Analysis of maxillofacial traumas in an emergency clinic
Küçük Resim Yok
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kuwait Medical Assoc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To examine epidemiology, fracture pattern and the relation between fracture pattern and Duke facial trauma severity index in patients admitted for maxillofacial traumas Design: Retrospective study Setting: Emergency Department, Ankara Numune Education and Research Hospital, Turkey Subjects: Four hundred and twenty-eight patients who presented with a diagnosis of maxillofacial trauma Intervention: Medical treatment of patients with maxillofacial trauma Main outcome measure: Epidemiology, fracture pattern and the relation between fracture pattern and Duke facial trauma severity index Results: Of the 428 patients, 185 cases with at least one fracture of the maxillofacial bones were included in the study, 147 (79.5%) males and 38 (20.5%) females. Distribution of gender showed significant difference (p < 0.001). Age range was 8 - 90 years and average age was 38.69 +/- 14.6 years. The most frequent cause of maxillofacial trauma was violence. The most frequent age range was 21 - 30 years old (28.6%, n = 53). The most frequent cause of maxillofacial trauma was violence in male cases and traffic accidents in female cases. There was a statistically significant relationship between gender and etiology (chi-square test, p < 0.003). There were a total of 268 facial fractures in the cases. Nasal bone fractures (21%) were the most common fractures. Violence was the most common cause of nasal bone, orbital floor and medial wall, zygomatic arch and Le-Fort II fractures. Falling was the most common cause of frontal sinus, zygomaticomaxillar complex and maxillary sinus fractures. The most detected fracture was isolated upper midface fractures (51.4%). There was a statistically significant relationship between upper midface fractures and violence (Z test, p < 0.001). There was also a statistically significant difference between midface fractures and violence and falling (Z test, p < 0.002). Conservative treatment was applied to 66.5% of the cases and surgical treatment was applied to 33.5% of the cases. Conclusion: Maxillofacial fractures were significantly more common in males in the third decade of life, in the nasal bone, were caused by violence and treated with conservative treatments.
Açıklama
Anahtar Kelimeler
emergency department, maxillofacial traumas, trauma severity index
Kaynak
Kuwait Medical Journal
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
51
Sayı
2
