Recent technological advances have led to improvements in social well being of man’s life in all aspects. This improving and advanced lifestyle is the major cause for some debilitating problems like road traffic accidents. Statistical analysis in literature shows that head and maxillofacial injuries are the most common of these injuries. Recent studies show that fractures of midface are strongly associated with a high mortality rate. The exact relationship between different types of facial fractures and brain injuries is still controversial. Purpose: To evaluate the individuals with fractures of midface from different etiologies and determine if there is any relationship between various fractures of midface acting as a buffer mechanism for head injuries. Materials and Methods: Retrospective study was done to assess all the patients with midface fractures at the trauma center in a rural area in India. The etiologic and demographic data, the type of midface fracture and brain injury, and Glasgow coma scale were assessed. Results: Of 59 patients, 33 patients had head injury. The important correlations were as follows: Le Fort III with brain contusion, nasal orbital ethmoid fractures with subdural hematoma, frontal fracture with subdural hematoma, zygomatic complex fracture with brain contusion. Nasal fracture correlated with brain contusion. The zygomatic complex fracture was the most prevalent fracture. Conclusion: Different midface fracture patterns have the risk of different types of simultaneous brain injuries. So midface fractures absorb the forces of impact to a great extent and prevent the severity of head injuries and high mortality rate.
| Published in |
Science Journal of Public Health (Volume 3, Issue 1-1)
This article belongs to the Special Issue Health Behavior and Public Health |
| DOI | 10.11648/j.sjph.s.2015030101.15 |
| Page(s) | 29-32 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
Maxillofacial Trauma, Head Injury, Road Traffic Legislation
| [1] | Pappachan B, Alexander M. Correlating facial fractures and cranial injuries. J Oral Maxillofac Surg 2006; 64: 1023-1029. |
| [2] | Kraus JF, Rice TM, Peek-Asa C, McArthur DL. Facial trauma and the risk of intracranial injury in motorcycle riders. Ann Emerg Med 2003; 41: 18-26. |
| [3] | Keenan HT, Brundage SI, Thompson DC, Maier RV, Rivara FP. Does the face protect the brain? A casecontrol study of traumatic brain injury and facial fractures. Arch Surg 1999; 134: 14-17. |
| [4] | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974; 2(7872): 81-84. |
| [5] | Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990; 48: 926-932. |
| [6] | Ozkaya O, Turgut G, Kayali MU, Uğurlu K, Kuran I, Baş L. A retrospective study on the epidemiology and treatment of maxillofacial fractures. Ulus Travma Acil Cerrahi Derg 2009; 15: 262-266. |
| [7] | Keenan HT, Brundage SI, Thompson DC, Maier RV, Rivara FP. Does the face protect the brain? A casecontrol study of traumatic brain injury and facial fractures. Arch Surg 1999; 134: 14-17. |
| [8] | Rowe NL, Killey HC: Fractures of the facial skeleton. 2nd ed., Livingstone: London; 1968. p. 857. |
| [9] | Turvey TA. Midfacial fractures: a retrospective analysis of 593 cases. J Oral Surg 1977; 35: 887-891. |
| [10] | Adekeye EO. The pattern of fractures of the facial skeleton in Kaduna, Nigeria. A survey of 1,447 cases. Oral Surg Oral Med Oral Pathol 1980; 49: 491-495. |
| [11] | Brandt KE, Burruss GL, Hickerson WL, White CE, DeLozier JB 3rd. The management of midface fractures with intracranial injury. J Trauma 1991; 31: 15- 19. |
| [12] | Lee KF, Wagner LK, Lee YE, Suh JH, Lee SR. The impact-absorbing effects of facial fractures in closedhead injuries. An analysis of 210 patients. J Neurosurg 1987; 66: 542-547. |
| [13] | Obuekwe ON, Etetafia M. Associated injuries in patients with maxillofacial trauma. Analysis of 312 consecutive cases due to road traffic accident. J Med Biomed Res. 2004;3:30–6. |
| [14] | Hogg NJ, Stewart TC, Armstrong JE, Girotti MJ. Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997. J Trauma. 2000;49:425–32. |
| [15] | Plaisier BR, Punjabi AP, Super DM, Haug RH. The relationship between facial fractures and death from neurologic injury. J Oral Maxillofac Surg 2000; 58: 708-712 |
APA Style
Mohammad Akheel, Suryapratap Singh Tomar. (2014). Midface – Cushion for Head Injuries. Science Journal of Public Health, 3(1-1), 29-32. https://doi.org/10.11648/j.sjph.s.2015030101.15
ACS Style
