The Financial Burden of Mandibular Trauma

Dillon, Jasjit K.; Christensen, B.; McDonald, Tyler M.; Huang, Sheila H.; Gauger, P.; Gomez, Preston

doi:10.1016/j.joms.2012.04.048

Cited by 40 publications

(42 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study found that most individuals who sustained OMF were male (78.4% of all subjects) which is consistent with prior literature on the topic. 3 , 16 , 17 , 18 While most individuals in our study were white (78.8% of all subjects) there were small but non-significant increases in the proportion who were Hispanic (14% in 2020 vs. 10% in both 2019 and 2018. p=0.28) and Black/African American (14% in 2020 vs. 8% in 2019 and 5% in 2018. p=0.07). According to data from the U.S. Bureau of Labor Statistics, 19.7% of Black or African American workers can work from home compared to 29.9% of white workers.…”

Section: Discussionmentioning

confidence: 49%

“… 1 Each year over 400,000 emergency department visits involve a facial fracture in the United States contributing to a significant use of healthcare resources. 2 , 3 While the cause of facial trauma varies by geographic region, falls are the most common cause globally with assault, motor vehicle collision, bicycle collision, and sports-related injuries being other common causes. 1 , 2 , 4 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

What Is the Effect of COVID-19-Related Social Distancing on Oral and Maxillofacial Trauma?

Ludwig

Nelson

Burke

et al. 2021

Journal of Oral and Maxillofacial Surgery

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

What Is the Effect of COVID-19-Related Social Distancing on Oral and Maxillofacial Trauma?

Ludwig

Nelson

Burke

et al. 2021

Journal of Oral and Maxillofacial Surgery

Self Cite

View full text Add to dashboard Cite

“…[38394041] In resource challenged environment however, adopting this trend has been quite difficult owing to the low socioeconomic status of our patients, high cost of acquisition, specialized training and skilled needed, and limited theater space for treatment under general anesthesia especially with other competing surgical specialties. [54243] However, a recent review by Akadiri and Omitola[44] demonstrated that despite the drawbacks of closed reduction results obtained are satisfactory and quite comparable with titanium plate osteosynthesis of ORIF.…”

Section: Discussionmentioning

confidence: 99%

Facial fracture management in Northwest Nigeria

Taiwo

Soyele

Godwin

et al. 2013

J Surg Tech Case Report

View full text Add to dashboard Cite

Background:Facial fracture is gradually become a public health problem in our community due to the attendant morbidity and mortality. Hence, the aim of this study was to determine the pattern of facial fracture in Dental and Maxillofacial Surgery Department of Usmanu Danfodiyo University Teaching Hospital. This cross-sectional study was undertaken to provide information regarding gender, age, etiology, and diagnosis of patients with maxillofacial fractures.Materials and Methods:A 1-year review of patients diagnosed and treated for facial fractures in Usmanu Danfodiyo University Teaching Hospital between January 2011 and December 2011. The diagnosis was based on radiographic data and clinical examination. The main analysis outcome measures were etiology, age, gender, site, and treatment. Data were organized and presented by means of descriptive statistics and Pearson's Chi-square test. The level of significance adopted was 5%.Results:A total of 40 patients were treated in this period. Over 95% were male, 81% were caused by road traffic crash (RTC) and 86.4% were in the 21-30 years group. Most patients (52%) had mandibular fractures, and the most common site was the body. Most patients with midfacial fractures had fractures of the zygomaticomaxillary region (36%), while fractures of the parasymphyseal region were more common in the mandible 156 (31%). The most common treatment for jaw fractures was mandibulomaxillary fixation (MMF). Stable zygomatic complex fractures were reduced (elevated) intraorally, and unstable ones were supported by antral packs.Conclusions:This study highlights facial fractures secondary to RTC as a serious public health problem in our environment. Preventive strategies remain the cheapest way to reduce direct and indirect costs of the sequelae of RTC. It also bring to the fore the necessity to shift to open reduction and internal fixation (ORIF) of fractures.

show abstract

“…craniomaxillofacial fractures, and poses a significant public health burden in terms of comorbidity and financial cost. [4][5][6] The prevention of surgical site infections is a major focus of The Joint Commission Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP), 7 and the efficacy of prophylactic antibiotics has been proven in multiple clinical trials. 8 In the modern era of managed health care, it has become common practice for hospitals to closely monitor and even restrict antibiotic use in surgical patients.…”

mentioning

confidence: 99%

Antibiotics and Facial Fractures: Evidence-Based Recommendations Compared with Experience-Based Practice

Mundinger¹,

Borsuk

Okhah

et al. 2015

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

Approximately 3 million individuals suffer craniofacial trauma in the United States on a yearly basis, 1 and approximately 50% of all wounds presenting to emergency rooms involve the head and neck. 2 In 2007, facial fractures accounted for more than 400,000 emergency department admissions. 3 Surgical intervention is often necessary in the management of Keywords ► facial fracture ► antibiotic prophylaxis ► craniofacial trauma ► mandible fracture ► frontal sinus fracture ► surgical site infection AbstractEfficacy of prophylactic antibiotics in craniofacial fracture management is controversial. The purpose of this study was to compare evidence-based literature recommendations regarding antibiotic prophylaxis in facial fracture management with expert-based practice. A systematic review of the literature was performed to identify published studies evaluating pre-, peri-, and postoperative efficacy of antibiotics in facial fracture management by facial third. Study level of evidence was assessed according to the American Society of Plastic Surgery criteria, and graded practice recommendations were made based on these assessments. Expert opinions were garnered during the Advanced Orbital Surgery Symposium in the form of surveys evaluating senior surgeon clinical antibiotic prescribing practices by time point and facial third. A total of 44 studies addressing antibiotic prophylaxis and facial fracture management were identified. Overall, studies were of poor quality, precluding formal quantitative analysis. Studies supported the use of perioperative antibiotics in all facial thirds, and preoperative antibiotics in comminuted mandible fractures. Postoperative antibiotics were not supported in any facial third. Survey respondents (n ¼ 17) cumulatively reported their antibiotic prescribing practices over 286 practice years and 24,012 facial fracture cases. Percentages of prescribers administering pre-, intra-, and postoperative antibiotics, respectively, by facial third were as follows: upper face 47.1, 94.1, 70.6; midface 47.1, 100, 70.6%; and mandible 68.8, 94.1, 64.7%. Preoperative but not postoperative antibiotic use is recommended for comminuted mandible fractures. Frequent use of pre-and postoperative antibiotics in upper and midface fractures is not supported by literature recommendations, but with low-level evidence. Higher level studies may better guide clinical antibiotic prescribing practices.

show abstract

The Financial Burden of Mandibular Trauma

Cited by 40 publications

References 21 publications

What Is the Effect of COVID-19-Related Social Distancing on Oral and Maxillofacial Trauma?

What Is the Effect of COVID-19-Related Social Distancing on Oral and Maxillofacial Trauma?

Facial fracture management in Northwest Nigeria

Antibiotics and Facial Fractures: Evidence-Based Recommendations Compared with Experience-Based Practice

Contact Info

Product

Resources

About