Traumatismes faciaux au CHU de Grenoble

Lebeau, J.; Kanku, V.; Duroure, F.; Morand, B.; Sadek, H.; Raphael, Beverley

doi:10.1016/s0035-1768(06)76977-7

Cited by 24 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ENT injuries occur in all age groups; however, mechanisms and causes differ between children and adults (Arif et al, 2006). Male predominance in the present study was similar to different previous research findings ( Lebeau et al, 2006;Bouguila et al, 2008a;Abbas et al, 2009;Keita et al, 2010;Hashim and Iqbal, 2011;Onotai and Ibekwe, 2010;Bhatia and Tuli, 2017). The fact that males are more physically active than their female counterparts and engaged in high risk activities, thus being more vulnerable to trauma, can explain the observed gender differential susceptibility of ORL injuries.…”

Section: Discussionsupporting

confidence: 93%

Medico-legal Aspects of Otorhinolaryngeal, Face and Neck Injuries in Upper Egypt: A Prospective Analysis and Retrospective Evaluation of Claimed Disabilities

Shehaby

Ragaey²,

Omeran

2019

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

View full text Add to dashboard Cite

Background: Trauma to the ear, nose, throat and face regions is of medicolegal importance as these regions are vulnerable to injury and often associated with mortality and varying degrees of physical, functional and psychological damages. The long-run complications may raise medicolegal claims in the court proceeding. Objectives: to assess the medicolegal aspects of otorhinolaryngeal (ORL) trauma cases alongside a retrospective evaluation of alleged long-term complications or disabilities following those types of injuries. Patient & Methods: The study included two parts. A descriptive cross-sectional, prospective part included 100 cases of ORL trauma who attended the ENT (Ear, nose and throat) department of Assiut University Hospitals, Upper Egypt during a one-year period. A second retrospective part included all (60) referred cases for ENT consultancy to confirm or deny the medicolegal claims of associated infirmities or disfigurements during the period from 2014 to 2017. Results: The examined presented cases were of mean age 21.43±12.4 years with male predominance. Road traffic accidents (RAT) were the main mechanism of injury (44%) followed by violent assaults (23%), fall from a height (22%), and lastly firearm injuries (11%). Unintentional trauma was the commonest manner for injuries infliction followed by homicidal attacks. The nose was the commonest site of injury followed by ear, then neck and throat regions. Most cases had simple wounds with only one fatal case. Permanent infirmity was expected to be the fate only in 4% of the presented cases. The retrospective analysis revealed that the patients were of a mean age 41.8±1.4 years with male predominance as well. Violent assaults were the commonest cause of claimed disabilities and sensorineural hearing loss was the main reported complication, followed by nasal deformities. False patients' allegations were unexpectedly the highest percentage reported while; true claims were the second common outcome, mainly in cases with nasal deformity. Conclusion: The present study addressed a differential pattern of prospectively presented ORL injuries, and retrospective associated disabilities or long-term complications. Early careful diagnoses and proper treatment can prevent deformity and permanent infirmity following ORL injuries. Further, a good knowledge of the legal implications of ORL associated complications can exclude fabricated claims.

show abstract

Section: Discussionsupporting

confidence: 93%

Medico-legal Aspects of Otorhinolaryngeal, Face and Neck Injuries in Upper Egypt: A Prospective Analysis and Retrospective Evaluation of Claimed Disabilities

Shehaby

Ragaey²,

Omeran

2019

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

View full text Add to dashboard Cite

show abstract

“…Only patients who were transported directly to our department were included in this study. Were excluded patients who were transferred only subsequently to our department, that is (1) patients with large skin or blasted lesions (n = 6), and (2) patients with major facial trauma, including naso-orbital-ethmoidal (n = 2) and Le Fort fractures (n = 12). Because of other major traumatic injuries or neurological complications, such patients received initial treatment in another department, including the intensive care unit.…”

Section: Methodsmentioning

confidence: 99%

“…Statistical analysis was performed using Student’s t-test, one-way analysis of variance (ANOVA) followed by a post hoc Student-Newman-Keuls test or chi-square test. Trends over the study period were assessed by using (1) linear regression analysis and (2) comparing means within two 4-years periods, at the beginning (from 1997 to 2000) and end (from 2004 to 2007) of the study period. The level of significance was set at P < 0.05.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Dang¹,

