Back
 OJEM  Vol.7 No.2 , June 2019
Clinical and Demograhical Characteristics of Patients with Maxillofacial Trauma in the Emergency Department
Abstract: Objective: We aimed to investigate the clinical and demographical characteristics of patients admitted to the Emergency Department (ED) due to maxillofacial trauma (MFT). Methods: This sectional and retrospective study was conducted in Ankara Numune Education and Research Hospital ED between 1st March 2010 and 31st March 2017. Into the study, patients with MFT older than 15 years of age were included. Characteristics of patients were recorded. Patients’ characteristics were compared according to presence of fractures. Results: Mean age of the patients was 41.1 ± 18.0 years and a statistically significant relationship was determined between age and presence of fracture (p > 0.05). Of the patients, 74.5% was male and fracture presence was significantly more in males than females (p < 0.05). The most common reason for MFT was assaults (36.5%) followed by motor vehicle accidents (29.1%) and fall from height (26.9%). Of the patients, 48.7% had soft tissue injury, 31.4% had maxilla fracture, 23.8% had nasal fracture. Also, blow-out fracture in 6.6%, Le Fort in 4.2% and blow-in in 0.3% were determined. 36% of the patients were hospitalized and the most common wards were plastic surgery (32%) and neurosurgery (23.5%). The mortality rate in our study was found to be 1.6% and there was not a relationship between the presence of MFT and mortality (p > 0.05). Conclusion: The MFT is a pathology that either leads to its own, or can lead to life-threatening consequences as a result of additional organ injuries. The physician evaluating the patient should determine the MFT and additional pathologies and ensure that the interventions start as soon as possible.
Cite this paper: Komut, S. , Sönmez, B. , Erenler, A. and Komut, E. (2019) Clinical and Demograhical Characteristics of Patients with Maxillofacial Trauma in the Emergency Department. Open Journal of Emergency Medicine, 7, 28-39. doi: 10.4236/ojem.2019.72004.
References

[1]   Gönüllü, H., Karadaş, S., ışık, D., KoÇak, ö.F. and Tekin, H. (2012) Bir acil servise başvuran maksillofasiyal travma olgulari: retrospektif bir Çalişma. Türk plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi, 19, 121-124.

[2]   Gassner, R., Tuli, T., Hächl, O., Rudisch, A. and Ulmer, H. (2003) Cranio-Maxillofacial Trauma: A 10 Year Review of 9543 Cases with 21067 ınjuries. Journal of Cranio-Maxillofacial Surgery, 31, 51-61.
https://doi.org/10.1016/S1010-5182(02)00168-3

[3]   Yüksel, A. and Uslu, S. (2006) Maxillofacial Traumas. Turkiye Klinikleri Journal of Surgical Medical Sciences, 2, 59-67.

[4]   Borah, G.L. and Rankin, M.K. (2010) Appearance ıs a Function of the Face. Plastic and Reconstructive Surgery, 125, 873-878.
https://doi.org/10.1097/PRS.0b013e3181cb613d

[5]   Toprak, U. and Gökaslan, Ç.ö. (2016) Maksillofasiyal, Paranazal ve Orbital Travma (Fasiyal Travmalar). Türk Radyoloji Seminerleri, 4, 229-248.
https://doi.org/10.5152/trs.2016.370

[6]   Mehta, N., Butala, P. and Bernstein, M.P. (2012) The ımaging of Maxillofacial Trauma and ıts Pertinence to Surgical ıntervention. Radiologic Clinics of North America, 50, 43-57.

[7]   Keleş, B., öztürk, K., Arbağ, H., ülkü, Ç.H. and Gezgin, B. (2006) Maksillofasiyal travmalı hastalarda tedavi seÇenekleri ve karşılaşılan sorunlar. Ulus Travma Acil Cerrahi Dergisi, 12, 218-222.

