![]() The various fracture patterns depend on the mechanism and degree of the externally applied forces, with the usually reported causes including traffic accidents, assaults, falls, sports and gunshot injuries. These fractures are generally defined as fractures that simultaneously involve at least three out of four subunits of the facial skeleton, that is, the frontal area, upper and lower part of midfacial area, and mandibular area. Panfacial fractures (PFs) are often the result of high-energy injuries and present remarkable challenges to both surgeons and patients. Patients with FULM and FISS > 11 had an obviously higher proportion of the need for multiprofessional treatment. The combination of PF categories and FISS provided a better positive and negative prediction of concomitant injuries and complications for PF patients. Conclusionsīoth the anatomic PF categories and FISS were significantly correlated with various concomitant injuries and complications. The FISS score showed a significant difference with PF patterns ( p = 0.000) and sex ( p = 0.007), and a FISS value of 11 or more is the appropriate cutoff for the prediction of multiple concomitant injuries and complications. Different PF patterns were significantly correlated with different types of concomitant injuries and complications. ![]() There was a significant association between PF patterns and sex ( p = 0.018), the number of concomitant injuries ( p = 0.014), and early surgical airway management ( p = 0.003). The most commonly fractured bones were the maxillary sinus wall (92.1%), mandible (82.8%), and zygomatic arch (75.3%), and the most common fracture sites in PFs were graphically presented. ResultsĪ total of 227 patients were enrolled. ![]() Statistical analysis was performed using IBM SPSS Statistics version 22.0. ![]() Data regarding patient demographics, causes of injury, location of fractures, major concomitant injuries, and postinjury complications were collected, and the FISS score was collected from each patient. PF was defined as a concurrent fracture in at least 3 of 4 facial subunits (frontal, upper midface, lower midface, and mandible). MethodsĪ retrospective review of all patients treated with PFs at our institution between June 2010 and April 2021 was performed. The purpose of this study was to identify the epidemiologic factors of panfacial fractures (PFs), and to evaluate the significance of anatomic PF categories and the Facial Injury Severity Scale (FISS) in classifying and standardizing panfacial injuries. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |