The Prevalence of Brain and Neck Injuries in Patients with Maxillofacial Fractures in Teaching Hospitals of Rasht in 2016
- 1 Department of Oral and Maxillofacial Surgery, Dental Sciences Research Center, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
- 2 Department of Neurosurgery, Faculty of Medicine, University of Medical Sciences, Rasht, Iran
- 3 Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran
- 4 Craniomaxillofacial Research Center, Islamic Azad University, Tehran, Iran
- 5 Department of Orthodontics and Dentofacial Orthopaedics, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran
- 6 Department of Orthodontics and Dentofacial Orthopaedics, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran
- 7 Department of Orthodontics and Dentofacial Orthopaedics, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran
Abstract
This study aimed to determine the prevalence of brain and neck injuries in patients with maxillofacial fractures in teaching hospitals of the city of Rasht in 2016. This is an analytical retrospective study. Some 361 patients of the training centers of Rasht who had been diagnosed with maxillofacial fractures entered the study, 286 of which were male and 75 were female. Information was collected through questionnaires and patients’ records who admitted to Emergency Department of Poursina and Velayat Hospitals with maxillofacial fractures. The patients were examined to see whether they have brain and cervical spine injuries. The diagnosis of the fracture and brain and neck injuries had been separately written by the related doctors on the records of the patients based on clinical examination and Plain radiography and CT scans. After data collection, the results were analyzed. The results showed that 61 percent of the fractures were due to accidents. Among the most common spine damages, 77 percent were related to bone fractures. The highest frequency of brain damages was related to Extradural Hematoma by 23.65 percent. Results of the treatments also showed that 76% of the patients were partially recovered.
- Lalani, Z. and Bonanthaya, K.M. (1997) Cervical Spine Injury in Maxillofacial Trauma. British Journal of Oral and Maxillofacial Surgery, 35, 243-245. https://doi.org/10.1016/S0266-4356(97)90041-3
- Naghavi, M. (2003) Mortality in 18 Provinces of Iran in 1380. Health Deputy. Iran Ministry of Health and medical Education, Tehran, 171-173.
- Hoyt, D.B., Coimbra, R. and Potenza, B. (2004) Management of Acute Trauma. In: Townsend, C.M., Beauchamp, R.D., Evers, B.M. and Mattox, K., Eds., Sabiston Textbook of Surgery, 17th Edition, WB Saunders, Philadelphia, 483.
- Mukherjee, S., Abhinav, K. and Revington, P.J. (2015) A Review of Cervical Spine Injury Associated with Maxillofacial Trauma at a UK Tertiary Referral Centre. Annals of the Royal College of Surgeons of England, 97, 66-72. https://doi.org/10.1308/003588414X14055925059633
- Shazia, Y. (2014) Facial Traumatic among Patients with Head Injuries. Journal of IMAB, 20, 535-538. https://doi.org/10.5272/jimab.2014206.535
- Lindqvist, C. and Lizuka, T. (1990) Facial Trauma as a Result of Work-Related Accidents. Suom Hammaslaakarilehti, 37, 872-881.
- Manson, P.N. (1990) Facial Injuries. In: McCarthy, J.G., Ed., Plastic Surgery, WB Saunders Co., Philadelphia, 867-1141.
- Kwon, P.H. and Laskin, D.M. (2000) Clinician’s Manual of Oral and Maxillofacial Surgery. 3rd Edition, Quintessence, Chicago, 9.
- Grant, A.L., Ranger, A., Young, G.B. and Yazdani, A. (2012) Incidence of Major and Minor Brain Injuries in Facial Fractures. Journal of Craniofacial Surgery, 23, 1324-1328. https://doi.org/10.1097/SCS.0b013e31825e60ae
- Haug, R.H., Savage, J.D., Likavec, M.J. and Conforti, P.J. (1992) A Review of 100 Closed Head Injuries Associated with Facial Fractures. Journal of Oral and Maxillofacial Surgery, 50, 218-222. https://doi.org/10.1016/0278-2391(92)90315-Q
- Kraus, J.F., Rice, T.M., Peek-Asa, C. and McArthur, D.L. (2003) Facial Trauma and the Risk of Intracranial Injury in Motorcycle Riders. Annals of Emergency Medicine, 41, 18-26. https://doi.org/10.1067/mem.2003.1
- Keenan, H.T., Brundage, S.I., Thompson, D.C., Maier, R.V. and Rivara, F.P. (1999) Does the Face Protect the Brain? A-Case-Control Study of Traumatic Brain Injury and Facial Fractures. Archives of Surgery, 134, 14-17. https://doi.org/10.1001/archsurg.134.1.14
- Ansari, M.H. (2004) Maxillofacial Fractures in Hamedan Province, Iran: A Retrospective Study (1987-2001). Journal of Cranio-Maxillo-Facial Surgery, 32, 28-34. https://doi.org/10.1016/j.jcms.2003.07.010