Characteristics of Maxillofacial Injuries and Safety of In-Theater Facial Fracture Repair in Severe Combat Trauma

Autor:	Matthew W. Keller, Curtis Wesley Gaball, Michael R. Galarneau, Peggy P. Han
Rok vydání:	2015
Předmět:	Adult Male medicine.medical_specialty Traumatic brain injury Oral Surgical Procedures Poison control macromolecular substances Occupational safety and health Military medicine Injury Severity Score Injury prevention Prevalence Humans Medicine Facial Injuries Iraq War 2003-2011 Retrospective Studies Surgical repair Afghan Campaign 2001 Abbreviated Injury Scale business.industry Public Health Environmental and Occupational Health General Medicine medicine.disease United States Surgery Military Personnel Brain Injuries Emergency medicine War-Related Injuries Female Maxillofacial Injuries Burns business
Zdroj:	Military Medicine. 180:315-320
ISSN:	1930-613X 0026-4075
DOI:	10.7205/milmed-d-14-00345
Popis:	The study objectives were to characterize maxillofacial injuries and assess the safety of in-theater facial fracture repair in U.S. military personnel with severe combat trauma from Iraq and Afghanistan. We performed a retrospective chart review of the Expeditionary Medical Encounter Database from 2004 to 2010. 1,345 military personnel with combat-related maxillofacial injuries were identified. Injury severity was quantified with the Abbreviated Injury Scale and Injury Severity Score. Service members with maxillofacial injury and severe combat trauma (Injury Severity Score ≥ 16) were included. The distribution of facial fractures, types, and outcomes of surgical repairs, incidence of traumatic brain injury, concomitant head and neck injuries, burn rate/severity, and rates of Acinetobacter baumannii colonization and surgical site infection were analyzed. The prevalence of maxillofacial injury in the Expeditionary Medical Encounter Database was 22.7%. The most common mechanism of injury was improvised explosive device (65.7%). Midface trauma and facial burns were common. Approximately 64% of the study sample sustained traumatic brain injury. Overall, 45.6% (109/239) had at least one facial bone fracture. Of those with facial fractures, 64.2% (n = 70) underwent surgical repair. None of the service members who underwent in-theater facial fracture repair developed A. baumannii facial wound infection or implant extrusion.
Databáze:	OpenAIRE
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