Associated injuries in patients with facial fractures: a review of 604 patients.
Facial fractures may be associated with concomitant lesions of other parts of body with some of these injuries being life-threatening. This retrospective study reports the types of associated injury and the factors influencing their occurrence, in patients with facial fractures. In 18.2% of 604 patients, one associated injury at least was recorded. The most common associated injury was cranial trauma (9.9%), followed by limbs fractures (9.1%), chest trauma (2%), spine injury (0.5%) and eye ball rupture (0.5%). A poly trauma was recorded in 3.2% of the patients who had sustained a cerebral trauma, a spinal injury or a thoracic trauma. Death occurred in two patients (0.3%) who had respectively a spinal injury and a chest trauma. The occurrence of associated injuries correlated significantly with the fracture type with solitary mandibular fracture being a significant predictor of associated injuries. Although not statistically significant, multiple facial fractures and violence were more associated with concomitant injuries. The findings of this study recall the need for initial full examination of the trauma patients particularly victims of violence, patients presenting with multiple facial fractures or single facial bone fracture involving the mandible, the trauma patients? multidisciplinary management as well as trauma prevention.
Department of Oral and Maxillofacial Surgery, CHU Sanou Souro, Burkina Faso.
Rasmané
R
Béogo
Department of Orthopaedics and Trauma surgery, CHU Sanou Souro, Burkina Faso.
Patrick
P
Dakouré
Department of Epidemiology and Public Health, CHU Sanou Souro, Burkina Faso.
Léon Blaise
LB
Savadogo
Department of Oral and Maxillofacial Surgery, CHU Sanou Souro, Burkina Faso.
Antoine Toua
AT
Coulibaly
Department of OtoRhino Laryngology, CHU Yalgado Ouédraogo, Burkina Faso.
Kampadilemba
K
Ouoba
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005147:Facial Bones / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology*; D012189:Retrospective Studies; D012887:Skull Fractures / Q000453:epidemiology*; D055815:Young Adult
Associated injury; Face; Facial fracture