Maxillofacial trauma with head injuries at a tertiary care hospital in Chitwan, Nepal: clinical, medico-legal, and critical care concerns

Santosh Kumar YADAV; Birendra Kumar MANDAL; Abhishek KARN; Ajit Kumar SAH

Makale detayları

Maxillofacial trauma with head injuries at a tertiary care hospital in Chitwan, Nepal: clinical, medico-legal, and critical care concerns

Yazarlar:

Santosh Kumar YADAV | Birendra Kumar MANDAL | Abhishek KARN | Ajit Kumar SAH

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.2, pp.1505-1512

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

İngilizce

Document ID (Org No.):

2000754469

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

Maxillofacial trauma is commonly associated with other injuries, predominantly head injuries. The present study aimed to evaluate types of injury, management, and outcome of patients sustaining maxillofacial trauma and concomitant cranial injuries.  Materials and methods: A retrospective study was carried out in the department of oral and maxillofacial surgery. A case series of 63 patients who were admitted to the intensive care unit with maxillofacial trauma and head injuries was evaluated. The data were then compiled systematically and analyzed using SPSS for Windows and values of P < 0.05 were considered significant and P < 0.0001 as highly significant.  Results: Among the 63 patients, the majority of them had had roadside accidents (90%) and there was a predominant sex bias with a male to female ratio of 7:1. Fractured maxilla and nasal bones were the most commonly encountered injuries (49.21%), followed by mandibular fractures (38.09%). Forty-two patients (66.67%) required mechanical ventilation, tracheostomy was needed in 19 (30.16%) patients, and 42 (66.67%) patients were operated on for head injuries. The majority of the victims were aged between 15 and 40 years.  Conclusion: Maxillofacial trauma with head injuries demands special attention as airway compromise is invariably present. Equally critical is the surgical intervention as simultaneously cranial and maxillofacial surgeries were performed. Preventive measures and legislation regarding traffic rules require a review also as the higher incidence of accidents among young adults has acquired epidemic status.

 

Maxillofacial trauma is commonly associated with other injuries, predominantly head injuries. The present study aimed to evaluate types of injury, management, and outcome of patients sustaining maxillofacial trauma and concomitant cranial injuries.  Materials and methods: A retrospective study was carried out in the department of oral and maxillofacial surgery. A case series of 63 patients who were admitted to the intensive care unit with maxillofacial trauma and head injuries was evaluated. The data were then compiled systematically and analyzed using SPSS for Windows and values of P < 0.05 were considered significant and P < 0.0001 as highly significant.  Results: Among the 63 patients, the majority of them had had roadside accidents (90%) and there was a predominant sex bias with a male to female ratio of 7:1. Fractured maxilla and nasal bones were the most commonly encountered injuries (49.21%), followed by mandibular fractures (38.09%). Forty-two patients (66.67%) required mechanical ventilation, tracheostomy was needed in 19 (30.16%) patients, and 42 (66.67%) patients were operated on for head injuries. The majority of the victims were aged between 15 and 40 years.  Conclusion: Maxillofacial trauma with head injuries demands special attention as airway compromise is invariably present. Equally critical is the surgical intervention as simultaneously cranial and maxillofacial surgeries were performed. Preventive measures and legislation regarding traffic rules require a review also as the higher incidence of accidents among young adults has acquired epidemic status.

Makale detayları

Maxillofacial trauma with head injuries at a tertiary care hospital in Chitwan, Nepal: clinical, medico-legal, and critical care concerns

Yazarlar:

Santosh Kumar YADAV | Birendra Kumar MANDAL | Abhishek KARN | Ajit Kumar SAH

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.2, pp.1505-1512

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

İngilizce

Document ID (Org No.):

2000754469

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

craniofacial trauma

road traffic accidents

head injuries

mechanical ventilation

tracheostomy

tracheal intubation

Maxillofacial injury

Sayı

Makale detayları

Yazarlar: Santosh Kumar YADAV | Birendra Kumar MANDAL | Abhishek KARN | Ajit Kumar SAH

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.2, pp.1505-1512

Belge Tipi: Makale

Yayın Tarihi: 11/2011

Belge Dili: İngilizce

Document ID (Org No.): 2000754469

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Santosh Kumar YADAV | Birendra Kumar MANDAL | Abhishek KARN | Ajit Kumar SAH

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.2, pp.1505-1512

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

İngilizce

Document ID (Org No.):

2000754469

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144