Complex facial fracture

2021 ◽  
Author(s):  
Dr Ahmed
Keyword(s):  
Facial Fracture

A Nationwide Study of Skiing and Snowboarding-Related Facial Trauma

2021 ◽  
pp. 194338752199723 ◽  
Author(s):  
Thomas J. Sorenson ◽  
Vedant Borad ◽  
Warren Schubert
Keyword(s):  
Surveillance System ◽  
Pediatric Patients ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Cold Winter ◽  
Injury Surveillance System ◽  
Weighted Estimates ◽  
Patient Demographics ◽  
The Us

Study Design: Retrospective descriptive observational study. Purpose: Skiing and snowboarding offers valuable opportunities for outdoor physical activity throughout the cold winter months, but these activities can result in substantial personally injury. This study aimed to analyze trends in skiing and snowboarding-related facial trauma epidemiology. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for facial trauma related to skiing and snowboarding treated in United States (US) emergency departments between 2010 and 2019. These data and weighted estimates were used to analyze patient demographics, injury location, and etiology. Results: A total of 361 skiing or snowboarding-related facial injuries were recorded. Lacerations were most common injury (165/361; 45.7%), and facial fractures occurred in 21.6% (78/261) of patients. The most common facial fracture locations are the nose (38/78; 48.7%), orbit (17/78; 21.8%), and mandible (15/78; 19.2%). Pediatric patients accounted for 52% (187/361) of these injuries and had higher rates of lacerations (51.9% vs 39.1%, P < 0.05) and hospital admission (4.8% vs 1.15%, P < 0.05) than adults. Adults had a higher rate of facial fracture (30% vs 13.9%, P < 0.001) than children. Conclusions: Skiing and snowboarding-related facial trauma is relatively uncommon in the US. In general, these injuries are largely decreasing, but facial fractures still occur not infrequently during these activities. Based on our data, we strongly urge helmet manufacturers to increase the availability of recreational snowsport helmets that include nose, orbit, and mandible protections, which could help to prevent many of these injuries.

Contemporary Trends in Procedural Volume for Adult Facial Trauma, 1996-2006

2011 ◽  
Vol 146 (2) ◽  
pp. 226-229 ◽  
Author(s):  
Linda N. Lee ◽  
Neil Bhattacharyya
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Mandibular Fracture ◽  
Facial Trauma ◽  
Facial Fracture ◽  
National Hospital Discharge Survey ◽  
Historical Cohort ◽  
Key Indicator ◽  
Nasal Fracture ◽  
Procedural Volume

Objectives. To determine how rates of operative facial fractures may have changed between 1996 and 2006 and to determine the potential impact of such change on otolaryngology residency surgical key indicator cases. Study Design. Historical cohort study. Setting. Academic medical center. Subjects and Methods. The National Hospital Discharge Survey (NHDS) and National Survey of Ambulatory Surgery (NSAS) 1996 and 2006 cases were reviewed, extracting all cases of adult nasal, malar/zygomatic, maxillary, and mandibular fracture reductions in inpatient and outpatient settings, respectively. Procedure rates for each facial fracture were tabulated and compared between 1996 and 2006. Results. Overall in 1996, there were an estimated 113,041 ± 3740 operative facial fracture repairs performed. Among the 3 key indicator fracture repairs most relevant to otolaryngologists, there were 15,810 ± 2143 open nasal fracture reductions, 9360 ± 1742 open zygomaticomaxillary (ZMC) fracture reductions, and 20,214 ± 2585 open mandibular fracture repairs. Overall in 2006, there were 120,463 ± 7554 total facial fracture procedures, with 11,613 ± 2846 open nasal fracture reductions, 10,216 ± 2881 open ZMC fracture reductions, and 17,965 ± 3171 open mandibular repairs. Comparing cohorts, there was no significant change in number of open nasal, ZMC, or mandibular fracture repairs ( P = .24, P = .58, P = .80, respectively). Conclusion. Facial fracture procedure rates have remained largely stable over the past 10 years. These data have implications for otolaryngology training programs and could help guide resident education in facial trauma.