[8]   şakrak, T., Köse, A., Karabağlı, Y., Elmas, İ., Tekgöz, A. and Çetin, C. (2010) 232 Maksillofasiyal travmalı hastanın geriye dönük analizi ve kliniğimizde uygulanan tedavi protokolleri. Turkish Journal of Plastic Surgery, 18, 65-69.

[9]   Van den Bergh, B., Karagozoglu, K.H., Heymans, M.W. and Forouzanfar, T. (2012) Aetiology and ıncidence of Maxillofacial Trauma in Amsterdam: A Retrospective Analysis of 579 Patients. Journal of Cranio-Maxillofacial Surgery, 40, e165-e169.
https://doi.org/10.1016/j.jcms.2011.08.006

[10]   Mijiti, A., Ling, W., Tuerdi, M., Maimaiti, A., Tuerxun, J., Tao, Y.Z., et al. (2014) Epidemiological Analysis of Maxillofacial Fractures Treated at a University Hospital, Xinjiang, China: A 5-Year Retrospective Study. Journal of Cranio-Maxillofacial Surgery, 42, 227-233.
https://doi.org/10.1016/j.jcms.2013.05.005

[11]   Cabalag, M.S., Wasiak, J., Andrew, N.E., Tang, J., Kirby, J.C. and Morgan, D.J. (2014) Epidemiology and Management of Maxillofacial Fractures in an Australian Trauma Centre. Journal of Plastic, Reconstructive & Aesthetic Surgery, 67, 183-189.
https://doi.org/10.1016/j.bjps.2013.10.022

[12]   İrkören, S., Sivrioğlu, N.ş., Bulut, B., Sonel, A.M. and Ceylan, E. (2011) üÇ yıl iÇinde opere denilen 63 mandibula fraktürü olgusunun retrospektif analizi. ADü Tıp Fakültesi Dergisi, 12, 1-4.

[13]   Ortakoğlu, K., SaraÇgil, S., üner, E. and şener, C. (2001) 37 Hastada oluşan 63 maksillofasiyal fraktürde retrospektif bir Çalışma. Cumhuriyet üniversitesi Dişhekimliği Fakültesi Dergisi, 4, 106-109.

[14]   Güven, O., BehÇet, E. and Akif, ö. (1985) Güneydoğu Anadolu Bölgesinde Görülen Çene Kırıkları üzerine Klinik Bir Araştırma. Acta Odontologica Turcica, 2, 65.

[15]   Demir, Z., öktem, F., Velidedeoğlu, H. and Çelebioğlu, S. (2008) Maksillofasiyal kırığı olan 121 olgunun değerlendirilmesi ve literatürle karşılaştırılması. KBB-Forum, 7, 85-90.

[16]   ışik, D., Gönüllü, H., Karadaş, S., KoÇak, ö.F., Keskin, S., Garca, M.F., et al. (2012) Presence of Accompanying Head ınjury in Patients with Maxillofacial Trauma. Turkish Journal of Trauma & Emergency Surgery, 18, 200-206.
https://doi.org/10.5505/tjtes.2012.01047

[17]   Bataineh, A.B. (1998) Etiology and ıncidence of Maxillofacial Fractures in the North of Jordan. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 86, 31-35.
https://doi.org/10.1016/S1079-2104(98)90146-9

[18]   Adi, M., Ogden, G. and Chisholm, D. (1990) An Analysis of Mandibular Fractures in Dundee, Scotland (1977 to 1985). British Journal of Oral and Maxillofacial Surgery, 28, 194-199.
https://doi.org/10.1016/0266-4356(90)90088-3

[19]   Haug, R.H., Prather, J. and ındresano, A.T. (1990) An Epidemiologic Survey of Facial Fractures and Concomitant ınjuries. Journal of Oral and Maxillofacial Surgery, 48, 926-932.
https://doi.org/10.1016/0278-2391(90)90004-L

