Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients
Background: Knowing the severity of a pathology in a population helps to both establish a rapid diagnosis and to prepare medical staff to provide adequate and complete treatment. The aim of this study was to determine the patterns of maxillofacial fractures and their associated soft tissue injuri...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/428411 |
| _version_ | 1797206509988347904 |
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| author | Raluca-Iulia Juncar Paul Andrei Tent Antonia Harangus Mihai Juncar |
| author_facet | Raluca-Iulia Juncar Paul Andrei Tent Antonia Harangus Mihai Juncar |
| author_sort | Raluca-Iulia Juncar |
| collection | DOAJ |
| description | Background: Knowing the severity of a pathology in a population helps to both
establish a rapid diagnosis and to prepare medical staff to provide adequate and complete treatment.
The aim of this study was to determine the patterns of maxillofacial fractures and their associated soft
tissue injuries in order to identify the specific types of maxillofacial fractures with the highest incidence
of associated soft tissue injuries.
Methods: A 10-year retrospective evaluation of maxillofacial trauma was performed on 1007 patients.
All 1007 patients were clinically and paraclinically confirmed to have facial skeletal injuries.
Results: The highest incidence of maxillofacial fractures was found in the mandible (62.16%), the
mandibular angle being the most frequently involved (28.84%). Most of the fractures were complete
(97.82%), displaced (87.98%) and closed (86.30%). Hematoma was the most common associated
soft tissue injury (44.79%). In mandibular trauma, the incidence of hematoma and laceration was the
highest in angle and simultaneous multiple fracture lines (p=0.002). In the midface, hematoma was
more frequently associated with non-comminuted zygomatic bone fractures (p=0.003), while laceration
was associated with multiple underlying fracture lines (p=0.002).
Conclusions: Patients presenting with hematomas will most frequently have an underlying single
closed fracture line, while patients with lacerations will most frequently present underlying multiple
and displaced fractures. |
| first_indexed | 2024-04-24T09:08:09Z |
| format | Article |
| id | doaj.art-4f9f3290bce04dabb3397f09f16decfc |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:08:09Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-4f9f3290bce04dabb3397f09f16decfc2024-04-15T18:21:25ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.341242010.20471/acc.2022.61.03.06Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 PatientsRaluca-Iulia Juncar0Paul Andrei Tent1Antonia Harangus2Mihai Juncar3Department of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, RomaniaDepartment of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, RomaniaResearch Center for Functional Genomics, Biomedicine and Translational Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, RomaniaDepartment of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, RomaniaBackground: Knowing the severity of a pathology in a population helps to both establish a rapid diagnosis and to prepare medical staff to provide adequate and complete treatment. The aim of this study was to determine the patterns of maxillofacial fractures and their associated soft tissue injuries in order to identify the specific types of maxillofacial fractures with the highest incidence of associated soft tissue injuries. Methods: A 10-year retrospective evaluation of maxillofacial trauma was performed on 1007 patients. All 1007 patients were clinically and paraclinically confirmed to have facial skeletal injuries. Results: The highest incidence of maxillofacial fractures was found in the mandible (62.16%), the mandibular angle being the most frequently involved (28.84%). Most of the fractures were complete (97.82%), displaced (87.98%) and closed (86.30%). Hematoma was the most common associated soft tissue injury (44.79%). In mandibular trauma, the incidence of hematoma and laceration was the highest in angle and simultaneous multiple fracture lines (p=0.002). In the midface, hematoma was more frequently associated with non-comminuted zygomatic bone fractures (p=0.003), while laceration was associated with multiple underlying fracture lines (p=0.002). Conclusions: Patients presenting with hematomas will most frequently have an underlying single closed fracture line, while patients with lacerations will most frequently present underlying multiple and displaced fractures.https://hrcak.srce.hr/file/428411Maxillo-facial fracturesTraumaSoft tissue injuriesFacial traumaFacial fractures |
| spellingShingle | Raluca-Iulia Juncar Paul Andrei Tent Antonia Harangus Mihai Juncar Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients Acta Clinica Croatica Maxillo-facial fractures Trauma Soft tissue injuries Facial trauma Facial fractures |
| title | Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients |
| title_full | Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients |
| title_fullStr | Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients |
| title_full_unstemmed | Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients |
| title_short | Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients |
| title_sort | patterns of facial fractures and associated soft tissue injuries a retrospective study on 1007 patients |
| topic | Maxillo-facial fractures Trauma Soft tissue injuries Facial trauma Facial fractures |
| url | https://hrcak.srce.hr/file/428411 |
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