Associated Injuries Related to Patients With Facial Fractures

2022 ◽  
pp. 194338752110690
Author(s):  
Rajarshi Ghosh ◽  
Kulandaswamy Gopalkrishnan
Keyword(s):  
Multidisciplinary Approach ◽  
Clavicle Fracture ◽  
The Body ◽  
Spine Injury ◽  
Associated Injuries ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Fracture Management ◽  
Type Of Injury ◽  
Prompt Diagnosis

Purpose To find out the incidence, type, and severity of injuries in other parts of the body in patients diagnosed with facial fractures. The study also analyzed any correlation between these injuries and facial fractures. Material & Methods A retrospective study of 991 patients with facial fractures during the period of 2006-2016. Results 111 patients reported associated injuries (11.1%). The most common type of injury was limb injury (33.33%), followed by head injury (22.5%), clavicle fracture (14.7%), rib fracture (10.9%), cervical spine injury (5.4%), and other injuries constituted (13.2%). Multiple associated injuries were observed in 14% of patients. Conclusion The findings show that facial fracture management is a multidisciplinary approach. Prompt diagnosis and proper management are important to reduce the mortality rate and improve the prognosis of the patient.

Facial Fractures and Mixed Dentition – What Are the Implications of Dentition Status in Pediatric Facial Fracture Management?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ryan S. Berlin ◽  
Margaret M. Dalena ◽  
Nicholas C. Oleck ◽  
Jordan N. Halsey ◽  
Margaret Luthringer ◽  
...  
Keyword(s):  
Mixed Dentition ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Fracture Management

ASA Physical Status Classification and Complications Following Facial Fracture Repair

2021 ◽  
pp. 000348942110595
Author(s):  
Parisorn Thepmankorn ◽  
Chris B. Choi ◽  
Sean Z. Haimowitz ◽  
Aksha Parray ◽  
Jordon G. Grube ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Site Infection ◽  
Fracture Repair ◽  
Site Infection ◽  
Class Iii ◽  
Facial Fracture ◽  
Asa Classification ◽  
Physical Status Classification ◽  
Deep Surgical Site Infection ◽  
Status Classification

Background: To investigate the association between American Society of Anesthesiologists (ASA) physical status classification and rates of postoperative complications in patients undergoing facial fracture repair. Methods: Patients were divided into 2 cohorts based on the ASA classification system: Class I/II and Class III/IV. Chi-square and Fisher’s exact tests were used for univariate analyses. Multivariate logistic regressions were used to assess the independent associations of covariates on postoperative complication rates. Results: A total of 3575 patients who underwent facial fracture repair with known ASA classification were identified. Class III/IV patients had higher rates of deep surgical site infection ( P = .012) as well as bleeding, readmission, reoperation, surgical, medical, and overall postoperative complications ( P < .001). Multivariate regression analysis found that Class III/IV was significantly associated with increased length of stay ( P < .001) and risk of overall complications ( P = .032). Specifically, ASA Class III/IV was associated with increased rates of deep surgical site infection ( P = .049), postoperative bleeding ( P = .036), and failure to wean off ventilator ( P = .027). Conclusions: Higher ASA class is associated with increased length of hospital stay and odds of deep surgical site infection, bleeding, and failure to wean off of ventilator following facial fracture repair. Surgeons should be aware of the increased risk for postoperative complications when performing facial fracture repair in patients with high ASA classification.

Facial Fracture Management at WBAMC Trauma Unit

1988 ◽  
Vol 153 (11) ◽  
pp. 555-559
Author(s):  
Michael V. Novia ◽  
George E. Smith
Keyword(s):  
Facial Fracture ◽  
Trauma Unit ◽  
Fracture Management

scholarly journals Bioabsorbable Implants for the Fixation of Facial Fracture

2000 ◽  
Vol 25 (1) ◽  
pp. 10-14
Author(s):  
Mitsuru NEMOTO ◽  
Masahide TANAKA ◽  
Shinya KASHIWAGI ◽  
Hironori MURAKAMI ◽  
Nobuko HASHIMOTO ◽  
...  
Keyword(s):  
Facial Fracture ◽  
Bioabsorbable Implants

scholarly journals Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

2013 ◽  
Vol 6 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Jesús R. Manzani Baldi ◽  
Daniel A. Wolff de Freitas
Keyword(s):  
Rare Complication ◽  
The Other ◽  
Pathophysiological Mechanism ◽  
X Rays ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Dog Bite ◽  
Facial Region ◽  
Zygomatic Fracture ◽  
Fracture Mandible

Dog bite injury frequently occurs in children, and many of these bites involve the facial region. On the other hand, facial fractures due to dog attacks are a rare complication, with the orbital, nasal, and maxillary bones most often affected. We present a case report of a child who suffered a double facial fracture, mandible and left zygoma, due to a dog bite. The clinical diagnosis was supported by X-rays and computed tomography, which also provided information about the characteristics of the fracture. Internal fixation was done with titanium miniplates. Finally, the pathophysiological mechanism and the biomechanics of the fracture, as well as the use of resorbable versus nonresorbable material on infants, are discussed.

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