Facial trauma: A retrospective study of 1262 patients

Abstract

Introduction: Traumatic injuries are the leading cause of death among <40 year olds, a good part of the working age population. Traumatic injuries are also the leading cause of lost productivity, causing more lost working days than cancer or vascular cardiomyopathy. Materials and Methods: We retrospectively and statistically analyzed the characteristics of facial fractures treated between June 2010 and December 2016 at the Maxillofacial Adult Surgery Unit, Spedali Civili Brescia, Italy. Discussion: Facial fractures are common in polytrauma patients, due to exposure of the cephalic end. The incidence of concomitant facial injuries with major trauma is 15%–24% in England (between Liverpool and London) and up to 34% in Washington, based on a large database of 87,174 patients. High-energy trauma frequently involving multiple traumatic injuries often leads to complex facial fractures, affecting different portions of the splanchnocranium. Conclusions: Treatment of facial fractures often focuses on functional or esthetic outcomes, and the outcomes are often substantially worse than those of other trauma treatments. Given the esthetic value of the face, facial trauma often leads to heightened emotional distress.

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

“…In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 . Traumas as a result of road accidents also decreased: these represented 14.2% of traumas during the 2020 lockdown period in the present study compared to 20–32% in the literature 5 , 6 , 7 . However, the percentage of traumas due to domestic accidents and assaults was observed to be increased relative to the other aetiologies of the trauma.…”

“…There were hardly any fractures due to sports or leisure trauma, which can easily be explained by the implementation of the lockdown measures, and this partly accounts for the reduction in overall number of traumas. The reduction also resulted from an overall decrease in all trauma causes, which the participating surgical departments are already familiar with and has been reported in the literature 5 , 6 , 7 , 8 . In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 .…”

“…The reduction also resulted from an overall decrease in all trauma causes, which the participating surgical departments are already familiar with and has been reported in the literature 5 , 6 , 7 , 8 . In the present study, sports and leisure traumas were responsible for 4.7% of facial fractures during the 2020 lockdown period, whereas these accounted for 11–21% of traumas in the literature 5 , 6 , 7 , 8 . Traumas as a result of road accidents also decreased: these represented 14.2% of traumas during the 2020 lockdown period in the present study compared to 20–32% in the literature 5 , 6 , 7 .…”

Economical treatment-related burden assessment of maxillofacial trauma among Ukrainians patients

“…Providing retrospective study Bocchialini and Castellani (2019) had found that increase of FISS score parameter by 1 point associated with the increase in hospitalization duration on 12% (1.44 days) 23 . More pronounced relationship between FISS score and length of hospital stay was described in Siregar et al study (2019) 24 .…”

“…Under the conditions of retrospective study, it was found the FISS scores greater than 5 causing 18 times more chances to be hospitalized compare to the situations when FISS score was lower than 6, while FISS scores greater than 5 were also statistically associated with need of minimum 3 days hospitalization (P < 0.01) 25 . Other researchers highlighted that level of FISS≤3 was relevant for cases of maxillofacial trauma hospitalization up to 6 days, while FISS level of greater than 12 in most cases caused hospitalization for more than 10 days 23 . Bagheri himself as an author of FISS scoring system mentioned that even though such demonstrated statistical association with the hospitalization duration, but it could not be categorized as fully reliable predictor 9 .…”