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    Evaluation and cost analysis of the patients, who applied to the emergency service with an open injury of hand and / or wrist
    (2019) Hakkoymaz, Hakan; Topak, Duran; Baykan, Halit; Kilci, Ali Ihsan; Guler, Ozlem; Azim, Ramazan
    Aim: This study was planned to determine the demographic, etiological and clinical characteristics and the treatment costs of the patients with open isolated hand and/or wrist injuries.Material and Methods: In this study, the data of 127 patients who were admitted to the adult emergency department due to hand and / or wrist trauma between 01.01.2018 and 06.30.2018 were examined. Data on demographic data, shape and clinic of injury were summarized as number and percentage. Shapiro Wilk test was used to determine whether the numerical measurements were compatible with the normal distribution and Kruskal Wallis test was used for comparison of cost between groups.Results: Of the patients, 81.1% were male and the most common injury was seen in the age group of 19-64 and workers. Fingers were the most frequently injured areas and the most common injured finger was the index finger. The first two reasons in the aetiology were home and occupational accidents. Penetrating/cutting was the most common injury mechanism. There was no significant difference between occupation groups in terms of cost (p>0.05) but there was a significant difference between diverse treatment methods (p0.0001). Conclusion: Hand and / or wrist open injuries not only represent a significant part of all injuries but also represent a significant economic burden with high health costs. Measures to prevent such injuries could contribute to lowering health expenditures.
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    Maxillofacial trauma incidence and patterns in patients admitted to the emergency department: A three-year retrospective study
    (2021) Hakkoymaz, Hakan; Ural, Alper; Tatli, Mehmet; Baykan, Halit
    Aim: Maxillofacial (MF) traumas are most challenging group of patients in emergency departments (ED) due to occurrence of varying degrees of injury. The aim of this study was aid to ED clinicians in establishing correct diagnosis and to aid decision making process; to identify etiology of MF trauma presented to ED and to assess comorbid injuries. Materials and Methods: In this study, we retrospectively analyzed patients with MF trauma presented to ED between January, 2014 and July, 2017. The study included 73 patients among those with MF trauma admitted to ED. Data regarding age, gender, trauma mechanism, treatment modalities, presence of mandibular, zygomatic orbital base, zygomatic arch, frontal sinus and nasal sinus fracture were recorded and analysed.Results: Mean age was 36.18 years (min-max: 7-81 years). It was found that MF was significantly more prevalent in men than women. In our study, traffic accidents were observed to be the most common cause just like in developing countries.73 patients were surgically operated. 45 of the patients underwent open reduction and fixation with miniplates and screws. Conclusion: Maxillofacial trauma is common in our society. The most common causes are traffic accident and falls; followed by assault, head trauma and firearm injury.