Maxillofacial and concomitant serious injuries: An eight-year single center experience
| Autor: | Francesca Polito, Enrico Nastro-Siniscalchi, Marco Cicciù, Fausto Famà, Gabriele Cervino, Alessandro Sindoni, Maria Gioffrè-Florio, Francesco Saverio De Ponte, Roberto Falzea |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent 030230 surgery Single Center Concomitant lesions Emergency department Maxillofacial injuries Multiple trauma 03 medical and health sciences 0302 clinical medicine Hematoma Blunt Concomitant lesions Epidemiology medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over lcsh:R5-920 business.industry Emergency department Multiple trauma 030206 dentistry Middle Aged medicine.disease Surgery medicine.anatomical_structure Concomitant Abdomen Original Article Female business lcsh:Medicine (General) Maxillofacial injuries Pediatric trauma |
| Zdroj: | Chinese Journal of Traumatology, Vol 20, Iss 1, Pp 4-8 (2017) Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| Popis: | Purpose: Maxillofacial injuries are frequently associated with multiple trauma and can determine functional and aesthetic bad outcomes. The severity of maxillofacial injuries may be considerable and can divert clinicians' attention from other concomitant injuries which is less evident but potentially life-threatening. The aim of this study was to find out the concomitant injuries in patients referred to the Emergency Department (ED) of the University Hospital of Messina (North-East Sicily, Italy) for maxillofacial traumas. Methods: We retrospectively evaluated data of 240,833 patients admitted at the ED of the University Hospital of Messina from January 2008 to December 2015 because of maxillofacial injuries leading to hospitalization and surgical treatment. Patients who primarily received treatment care at different institutions, pediatric trauma patients and adult patients who were transferred in accordance with preexisting agreements in case of paucity of beds were excluded. Finally we included 447 (0.2%) patients over the 8 years. Data were evaluated with emphasis on epidemiology (age, gender, mechanism of trauma), primary survey and abnormalities and pattern of trauma. Results: The most frequent cause of maxillofacial trauma was road accidents (319 patients, 71.4%), among which motorcycle ones were prevalent. The maxillofacial injured who presented major lesions were 98 patients and minor lesions occurred in 349 patients; 443 (99.1%) patients underwent maxillofacial surgery, immediate or delayed depending on the severity of concomitant injuries (χ2 = 557.2, p < 0.0001). Five concomitant neglected lesions were found to be associated with severe maxillofacial traumas (χ2 = 17.13, p < 0.0001 vs minor lesions). All of the neglected lesions occurred in paucisymptomatic patients who showed painless abdomen, no hemodynamic instability, no signs of hematoma of anterior and posterior abdominal wall or other suspicious clinical signs and symptoms. Conclusion: Among the patients admitted firstly in other surgical wards different from the Maxillofacial Surgery Unit, diagnosis was more difficult, especially for blunt abdominal traumas, in which patients showed only vague and nonspecific symptoms concealing serious and life-threatening injuries. We recommend the routine use of whole body CT scan, when the maxillofacial injuries appear prevalent, mainly in patients affected by maxillofacial major lesions. Key words: Maxillofacial injuries; Concomitant lesions; Multiple trauma; Emergency department |
| Databáze: | OpenAIRE |
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