[20]   Sofferman, R.A., Danielson, P.A., Quatela, V. and Reed, R.R. (1983) Retrospective Analysis of Surgically Treated Le Fort Fractures: ıs Suspension Necessary? Archives of Otolaryngology, 109, 446-448.
https://doi.org/10.1001/archotol.1983.00800210022004

[21]   Rix, L., Stevenson, A. and Punnia-Moorthy, A. (1991) An Analysis of 80 Cases of Mandibular Fractures Treated with Miniplate Osteosynthesis. ınternational Journal of Oral and Maxillofacial Surgery, 20, 337-341.
https://doi.org/10.1016/S0901-5027(05)80261-9

[22]   Sojat, A.J., Meisami, T., Sàndor, G.K. and Clokie, C.M. (2001) Epidemiology of Mandibular Fractures Treated at the Toronto General Hospital: A Review of 246 Cases. Journal-Canadian Dental Association, 67, 640-645.

[23]   Zargar, M., Khaji, A., Karbakhsh, M. and Zarei, M. (2004) Epidemiology Study of Facial ınjuries during a 13 Month of Trauma Registry in Tehran. ındian Journal of Medical Sciences, 58, 109.

[24]   Arslan, E.D., Solakoglu, A.G., Komut, E., Kavalci, C., Yilmaz, F., Karakilic, E., et al. (2014) Assessment of Maxillofacial Trauma in Emergency Department. World Journal of Emergency Surgery, 9, 13.
https://doi.org/10.1186/1749-7922-9-13

[25]   Yıldırım, N., Sayın, B., Durakoğlugil, T., SoydinÇ, P. and Dede, D. (2010) Maksillofasiyal Travmalarda İntraorbital Yabancı Cisimler. Turkish Journal of Emergency Medicine, 10, 71-76.

[26]   Mulligan, R.P. and Mahabir, R.C. (2010) The Prevalence of Cervical Spine ınjury, Head ınjury, or Both with ısolated and Multiple Craniomaxillofacial Fractures. Plastic and Reconstructive Surgery, 126, 1647-1651.
https://doi.org/10.1097/PRS.0b013e3181ef90e4

[27]   Roccia, F., Bianchi, F., Zavattero, E., Tanteri, G. and Ramieri, G. (2010) Characteristics of Maxillofacial Trauma in Females: A Retrospective Analysis of 367 Patients. Journal of Cranio-Maxillofacial Surgery, 38, 314-319.
https://doi.org/10.1016/j.jcms.2009.10.002

[28]   Akoğlu, H., Denizbaşı, A., ünlüer, E., Güneysel, ö. and Onur, ö. (2005) Marmara üniversİtesİ hastanesi acil servisine başvuran travma hastalarinin demografik özellikleri. Marmara Medical Journal, 18, 113-122.

[29]   Ceylan, S., AÇikel, C.H., Dündaröz, R., Yaşar, M., GüleÇ, M. and özişik, T. (2002) Bir Eğitim Hastanesi Acil ServisineTravma Nedeniyle Başvuran Hastaların Sıklığının Ve Travma özelliklerinin Saptanması. Turkiye Klinikleri Journal of Medical Sciences, 22, 156-161.

[30]   Cogbill, T.H., Cothren, C.C., Ahearn, M.K., Cullinane, D.C., Kaups, K.L., Scalea, T.M., et al. (2008) Management of Maxillofacial ınjuries with Severe Oronasal Hemorrhage: A Multicenter Perspective. The Journal of Trauma: ınjury, ınfection, and Critical Care, 65, 994-999.
https://doi.org/10.1097/TA.0b013e318184ce12

[31]   Gerbino, G., Roccia, F., De Gioanni, P.P. and Berrone, S. (1999) Maxillofacial Trauma in the Elderly. Journal of Oral and Maxillofacial Surgery, 57, 777-782.
https://doi.org/10.1016/S0278-2391(99)90812-1

 
 
Top