Coincidence of mandibular fractures with isolated posterior maxillary sinus fractures

Blatt, Sebastian; Rahimi-Nedjat, Roman Kia; Sagheb, Keyvan; Piechowiak, Lisa; Brüllmann, Dan

doi:10.1111/edt.12345

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Maxillary fractures are heterogeneous and may present as part of a complex or in isolation. 73,[122][123][124][125][126][127][128][129][130][131][132] Frontal process fractures are often associated with nasal bone fractures and are generally nonoperative. 95,122 Sinus fractures are often associated with other fractures but do occur in isolation and are also often managed nonoperatively.…”

Section: Maxillary Sinus Alveolus and Hard Palatementioning

confidence: 99%

Interfacility Transfer Guidelines for Isolated Facial Trauma: A Multi-disciplinary Expert Consensus.

Pontell

Steinberg

Mackay

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: The objective of this study was to develop guidelines for the transfer of patients with isolated craniomaxillofacial trauma. Methods: A national, multidisciplinary expert panel was assembled from leadership in national organizations and contributors to published literature on facial reconstruction. The final panel consisted of five plastic surgeons, four otolaryngologist–head and neck surgeons, and four oral and maxillofacial surgeons. The expert panelists’ opinions on transfer guidelines were collected using the modified Delphi process. Consensus was predefined as 90 percent or greater agreement per statement. Results: After four Delphi consensus building rounds, 13 transfer guidelines were established, including statements on fractures of the frontal sinus, orbit, midface, and mandible, as well as soft-tissue injuries. Twelve guidelines reached consensus. Conclusions: The decision to transfer a patient with craniomaxillofacial trauma to another facility is complex and multifactorial. While a percentage of overtriage is acceptable to promote safe disposition of trauma patients, unnecessarily high rates of secondary overtriage divert emergency medical services, increase costs, delay care, overload tertiary trauma centers, and result in tertiary hospital staff providing primary emergency coverage for referring hospitals. These craniomaxillofacial transfer guidelines were designed to serve as a tool to improve and streamline the care of facial trauma patients. Such efforts may decrease the additional health care expenditures associated with secondary overtriage while decompressing emergency medical systems and tertiary emergency departments.

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Section: Maxillary Sinus Alveolus and Hard Palatementioning

confidence: 99%

Interfacility Transfer Guidelines for Isolated Facial Trauma: A Multi-disciplinary Expert Consensus.

Pontell

Steinberg

Mackay

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…Stejným způsobem to popisuje i kolektiv autorů Blatt S. a kol. z univerzity v Mainzu -na souboru 400 pacientů udávají korelaci 4,75 % [11].…”

Section: Diskuseunclassified

Mandibular Fractures and Their Relation to Facial Skeleton Trauma and Cervical Spine Damage

