Retrospective Analysis of Patients Presenting to the Emergency Department between 2011-2021 with Fractures in the Facial Bones

Nihal Akçalı Bostancı; Vahide Aslıhan Durak; Sümeyye Tuğba Sarkı Cander; Halil İbrahim Çıkrıklar; Buşra Altınkök Şentürk; Orhan Çavdar

Makale detayları

Retrospective Analysis of Patients Presenting to the Emergency Department between 2011-2021 with Fractures in the Facial Bones

Yazarlar:

Nihal Akçalı Bostancı | Vahide Aslıhan Durak | Sümeyye Tuğba Sarkı Cander | Halil İbrahim Çıkrıklar | Buşra Altınkök Şentürk | Orhan Çavdar

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001317386

pISSN:

1300-414X

Anahtar kelimeler:

Özet:

 This study aimed to determine the parameters associated with the clinical characteristics and clinical outcomes of cases admitted to the Emergency Department due to facial injury. In this cross-sectional study, the clinical characteristics of the patients who applied to Bursa Uludag University Emergency Service due to facial injury between 2011 and 2021 and were consulted to the department of plastic and reconstructive surgery due to fractures in facial bones were retrospectively analyzed from hospital records. 80.5 of the cases were male, the most common causes of trauma were 26.1 assault, 25.7 fall and 14.0 in-car traffic accident. The most frequent application was made in the summer months 34.5. The most frequently injured facial bones were the nasal bone in 43.6, the maxilla in 32.4, and the orbit in 31.8. While 72.6 of the cases were discharged, 14.3 were admitted to the clinic, 4.8 were admitted to the ICU, 3.7 were referred and 0.3 died. The frequency of ICU admission ex was significantly higher among women who were exposed to trauma due to gunshot wounds, falling from heights, and traffic accidents p0.05. ICU admissionexit status according to the facial bone with injury was as follows, in order of frequency: frontal 19.0, orbita 9.0, maxilla 8.3, zygoma 8.1. mandibular 8.0 and nasal 3.6 bone. Detection of any type of facial bone fracture was found to be associated with ICU admissionexit p0.05. As a result, cases with facial injuries mostly consist of men, and they apply to the emergency department with nasal fractures caused by assault or falling in the summer months. Clinical outcome is worser among women, those exposed to higher energy trauma, and those diagnosed with facial bone fractures. Closer follow-up of cases with these characteristics and providing appropriate treatment in the early period can be considered among the interventions that will reduce survival and the frequency of sequelae.

 This study aimed to determine the parameters associated with the clinical characteristics and clinical outcomes of cases admitted to the Emergency Department due to facial injury. In this cross-sectional study, the clinical characteristics of the patients who applied to Bursa Uludag University Emergency Service due to facial injury between 2011 and 2021 and were consulted to the department of plastic and reconstructive surgery due to fractures in facial bones were retrospectively analyzed from hospital records. 80.5 of the cases were male, the most common causes of trauma were 26.1 assault, 25.7 fall and 14.0 in-car traffic accident. The most frequent application was made in the summer months 34.5. The most frequently injured facial bones were the nasal bone in 43.6, the maxilla in 32.4, and the orbit in 31.8. While 72.6 of the cases were discharged, 14.3 were admitted to the clinic, 4.8 were admitted to the ICU, 3.7 were referred and 0.3 died. The frequency of ICU admission ex was significantly higher among women who were exposed to trauma due to gunshot wounds, falling from heights, and traffic accidents p0.05. ICU admissionexit status according to the facial bone with injury was as follows, in order of frequency: frontal 19.0, orbita 9.0, maxilla 8.3, zygoma 8.1. mandibular 8.0 and nasal 3.6 bone. Detection of any type of facial bone fracture was found to be associated with ICU admissionexit p0.05. As a result, cases with facial injuries mostly consist of men, and they apply to the emergency department with nasal fractures caused by assault or falling in the summer months. Clinical outcome is worser among women, those exposed to higher energy trauma, and those diagnosed with facial bone fractures. Closer follow-up of cases with these characteristics and providing appropriate treatment in the early period can be considered among the interventions that will reduce survival and the frequency of sequelae.

