Investigation of the relationship between facial injuries and traumatic brain injuries using a realistic subject-specific finite element head model

Tse, Kwong Ming; Tan, Leng Seow; Lee, Shu Jin; Lim, Siak Piang; Lee, Heow Pueh

doi:10.1016/j.aap.2015.03.012

Cited by 24 publications

(17 citation statements)

References 43 publications

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“…Hence, although patients with upper frontal fractures are at the greatest risk of serious brain injuries, the kinetic energy absorption by the air-filled, compressible midfacial bones can serve as a decelerating cushion, protecting adjacent intracranial structures so reducing cerebral damage. This was refuted by Martin et al, 4 although 28 years later, Kwong et al 7 used a realistic finite element head model to support the kinetic absorption theory. They…”

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confidence: 99%

Demographic features of patients with concomitant facial fractures and closed head injuries in Maricopa, Arizona

Harris

Brantley

Hammond

et al. 2018

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Native American patients had a highly significant predisposition to violence and road traffic accidents resulting in maxillofacial fractures and CHIs. The high blood alcohol levels found in this group also reflected longstanding serious sociologic problems. This study provides a useful model to investigate the relative ethnic/racial role of comminuted paranasal structures for the protection of the brain (i.e., the crumple zone).

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mentioning

confidence: 99%

Demographic features of patients with concomitant facial fractures and closed head injuries in Maricopa, Arizona

Harris

Brantley

Hammond

et al. 2018

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…Although there was no sufficient statistical significance to find, it is important to point out that the case numbers of subdural (32.43% of all second diagnosis) as well as epidural (21.28%) hematoma and subarachnoid hemorrhage (14.53%) decreased from being a second to being a fourth diagnosis whereas diagnoses such as skull and facial fracture or others were rather observed as a third or fourth diagnosis in serious injuries with more than two diagnoses apart from the main diagnosis “cerebral contusion.” For facial fractures, the intensity and location of the collision were of great significance for the severity and position of the facial bone fracture and therefore its impact as an or on a TBI. [ 24 ] Therefore, it seems to be necessary to do some more research on this topic in the future to examine the exact location of the facial fracture.…”

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confidence: 99%

Cerebral contusion: An investigation of etiology, risk factors, related diagnoses, and the surgical management at a major government hospital in Cambodia

et al. 2018

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Introduction:Cerebral contusions are a common type of injury among the Cambodian population, mostly due to road traffic accidents. This article aims to assess various aspects around brain contusion focusing on the condition at admission, residing province, mechanism and time of injury, age and sex distribution with differing helmet wearing, and alcohol consumption patterns. Hospitalization-related data such as treatment and outcome were analyzed.Methods:This was a retrospective analysis of 406 cases who have been admitted during the period between May 2013 and May 2016.Results:Two hundred and ninety-five (75.51%) of the patients came from rural areas, 312 (76.84%) were male (mean age 31.17 ± 12.90 years for males and 38.5 ± 16.29 years for females). The average hospital stay amounted to 10.51 ± 6.67 days. One hundred and eight two cases (52.29%) happened between 4.00 and 11.00 p.m. Three hundred and nineteen (79%) of the injured patients were motorcycle drivers and 18% pedestrians. Male patients had an alcohol involvement in 135 (49.45%) (females in 5 [6.25%]) cases and 26 (10%) wore a helmet (females in 5 [6.25%]). Surgery was performed in 82 cases, specifically craniotomy and craniectomy +/− elevation of a depressed skull fracture. Two hundred and ninety-six (73.09%) patients showed related second diagnosis, mostly subdural hematoma in 96 (32.43%) and epidural hematoma in 63 (21.28%) cases. Fifty patients (13.16%) had a Glasgow Coma Scale of 3–8. 92 (24.21%) of 9–12 and 238 (62.63%) of 13–15 on admission. Most of the patients were discharged with an improved status 324 (91.52%) according to the Glasgow Outcome Scale 4 or 5.Conclusion:The severity and resulting neurologic impairment of cerebral contusions show the importance of more in-depth research and prevention programs.

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“…There is a reputation that the face protects the brain from head injury. 1 , 2 However, less certain evidence exists that facial fractures prevent brain injury acting as a shock absorber, although there are many reports that facial fractures are a marker for increased risk of brain injury. 3 – 5 We report 2 meaningful cases of the sphenozygomatic fracture with history of the Caldwell-Luc operation for chronic sinusitis.…”

Section: Sirmentioning

confidence: 99%

The Cranial Base Fracture after the Caldwell-Luc Operation

Iwao

Nakashima

Yano

2015

Plastic and Reconstructive Surgery - Global Open

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Investigation of the relationship between facial injuries and traumatic brain injuries using a realistic subject-specific finite element head model

Cited by 24 publications

References 43 publications

Demographic features of patients with concomitant facial fractures and closed head injuries in Maricopa, Arizona

Demographic features of patients with concomitant facial fractures and closed head injuries in Maricopa, Arizona

Cerebral contusion: An investigation of etiology, risk factors, related diagnoses, and the surgical management at a major government hospital in Cambodia

The Cranial Base Fracture after the Caldwell-Luc Operation

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