Barthélémy²,

Orliaguet³

et al. 2014

Med Oral

View full text Add to dashboard Cite

Purpose: This study evaluated the trends and factors associated with maxillofacial fractures treated from 1997 to 2007 in the Oral and Maxillofacial Surgery Department of the Clermont-Ferrand University Hospital. Material and Methods: This study included 364 patients of which 82% were men and 45%, 20-29-years old. The etiology, anatomical distribution, treatment modality and complications of maxillofacial fractures were examined. Results: Overall, interpersonal violence, traffic accidents and falls were the most common mechanisms of injury. There was a decreasing trend in traffic accidents and increasing one in falls as a cause of fracture over the 11-years period of this study. Young male patients were preferentially victim of interpersonal violence and traffic accidents, while middle-aged ones were of falls and work-related accidents. Middle-aged female patients were preferentially victim of traffic accidents and interpersonal violence, while older ones were of falls. And the number of fractures per patient varied according to the mechanism of injury: low after work-related accidents and high after traffic accidents. About two-third of fractures involved the mandible. Most of these mandibular fractures were treated by osteosynthesis with or without intermaxillary fixation, with the proportion of the latter increasing over time. There were very few postoperative infections and only in mandible. Conclusions: Maxillofacial fractures predominantly occur in young men, due to interpersonal violence. There is nevertheless an increasing trend in falls as a cause of fracture, especially in female patients, consistent with the increasing trend in presentation of older people. Most maxillofacial fractures involve the mandible and there is an increasing trend in treating these fractures by osteosynthesis without intermaxillary fixation. Antibiotic prophylaxis associated with dental hygiene care can be indicated to prevent postoperative infections. Key words:Maxillofacial fractures, Epidemiology, Trends, Influencing factors, Fall, Age, Gender, Antibiotic prophylaxis.

show abstract

“…hospitals located in mountain areas of Central-Northern Europe and India report a broader series of cases 7, 8, 9. Diagnostic accuracy together with type and timing of treatments significantly affect the clinical evolution of such traumas, allowing to improve functional results and limit cosmetic damages.…”

Section: Introductionmentioning

confidence: 99%

Maxillofacial and concomitant serious injuries: An eight-year single center experience

Famà

Cicciù

Sindoni

et al. 2017

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeMaxillofacial injuries are frequently associated with multiple trauma and can determine functional and aesthetic bad outcomes. The severity of maxillofacial injuries may be considerable and can divert clinicians' attention from other concomitant injuries which is less evident but potentially life-threatening. The aim of this study was to find out the concomitant injuries in patients referred to the Emergency Department (ED) of the University Hospital of Messina (North-East Sicily, Italy) for maxillofacial traumas.MethodsWe retrospectively evaluated data of 240,833 patients admitted at the ED of the University Hospital of Messina from January 2008 to December 2015 because of maxillofacial injuries leading to hospitalization and surgical treatment. Patients who primarily received treatment care at different institutions, pediatric trauma patients and adult patients who were transferred in accordance with pre-existing agreements in case of paucity of beds were excluded. Finally we included 447 (0.2%) patients over the 8 years. Data were evaluated with emphasis on epidemiology (age, gender, mechanism of trauma), primary survey and abnormalities and pattern of trauma.ResultsThe most frequent cause of maxillofacial trauma was road accidents (319 patients, 71.4%), among which motorcycle ones were prevalent. The maxillofacial injured who presented major lesions were 98 patients and minor lesions occurred in 349 patients; 443 (99.1%) patients underwent maxillofacial surgery, immediate or delayed depending on the severity of concomitant injuries (χ2 = 557.2, p < 0.0001). Five concomitant neglected lesions were found to be associated with severe maxillofacial traumas (χ2 = 17.13, p < 0.0001 vs minor lesions). All of the neglected lesions occurred in paucisymptomatic patients who showed painless abdomen, no hemodynamic instability, no signs of hematoma of anterior and posterior abdominal wall or other suspicious clinical signs and symptoms.ConclusionAmong the patients admitted firstly in other surgical wards different from the Maxillofacial Surgery Unit, diagnosis was more difficult, especially for blunt abdominal traumas, in which patients showed only vague and nonspecific symptoms concealing serious and life-threatening injuries. We recommend the routine use of whole body CT scan, when the maxillofacial injuries appear prevalent, mainly in patients affected by maxillofacial major lesions.

show abstract

Traumatismes faciaux au CHU de Grenoble

Cited by 24 publications

References 3 publications

Medico-legal Aspects of Otorhinolaryngeal, Face and Neck Injuries in Upper Egypt: A Prospective Analysis and Retrospective Evaluation of Claimed Disabilities

Medico-legal Aspects of Otorhinolaryngeal, Face and Neck Injuries in Upper Egypt: A Prospective Analysis and Retrospective Evaluation of Claimed Disabilities

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Maxillofacial and concomitant serious injuries: An eight-year single center experience

Contact Info

Product

Resources

About