Maxillofacial trauma in a pregnant patient: Contemporary management principles with a case report &amp; review of literature

Sridharan, Geetha; Panneerselvam, Elavenil; Ponvel, Keerthana; Tarun, Swetha; Raja, V.B. Krishna Kumar

doi:10.1016/j.cjtee.2020.02.003

Cited by 3 publications

(5 citation statements)

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“…For this reason, ORIF is indicated in the setting of maxillofacial trauma in gravid women. 16,17 While 2 of the cases above recovered without complication, healing was delayed in one case. It was postulated healing was delayed due to pregnancy-induced inflammation and altered immune function.…”

Section: Discussionmentioning

confidence: 95%

“…In particular, viable fetuses > 23 weeks gestation should have continuous fetal heart monitoring and tocometry throughout the surgical procedure. 9,11,16 Tocometry postoperatively can be essential as residual effects of postoperative anesthesia may mask early contractions and delay the administration of tocolytics used to prevent preterm labor. Proper postoperative pain management is also necessary to decrease the likelihood of preterm labor.…”

Section: Discussionmentioning

confidence: 99%

“…Fetal heart rate should be monitored preoperatively and postoperatively. In particular, viable fetuses >23 weeks gestation should have continuous fetal heart monitoring and tocometry throughout the surgical procedure 9,11,16 . Tocometry postoperatively can be essential as residual effects of postoperative anesthesia may mask early contractions and delay the administration of tocolytics used to prevent preterm labor.…”

Section: Discussionmentioning

confidence: 99%

“…However, intermaxillary fixation may affect the masticatory function, which interferes with maternal and fetal nutrition. For this reason, ORIF is indicated in the setting of maxillofacial trauma in gravid women 16,17 . While 2 of the cases above recovered without complication, healing was delayed in one case.…”

Section: Discussionmentioning

confidence: 99%

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Management of Maxillofacial Trauma in Pregnant Women

Taylor,

Jabori,

Kim

et al. 2024

Journal of Craniofacial Surgery

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Introduction: Trauma during pregnancy deserves special attention as management must be directed towards both the mother and the fetus. Management of maxillofacial fractures in pregnancy can adversely affect the well-being of the fetus by impinging on normal functions such as respiration, mastication, and nutrition. Pregnancy complicates the management of facial injury due to the maintenance of the patent airway, anesthesia considerations, and imaging restraints. The purpose of this study is to use three illustrative from our own institution to further elucidate education on the management of mandible fracture in pregnancy with a focus on multidisciplinary treatment and outcomes. Methods: A retrospective chart review was performed for all cases of facial fractures admitted to Ryder Trauma Center from 2012 to 2022. During this time, 4,910 patients presented with facial fractures 1319 patients were female. Three of the patients were pregnant at the time of admission. Demographics, mechanism of injury, associated injuries, and management information were collected. Results: Patient 1 was a 20-year-old female presented to Ryder Trauma Center following a motor vehicle collision. She was 17 weeks pregnant at the time of admission and was found to have a left mandibular angle fracture. Patient 2 was a 14-year-old female who presented to Ryder Trauma Center status post gunshot wound to the mandible after she and her brother were unknowingly playing with a loaded gun. She was 18 weeks pregnant at the time of admission, with a past medical history of domestic violence, suicidal ideation, and major depressive disorder. Patient 3 was a 20-year-old female 36 weeks pregnant at the time of admission. She presented with a right paraymphyseal fracture and left mandibular angle fracture as a result of falling on the stairs. Patients all underwent surgical repair of fractures.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Management of Maxillofacial Trauma in Pregnant Women

Taylor,

Jabori,

Kim

et al. 2024

Journal of Craniofacial Surgery

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“…Sridharan et al conducted a case study to determine the importance of physiotherapy management in patients with maxillofacial trauma. [16]. According to research by Mackay et al, people with brain injuries who receive effective rehabilitation programs have higher QOL and are able to resume their activities of daily living (ADLs) more quickly [17].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Strategies for a Patient With Traumatic Multiple Fractures: A Case Report

Somaiya¹,

Patil²,

Thorat³

2022

Cureus

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Le Fort fractures are a specific kind of facial bone fracture that develops after a blow to the face. Most of the fractures of the spine occur in the thoracolumbar region. The benefits of physiotherapy, which includes manual therapies and exercise regimens, for patients are becoming more and more clear. We are going to report the case of a 25-year-old male adult with a thoracolumbar fracture and a Le Fort fracture. We made an effort to develop a post-surgical physical therapy rehabilitation program. The patient's condition and general quality of life were successfully improved. We focused on the patient's primary symptoms, which were thoracolumbar discomfort, lower limb weakness, edema and pain on the left side of the face, trismus, and restricted mouth opening. We worked on the complaints mentioned by the patient and were successful in resolving them.

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