Facial Trauma

Hollier, Larry H.; Sharabi, Safa E.; Koshy, John C.; Stal, Samuel

doi:10.1097/scs.0b013e3181e5701c

Cited by 45 publications

(16 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, fractures of the frontal bone are associated with high impact trauma and dynamic forces, such as traffic accidents, assaults, and sport accidents (May, 1970; Tiwari et al, 2005; Bell et al, 2007; Mithani et al, 2009). The injuries of the frontal region are varying, as they range from isolated fractures of the anterior sinus' wall, to very complex fractures involving the orbit and skull base (Strong et al, 2006; Holier et al, 2010; Dimitrijevic et al, 2014). Fracture pattern and its complexity depend on many factors, such as impact force intensity and direction, site of impact, and frontal bone quality.…”

Section: Introductionmentioning

confidence: 99%

Trauma of the Frontal Region Is Influenced by the Volume of Frontal Sinuses. A Finite Element Study

et al. 2017

View full text Add to dashboard Cite

Anatomy of frontal sinuses varies individually, from differences in volume and shape to a rare case when the sinuses are absent. However, there are scarce data related to influence of these variations on impact generated fracture pattern. Therefore, the aim of this study was to analyse the influence of frontal sinus volume on the stress distribution and fracture pattern in the frontal region. The study included four representative Finite Element models of the skull. Reference model was built on the basis of computed tomography scans of a human head with normally developed frontal sinuses. By modifying the reference model, three additional models were generated: a model without sinuses, with hypoplasic, and with hyperplasic sinuses. A 7.7 kN force was applied perpendicularly to the forehead of each model, in order to simulate a frontal impact. The results demonstrated that the distribution of impact stress in frontal region depends on the frontal sinus volume. The anterior sinus wall showed the highest fragility in case with hyperplasic sinuses, whereas posterior wall/inner plate showed more fragility in cases with hypoplasic and undeveloped sinuses. Well-developed frontal sinuses might, through absorption of the impact energy by anterior wall, protect the posterior wall and intracranial contents.

show abstract

Section: Introductionmentioning

confidence: 99%

Trauma of the Frontal Region Is Influenced by the Volume of Frontal Sinuses. A Finite Element Study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…However, other injuries, such as suspected fractured zygoma, may be more appropriate as it is often helpful to allow a period for the swelling to resolve so that a more accurate assessment can be made. Delays of 5 to 7 days are not at all unreasonable, allowing time for a telemedicine appointment to be arranged [3]. For those patients that do require treatment, telemedicine has been shown to improve surgery by increasing expert involvement in care at an early stage [10].…”

Section: Discussionmentioning

confidence: 99%

“…Complex lacerations and fractures of the mandible requiring surgical treatment will tend to be admitted to the oral and maxillofacial department and operated on as soon as possible. Other bony facial injuries will be reviewed on an out-patient basis before a decision on definitive treatment is made [3]. …”

Section: Introductionmentioning

confidence: 99%

Oral and Maxillofacial Trauma and the Use of Telemedicine in the Grampian Region of Scotland: a Retrospective Study

Hutchison¹,

Morrison

2012

JOMR

View full text Add to dashboard Cite

ObjectivesTo evaluate the amount and nature of adult facial trauma in Aberdeen, Scotland's third largest city, that requires referral to Aberdeen Royal Infirmary oral and maxillofacial surgery department by the Emergency Department and Grampian's telemedicine service over a six month period.Material and MethodsA retrospective audit using oral and maxillofacial surgery trauma clinic and theatre records to identify Emergency Department (ED) notes for those patients presenting with facial trauma. ED notes were examined to extract demographic data on each patient as well as information on the nature and outcomes of the facial trauma. This data was compared with previously published national and international statistics.Results137 patients were identified with a mean age of 33.7 years with a standard deviation of 16.7. 83.2% of facial trauma victims were male and 62% of facial injuries were caused by alleged assault. Only 1 patient was referred to Aberdeen Royal Infirmary by telemedicine.Conclusions Aberdeen has a high number of injuries caused by interpersonal violence. Telemedicine is an underused resource in the referral and review of facial trauma at Aberdeen Royal Infirmary.

show abstract

“…Independent from the severity and the fracture type, the basis of successful therapy of midfacial fractures is the restoration of the supporting pillar of the midface, the bony prominences, the bone cavities (e.g. orbit), and correct occlusion [ 12 ], [ 13 ], [ 14 ]. Definitive surgical therapy aims at an exact three-dimensional reconstruction of the skeletal structures in order to restore the face with its original width, height, and sagittal projection [ 13 ].…”

Section: Basics Of Traumatology Of the Midfacementioning

confidence: 99%