Mozoľa¹,

Tvrdy²,

Michl³

et al. 2021

ČSPZL

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Cíl: Studie byla zaměřena na vyhodnocení etiologických faktorů zlomenin dolní čelisti a jejich četnost, vztah k ročnímu období a souvislost s poraněním skeletu hlavy a krku. Metodika: Byla provedena retrospektivní studie úrazů dolní čelisti na Klinice ústní čelistní a obličejové chirurgie ve Fakultní nemocnici Olomouc v období od 1. 1. 2013 do 31. 12. 2017. Bylo zaznamenáno 432 pacientů, u kterých byla radiograficky verifikována fraktura dolní čelisti. Klasifikace zlomenin se řídila klasifikačním systémem společnosti AOCMF. Bylo sledováno roční období, ve kterém k úrazu došlo, mechanismus poranění a zda byly poraněny i jiné struktury skeletu obličeje a krku. Výsledky: Z celkového počtu 432 pacientů bylo diagnostikováno 250 jednoduchých fraktur. Ve 182 případech se jednalo o násobnou zlomeninu a v 77 případech došlo k poranění jiných struktur skeletu hlavy a krku. Nejčastější příčinou bylo napadení (143krát, 33,10 %), následovaly pády, úrazy cyklistů a dopravní nehody. Maximum zlomenin dolní čelisti bylo zaznamenáno v měsíci červenci (50 pacientů). Závěr: Fraktura dolní čelisti je relativně častá diagnóza, nejčastěji je způsobena brachiálním násilím. Rizikovou skupinou jsou muži ve třetím deceniu. U žen je mechanismus vzniku jiný, příčinou jsou pády bez výraznější specifikace výskytu a určité věkové skupiny. Klíčová slova: zlomeniny dolní čelisti, trauma kostry obličeje, poškození krční páteře SUMMARY Aim: The study was focused on the evaluation of etiological factors of mandibular fractures, their frequency, relationship to the season and the relationship with head and neck skeletal injuries. Methodology: A retrospective study of lower jaw injuries was performed at the Department of Oral and Maxillofacial Surgery at the Olomouc University Hospital in the period from 01. 01. 2013 to 31. 12. 2017. 432 patients with radiographically verified mandibular fracture were reported. The classification of fractures was governed by the AOCMF classification system. The season in which the injury occurred, the mechanism of the injury, and whether other structures of the skeleton of the face and neck were injured were monitored. Results: Out of a total of 432 patients, 250 simple fractures were diagnosed. In 182 cases it was a multiple fracture and in 77 cases other structures of the skeleton of the head and neck were injured. The most common cause was evaluated 143 attacks (33.10%), followed by falls, cyclist injuries and traffic accidents. The maximum of mandibular fractures was recorded in July (50 patients).

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An Update on Maxillary Fractures: A Heterogenous Group

Cohn¹,

Iezzi

Licata³

et al. 2020

Journal of Craniofacial Surgery

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Background: The purpose of this study was to review the different types of maxillary fractures and highlight their diagnostic and therapeutic differences. Methods: A retrospective chart review of patients who sustained maxillary fractures was conducted through the Einstein Healthcare Network during the years 2016–2017. Descriptive statistics and chi-square analysis were used to categorize continuous and categorical variables, respectively. Results: The cohort of patients (n = 141) were predominately African American (62%) and male (75%) with a mean age 45.3 years. The most common maxillary fracture was maxillary sinus (29%), followed by zygomaticomaxillary complex (ZMC) (26%), frontal process (20%), dentoalveolar (16%), and LeFort (9%). Dentoalveolar fractures were mostly evaluated by the oral maxillofacial surgery service (74%), while ZMC and LeFort fractures were more commonly referred to an otolaryngologist (56% and 67%, respectively). Patients with dentoalveolar fractures were more likely to undergo wire splinting (61%). All patients with frontal process and maxillary sinus fractures were managed non-operatively. Most patients with ZMC fractures were managed non-operatively (78%) while the remainder underwent open reduction internal fixation (ORIF) (22%). Patients with LeFort fractures more commonly underwent maxillomandibular fixation (MMF)/ORIF (83%). Dentoalveolar fractures were the most likely to be operated on the same day (93%) while ZMC and LeFort fractures were repaired within 1 week (88% and 100%, respectively). Conclusion: Maxillary trauma is very heterogenous in comparison to other maxillofacial trauma patterns. Each fracture type is treated uniquely and can involve one or more provider teams depending on the extent and severity of the injury, as well as hospital resources.

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Coincidence of mandibular fractures with isolated posterior maxillary sinus fractures

Abstract: A condylar process fracture of the mandible after trauma without any further injury of the midface may be associated with an isolated fracture of the lateral and/or posterior maxillary sinus.

Cited by 3 publications

References 25 publications

Interfacility Transfer Guidelines for Isolated Facial Trauma: A Multi-disciplinary Expert Consensus.

Interfacility Transfer Guidelines for Isolated Facial Trauma: A Multi-disciplinary Expert Consensus.

Mandibular Fractures and Their Relation to Facial Skeleton Trauma and Cervical Spine Damage

An Update on Maxillary Fractures: A Heterogenous Group

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