracture. J Craniofac Surg. 2018;29(2):286-88.Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg. 2018;71(1):85-9.Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin North Am. 2017;25(4):537-546.Kim SW, Park B, Lee TG, Kim JY. Olfactory Dysfunction in Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(2):92-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Yabe T, Tsuda T, Hirose S, Ozawa T. Comparison of pediatric and adult nasal fractures. J Craniofac Surg. 2012;23(5):1364-6.Murphy RX Jr, Birmingham KL, Okunski WJ, Wasser TE. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2001;107(1):34-7.

scholarly journals Effectiveness of Closed Reduction in the treatment of nasal bone fractures

2021 ◽  
Vol 23 (1) ◽  
pp. 37-40
Author(s):  
Brihaspati Sigdel ◽  
K Sah
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Functional Abnormality ◽  
Nasal Injury

This study was conducted to investigate the effectiveness of closed reduction of nasal bone fracture according to severity. It was a retrospective study carried on 60 patients with mean age of 30.2 years (range 10-67 years) who have undergone a closed reduction of a nasal bone fracture at Gandaki Medical College Teaching Hospital from January 2017 to December 2019. The patient with nasal bone fracture who underwent surgical intervention with closed reduction under General anaesthesia were included in this study. Fracture severity was evaluated according to Hwang et al.’s classification method. All patients underwent closed reduction with external nasal splinting under General anesthesia. The patients were followed-up for at least three months to assess the complications, such as fracture recurrence and functional abnormality in the Department. The most common cause of nasal bone fracture was road traffic accidents 25 (41.6%) followed by physical assaults 18 (30%), fall injuries 12 (20%), other incidences 3 (5%), and industrial accidents 2 (3%). Forty-three (72%) cases underwent closed reduction within 24 hours of those who arrived within 4-6 hour of nasal injury in the hospital and the remaining 17 (28%) cases were reduced after 5 days of trauma. Concurrent fracture found in 8 (13%) cases and it included maxillary, zygomatic, orbital, frontal bone fracture. Nasal bone fracture mostly occurs in road traffic accidents. Closed reduction with good alignment is the preferred method. Septorhinoplasty and extracorporeal septoplasty should be applied in difficult and comminuted nasoseptal fracture.

scholarly journals Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries

2019 ◽  
Vol 05 (04) ◽  
pp. e146-e149 ◽  
Author(s):  
Andrew A. Dobitsch ◽  
Nicholas C. Oleck ◽  
Farrah C. Liu ◽  
Jordan N. Halsey ◽  
Ian C. Hoppe ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Skull Fracture ◽  
Management Strategies ◽  
Nasal Bone ◽  
Fracture Pattern ◽  
University Hospital ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
Concomitant Injuries

Abstract Objective Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patterns of injury and improve management strategies and outcomes. Methods Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Mean age was 13.9 years old. A total of 29 fractures were identified. Most common fracture sites included the orbit (n = 12), mandible (n = 5), nasal bone (n = 5), and zygomaticomaxillary complex (n = 3). The most common concomitant injuries included skull fracture (n = 3), intracranial hemorrhage (n = 4), and traumatic brain injury (n = 4). One patient was intubated upon arrival to the emergency department. Hospital admission was required in 13 patients, 4 of which were admitted to an intensive care setting. Nine patients required operative intervention. Mean length of hospital stay was 2.4 days. No patients were expired. Conclusions Sports-related facial fractures are potentially debilitating injuries in the pediatric population. Analysis of fracture pattern and concomitant injuries is imperative to develop effective management strategies and prevention techniques.

scholarly journals Management of frontobasal nasal fractures: a multidisciplinary approach

2020 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
Brihaspati Sigdel ◽  
Shabal Sapkota
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Nasal Bone ◽  
Frontal Bone ◽  
Common Finding ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Road Traffic Accidents

Introduction: Frontonasal fracture and concomitant craniofacial injuries carry the significant potential for mortality and morbidity mainly in young adults. This study analyses the characteristics of frontonasal injuries and associated facial injuries, the management option, and its outcome. Methods: This retrospective study was performed at the Department of Otolaryngology and Head and Neck Surgery and Neurosurgery, Gandaki Medical College, Pokhara, Nepal. Patients who had undergone surgery for cranial and midline facial bone fracture between January 2018 to June 2020 were included in this study. The variable examined were age, sex, alcohol consumption, any chronic diseases, time from accident to surgery, duration of hospitalization, and postoperative complication. Continuous variables were expressed as mean± standard deviation, and categorical variables were expressed as number or percentage. All analyses were performed using SPSS software 26.0. Results: The majority of patients were in the 3rd to 4th decade (67.1%). The most common cause was Road traffic accidents 45(59.2%). Twenty Five (32.9%) patients had consumed alcohol at the time of the accident. Among midline anterior fracture most common finding was nasal bone fracture 42(55.3%). Frontal bone fracture was seen in 9(11.8%) cases. Closed reduction of nasal bone was performed in 43(56.58%) cases. Craniotomy and elevation of depressed frontal bone was done in 10.53% of cases. Conclusion: Road traffic accidents were found to be the commonest mode of frontonasal trauma and males in young adult age group were the most common victim. The most common injuries were nasal bone fracture which was managed by closed reduction.

scholarly journals Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

2014 ◽  
Vol 7 (2) ◽  
pp. 70-72
Author(s):  
Aamir Yousuf ◽  
Rafiq Ahmad Pampori ◽  
Zafarullah Beigh
Keyword(s):  
Local Anesthesia ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Nasal Bone ◽  
Sports Injury ◽  
Tertiary Hospital ◽  
Medical College ◽  
Work Related ◽  
Group A

ABSTRACT Objective To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital and interpreting the result of closed reduction of nasal bone fracture under local anesthesia and need for revision surgery. Study design Prospective case study. Materials and methods The prospective analysis of 60 patients diagnosed as simple nasal bone fracture over a period of 6 months (between Jan 1st 2011 and July 1st 2011) who presented in department of ENT and HNS at Government Medical College, Srinagar. All the patient underwent closed fracture reduction under local anesthesia after proper assess ment and documentation. The patients were analyzed in groups and followed up to period of 6 months. Results Total of 60 patients (group A) with nasal bones fracture were included in the study, including 48 men and 12 women. The most common age was between 25 and 65 years. Violence was the most frequent cause seen (48%), followed by traffic accidents (35%), 12% of cases were due to sports injury other causes about 5% (fall from their own height and work related injury). After performing closed reduction under local anesthesia, the immediate results were analyzed using linear analog scale. The followup period ranged from 1 week to 6 months. The functional and esthetic outcome of procedure were seen in followup period. Patients in group A1 (80%) were pleased with their results and did not require a secondary surgery 20%. Patients developed a posttraumatic nasal deformity requiring a posttraumatic septorhinoplasty (group A2). How to cite this article Yousuf A, Pampori RA, Beigh Z. Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia. Clin Rhinol An Int J 2014;7(2):7072.

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