Mohammad Akheel; Suryapratap Singh Tomar. Midface – Cushion for Head Injuries. Sci. J. Public Health 2014, 3(1-1), 29-32. doi: 10.11648/j.sjph.s.2015030101.15
AMA Style
Mohammad Akheel, Suryapratap Singh Tomar. Midface – Cushion for Head Injuries. Sci J Public Health. 2014;3(1-1):29-32. doi: 10.11648/j.sjph.s.2015030101.15
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Download@article{10.11648/j.sjph.s.2015030101.15,
author = {Mohammad Akheel and Suryapratap Singh Tomar},
title = {Midface – Cushion for Head Injuries},
journal = {Science Journal of Public Health},
volume = {3},
number = {1-1},
pages = {29-32},
doi = {10.11648/j.sjph.s.2015030101.15},
url = {https://doi.org/10.11648/j.sjph.s.2015030101.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.s.2015030101.15},
abstract = {Recent technological advances have led to improvements in social well being of man’s life in all aspects. This improving and advanced lifestyle is the major cause for some debilitating problems like road traffic accidents. Statistical analysis in literature shows that head and maxillofacial injuries are the most common of these injuries. Recent studies show that fractures of midface are strongly associated with a high mortality rate. The exact relationship between different types of facial fractures and brain injuries is still controversial. Purpose: To evaluate the individuals with fractures of midface from different etiologies and determine if there is any relationship between various fractures of midface acting as a buffer mechanism for head injuries. Materials and Methods: Retrospective study was done to assess all the patients with midface fractures at the trauma center in a rural area in India. The etiologic and demographic data, the type of midface fracture and brain injury, and Glasgow coma scale were assessed. Results: Of 59 patients, 33 patients had head injury. The important correlations were as follows: Le Fort III with brain contusion, nasal orbital ethmoid fractures with subdural hematoma, frontal fracture with subdural hematoma, zygomatic complex fracture with brain contusion. Nasal fracture correlated with brain contusion. The zygomatic complex fracture was the most prevalent fracture. Conclusion: Different midface fracture patterns have the risk of different types of simultaneous brain injuries. So midface fractures absorb the forces of impact to a great extent and prevent the severity of head injuries and high mortality rate.},
year = {2014}
}
TY - JOUR T1 - Midface – Cushion for Head Injuries AU - Mohammad Akheel AU - Suryapratap Singh Tomar Y1 - 2014/06/14 PY - 2014 N1 - https://doi.org/10.11648/j.sjph.s.2015030101.15 DO - 10.11648/j.sjph.s.2015030101.15 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 29 EP - 32 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.s.2015030101.15 AB - Recent technological advances have led to improvements in social well being of man’s life in all aspects. This improving and advanced lifestyle is the major cause for some debilitating problems like road traffic accidents. Statistical analysis in literature shows that head and maxillofacial injuries are the most common of these injuries. Recent studies show that fractures of midface are strongly associated with a high mortality rate. The exact relationship between different types of facial fractures and brain injuries is still controversial. Purpose: To evaluate the individuals with fractures of midface from different etiologies and determine if there is any relationship between various fractures of midface acting as a buffer mechanism for head injuries. Materials and Methods: Retrospective study was done to assess all the patients with midface fractures at the trauma center in a rural area in India. The etiologic and demographic data, the type of midface fracture and brain injury, and Glasgow coma scale were assessed. Results: Of 59 patients, 33 patients had head injury. The important correlations were as follows: Le Fort III with brain contusion, nasal orbital ethmoid fractures with subdural hematoma, frontal fracture with subdural hematoma, zygomatic complex fracture with brain contusion. Nasal fracture correlated with brain contusion. The zygomatic complex fracture was the most prevalent fracture. Conclusion: Different midface fracture patterns have the risk of different types of simultaneous brain injuries. So midface fractures absorb the forces of impact to a great extent and prevent the severity of head injuries and high mortality rate. VL - 3 IS - 1-1 ER -
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