دورية أكاديمية
أعرض في EDS

Patterns of Facial Fractures in a Major Metropolitan Level 1 Trauma Center: A 10-year Experience.

التفاصيل البيبلوغرافية
العنوان: Patterns of Facial Fractures in a Major Metropolitan Level 1 Trauma Center: A 10-year Experience.
المؤلفون: Long S; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A., Spielman DB; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A., Losenegger T; Department of Otorhinolaryngology Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Obayemi AA; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A., Neuner R; Department of General Surgery, Spital Uster, Uster, Switzerland., Cosiano MF; Department of Medicine, Duke University Hospital, Durham, North Carolina, U.S.A., Reeve G; Division of Dentistry, Oral and Maxillofacial Surgery, New York-Presbyterian Hospital/Weill, Cornell Medical Center, New York, New York, U.S.A., Kacker A; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A., Stewart MG; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A., Sclafani AP; Department of Otolaryngology Head and Neck Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, U.S.A.
المصدر: The Laryngoscope [Laryngoscope] 2021 Jul; Vol. 131 (7), pp. E2176-E2180. Date of Electronic Publication: 2021 Jan 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Facial Bones/*injuries , Facial Injuries/*epidemiology , Practice Patterns, Physicians'/*statistics & numerical data , Skull Fractures/*epidemiology , Trauma Centers/*statistics & numerical data, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Conservative Treatment/statistics & numerical data ; Databases, Factual ; Facial Injuries/therapy ; Female ; Fracture Fixation/statistics & numerical data ; Humans ; Infant ; Male ; Middle Aged ; Orbital Fractures/epidemiology ; Orbital Fractures/therapy ; Retrospective Studies ; Skull Fractures/therapy ; United States ; Young Adult
مستخلص: Objective/hypothesis: To report characteristics and management of facial fractures in a major metropolitan center within the United States.
Study Design: Retrospective chart review.
Methods: Retrospective review at a level 1 trauma academic medical center of 3,946 facial fractures in 1,914 patients who presented from 2008 to 2017. Demographics, injury mechanism, associated injuries, and treatment information were collected. Logistic regression analyses were performed to determine factors associated with management.
Results: There were 1,280 males and 630 females with a median age of 42 years. Orbital fractures were the most common (41.4%) followed by maxilla fractures (21.9%). The most common mechanism was fall (43.6%). Surgical management was recommended for 38% of patients. The odds of surgical management were less for females (OR 0.59, 95% CI 0.48-0.73). Patients over 70 years were significantly less likely to undergo surgery compared to other age groups (OR 0.15-0.36, P < .001). The odds of surgical management were 1.69 times greater for patients with more than three fractures than for a single fracture (95% CI 1.18-2.42) and 2.23 times greater for traffic injuries compared to injuries from activities of daily living (95% CI 1.42-3.5).
Conclusions: This represents one of the largest comprehensive databases of facial fractures. Our patients were most frequently injured during activities of daily living, most commonly from falls. The majority of patients were managed conservatively. Gender, age, fracture number, and mechanism of injury were independently associated with the decision to treat surgically. Our data are in stark contrast to that from other populations in which assault or motor vehicle accidents predominate.
Level of Evidence: 4 Laryngoscope, 131:E2176-E2180, 2021.
(© 2021 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: Facial trauma repair; conservative management; facial fractures; maxillofacial injuries
تواريخ الأحداث: Date Created: 20210112 Date Completed: 20210625 Latest Revision: 20210625
رمز التحديث: 20221213
DOI: 10.1002/lary.29397
PMID: 33433012
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.29397