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Concomitant injuries in patients with panfacial fractures.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Follmar, Keith E. Debruijn, Marklieke Baccarani, Alessio Bruno, Anthony D. Srinivasan Mukundan Erdmann, Detlev Marcus, Jeffrey R. |
| Copyright Year | 2007 |
| Abstract | BACKGROUND Patients with panfacial fractures comprise a small portion of the overall facial fracture patient population. Because of the forces necessary to cause panfacial injury, these patients often have other concomitant injuries. The timing of operative facial fracture management remains controversial. METHODS A 3-year review of all patients with facial fractures was conducted at Duke University Medical Center (2003-2005, 437 total patients). All patients with panfacial fractures, defined as fractures involving at least three of the four facial segments (frontal, upper midface, lower midface, and mandible), were analyzed. RESULTS Panfacial fractures were present in 38 patients (9% of overall facial fracture population). Twenty (53%) of these patients suffered concomitant injuries. The most common mechanism of trauma was motor vehicle collision, and the most common category of concomitant injury was intracranial injury or hemorrhage. Other commonly occurring categories of injury included abdominal organ injury, pneumothorax, pulmonary contusion, spine fracture, rib or sternum fracture, extremity fracture, and pelvic fractures. There was no significant difference in day of operation for the management of facial fractures between those with isolated facial injuries and those with other concomitant injuries (hospital day 2.1 vs. hospital day 2.9, not significant). CONCLUSIONS Concomitant injuries to all parts of the body are found in patients with panfacial trauma. In our experience, these injuries do not significantly delay or have an adverse effect on the treatment of facial fractures. A treatment strategy for consistent timely management of facial fractures is described. |
| Starting Page | 38 |
| Ending Page | 43 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_80535_13 |
| PubMed reference number | 18090013v1 |
| Volume Number | 63 |
| Issue Number | 4 |
| Journal | The Journal of trauma |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Bell Palsy Brain Injuries Categories Contusions Cumulative Trauma Disorders Facial Nerve Diseases Fracture of pelvis Hemorrhage Idiopathic Pulmonary Fibrosis Intracranial Hemorrhages Limb structure Mandible Midface Needlestick Injuries Part Dosing Unit Pathological fracture Patients Pneumothorax Rib Fractures Spinal Fractures Sternum Stress Fractures Traffic accidents Traumatic injury Wounds and Injuries |
| Content Type | Text |
| Resource Type | Article |
