Facial and Orbital Fractures: A Fifteen Years Retrospective Evaluation of North East Sicily Treated Patients

Abstract

Background:Orbital fractures are classified as diseases usually related to common midface trauma. It represents the most challenging treatment due to the complex anatomy, physiology, and aesthetic role. A midface trauma involves also the zygomatic complex and the nose, however the orbit fracture seems to be a more frequent disease due to its anatomical features.Objective:The purpose of this work is to retrospectively evaluate and record the frequency of the midfacial traumas and orbital fractures observed in the North Eastern Sicily. The results of the present data may be useful for the clinicians in order to recognize the kind of fracture just from the first general visit having a quick diagnosis and management.Methods:In the years between 2001 and 2016, about 1200 patients with midfacial trauma and about 100 patients involving the orbital floor have been evaluated. All those patients underwent the surgical fracture reduction and a CT scan follow up control at one month, three months, six months and one year.Results:Data showed high percentage of orbital floor, nose and mandibular body and ramus fractures; moreover the most frequent causes of fractures seem to be related to motor vehicle accident, followed by assaults, work and fall.Conclusion:The results have highlighted the changing trends in the causes of facial injuries, particularly the increasing incidence of assaults and the falling incidence of motor vehicle accidents in developed countries. The quick diagnosis and management proved fundamental for the successful treatment. Clinicians should be able to recognize the first symptoms in order to avoid possible complications.

The Quality of Life of Patients with Surgically Treated Mandibular Fractures and the Relationship of the Posttraumatic Pain and Trismus with the Postoperative Complications: A Prospective Study

“…Zazzali et al stated that healthcare professionals dealing with mandibular fractures (oral, maxillofacial and otolaryngology surgeons) identify homelessness, alcohol and drug abuse as the most important factors contributing to patient noncompliance [22]. Given the fact that the facial skeleton surgery is most commonly performed due to trauma from motor vehicle accidents or violence [23]—and that systemic disease may also affect the mandible and the temporomandibular joint, requiring treatment [24]—future studies should investigate any potential differences in the psychological outcomes of injured and non-injured patients undergoing mandibular surgery. Further analysis should span on multiple treatment methods with varying time-to-repair in order to analyze the effect of those variables on the relationship between the inflammatory symptoms and the incidence of complications.…”

Microscopic reconstruction and immunohistochemical analysis of discomalleolar ligament

“…CT examinations were performed with a Somatom Definition scanner (Siemens) using the following parameters: Kv 120, mAs 400, slice thickness of 0.2 mm [ 28 ].…”

Patterns of zygomatic complex bone fracture in Saudi Arabia

“…These figures match with the findings of other researches from different communities on the most common etiological factor of RTAs. [ 12 16 21 22 23 ] On the contrary, Gomes et al . [ 24 ] showed that falls were the main cause of injuries in their study.…”