 This study aimed to determine the parameters associated with the clinical characteristics and clinical outcomes of cases admitted to the Emergency Department due to facial injury. In this cross-sectional study, the clinical characteristics of the patients who applied to Bursa Uludag University Emergency Service due to facial injury between 2011 and 2021 and were consulted to the department of plastic and reconstructive surgery due to fractures in facial bones were retrospectively analyzed from hospital records. 80.5 of the cases were male, the most common causes of trauma were 26.1 assault, 25.7 fall and 14.0 in-car traffic accident. The most frequent application was made in the summer months 34.5. The most frequently injured facial bones were the nasal bone in 43.6, the maxilla in 32.4, and the orbit in 31.8. While 72.6 of the cases were discharged, 14.3 were admitted to the clinic, 4.8 were admitted to the ICU, 3.7 were referred and 0.3 died. The frequency of ICU admission ex was significantly higher among women who were exposed to trauma due to gunshot wounds, falling from heights, and traffic accidents p0.05. ICU admissionexit status according to the facial bone with injury was as follows, in order of frequency: frontal 19.0, orbita 9.0, maxilla 8.3, zygoma 8.1. mandibular 8.0 and nasal 3.6 bone. Detection of any type of facial bone fracture was found to be associated with ICU admissionexit p0.05. As a result, cases with facial injuries mostly consist of men, and they apply to the emergency department with nasal fractures caused by assault or falling in the summer months. Clinical outcome is worser among women, those exposed to higher energy trauma, and those diagnosed with facial bone fractures. Closer follow-up of cases with these characteristics and providing appropriate treatment in the early period can be considered among the interventions that will reduce survival and the frequency of sequelae.

 Bu çalışmada fasiyal yaralanma nedeniyle Acil Servise başvuran olguların klinik özellikleri ve klinik sonlanımları ile ilişkili parametrelerin belirlenmesi amaçlanmıştır. Kesitsel tipte olan bu çalışmada 2011-2021 yılları arasında Bursa Uludağ Üniversitesi Acil Servisine fasiyal yaralanma sebebi ile başvuran ve plastik ve rekonstrüktif cerrahi anabilim dalına fasiyal kemiklerde fraktür sebebi ile konsülte edilen hastaların klinik özellikleri hastane kayıtlarından retrospektif olarak taranmıştır. Olguların 80,5i erkekti, en sık travma nedenleri 26,1 darp, 25,7 düşme ve 14,0 araç içi trafik kazasıydı. En sık başvuru yaz aylarında yapılmıştı 34,5. En sık yaralanan fasiyal kemikler 43,6 nazal kemik, 32,4 maksilla ve 31,8 orbitaydı. Olguların 72,6sı taburcu edilirken, 14,3ü kliniğe, 4,8i YBÜye yatırıldı, 3,7si sevk edildi ve 0,3ü eksitus oldu. Kadınlarda ateşli silah yaralanması, yüksekten düşme ve trafik kazaları kaynaklı travmalara maruz kalan olgular arasında YBÜye yatış eksitus sıklığı anlamlı düzeyde daha fazlaydı p0,05. Yaralanma saptanan fasiyal kemiğe göre YBÜye yatış eksitus durumu sıklık sırasına göre şu şekildeydi: frontal 19,0, orbita 9,0, maksilla 8,3, zigoma 8,1, mandibula 8,0 ve nazal 3,6 kemik. Herhangi tipte fasiyal kemik fraktürü saptanması YBÜye yatış eksitus ile ilişkili bulundu p0,05. Sonuç olarak fasiyal yaralanmalı olgular daha çok erkeklerden oluşmakta, yaz aylarında, darp ya da düşme kaynaklı nazal fraktürle acil servise başvuru yapmaktadır. Kadınlar, daha yüksek enerjili travmaya maruz kalanlar ve fasiyal kemik fraktürü saptananlar arasında klinik sonlanım daha olumsuz olmaktadır. Bu özelliklere sahip olguların daha sıkı takip edilmesi ve erken dönemde uygun tedavinin sağlanması sağkalım ve sekel sıklığını azaltacak müdahaleler arasında değerlendirilebilir.

Makale detayları

Retrospective Analysis of Patients Presenting to the Emergency Department between 2011-2021 with Fractures in the Facial Bones

Yazarlar:

Nihal Akçalı Bostancı | Vahide Aslıhan Durak | Sümeyye Tuğba Sarkı Cander | Halil İbrahim Çıkrıklar | Buşra Altınkök Şentürk | Orhan Çavdar

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001317386

pISSN:

1300-414X

emergency department

facial bone fracture

traumaacil servis

fasiyal kemik fraktürü

travma

Sayı

Makale detayları

Retrospective Analysis of Patients Presenting to the Emergency Department between 2011-2021 with Fractures in the Facial Bones

Yazarlar: Nihal Akçalı Bostancı | Vahide Aslıhan Durak | Sümeyye Tuğba Sarkı Cander | Halil İbrahim Çıkrıklar | Buşra Altınkök Şentürk | Orhan Çavdar

Yayıncı: Bursa Uludağ University

Ana Başlıklar: Acil Tıp

Dergi: Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 1, pp.35-40

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001317386

pISSN: 1300-414X

emergency department

facial bone fracture

traumaacil servis

fasiyal kemik fraktürü

travma

Sayı

Yazarlar:

Nihal Akçalı Bostancı | Vahide Aslıhan Durak | Sümeyye Tuğba Sarkı Cander | Halil İbrahim Çıkrıklar | Buşra Altınkök Şentürk | Orhan Çavdar

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001317386

pISSN:

1300-414X