Occurrence and types of associated injuries in patients with fractures of the facial bones

Thorén, Hanna; Snäll, Johanna; Salo, Jari; Suominen-Taipale, Liisa; Kormi, Eeva; Lindqvist, Christian; Törnwall, Jyrki (2010). Occurrence and types of associated injuries in patients with fractures of the facial bones. Journal of oral and maxillofacial surgery, 68(4), pp. 805-10. Maryland Heights, Mo.: Elsevier 10.1016/j.joms.2009.09.057

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PURPOSE: To identify the occurrence, types, and severity of associated injuries outside the facial region among patients diagnosed with facial fractures, and to analyze whether there are any factors related to associated injuries. MATERIALS AND METHODS: This was a cross-sectional study of 401 patients diagnosed with facial fractures during the 2-year period from 2003 to 2004. RESULTS: Associated injuries were observed in 101 patients (25.2%). The most common type of injury was a limb injury (13.5%), followed by brain (11.0%), chest (5.5%), spine (2.7%), and abdominal (0.8%) injuries. Multiple associated injuries were observed in 10% and polytrauma in 7.5%. The mortality rate was 0.2%. The occurrence of associated injury correlated significantly with trauma mechanism and fracture type; high-speed accidents and severe facial fractures were significant predictors of associated injury. CONCLUSIONS: Associated injuries are frequent among patients who have sustained facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment, but also the importance of arranging appropriate clinical rotations for maxillofacial residents in training.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery
UniBE Contributor:	Thoren, Hanna Agneta
ISSN:	0278-2391
Publisher:	Elsevier
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:07
Last Modified:	05 Dec 2022 14:00
Publisher DOI:	10.1016/j.joms.2009.09.057
PubMed ID:	20079962
Web of Science ID:	000276579200015
URI:	https://boris.unibe.ch/id/eprint/239 (FactScience: 197022)