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Study Of 50 Cases With Craniofacial Trauma Who Experienced Head Injuries

机译:颅面部创伤性颅脑损伤50例研究

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Background: It has been shown that cranial injuries associated with facial fractures may cause a great risk of mortality and neurological morbidity, which mainly occurs in young adults. Aims and objectives: Study of the features of facial injuries associated with head injuries, discussing the management options and detecting the outcomes following craniofacial trauma. Methods: This is a retrospective study carried out at Imam reza and Shohada Hospitals. Radiographs and hospital data of 50 patients with craniofacial trauma between January 2013 and December 2014, managed at the Oral and Maxillofacial surgery department were gathered and analyzed. Results: The greatest number of the patients had 20 to 50 years old (68%) and most of them were male. (M/F ratio was 6.09:1). The most prevalent causes of the trauma in this study were the motor vehicle accidents (44%) and falling from height (36%), respectively. The most common bone fracture among the patients was the zygomatic bone fx (38.2%). Among the symptoms which the patients presented, Loss of the consciousness (52%) and headache (43%) showed the highest prevalence. Compound depressed fractures, contusions and intracranial hematoma were the leading causes of the surgical intervention for intracranial lesions. A high number of patients who have died in this study had associated systemic injuries. Displaced facial bone fracture were the indications for operation in facial fractures. Conclusions: The majority of the patients with craniofacial trauma were the adult males and the leading cause of trauma were road traffic accidents. A high number of the patients had mild head injuries and required only a conservational therapy.
机译:背景:研究表明,与面部骨折相关的颅脑损伤可能会导致死亡和神经系统疾病的巨大风险,主要发生在年轻人中。目的和目标:研究与颅脑损伤相关的面部损伤的特征,讨论颅面损伤后的治疗方案并检测结局。方法:这是一项在Imam reza和Shohada医院进行的回顾性研究。收集并分析了2013年1月至2014年12月在口腔颌面外科进行管理的50例颅面创伤患者的放射线照片和医院数据。结果:绝大多数患者为20至50岁(68%),其中大多数为男性。 (M / F比为6.09∶1)。在这项研究中,最主要的创伤原因是机动车事故(44%)和从高处坠落(36%)。患者中最常见的骨折是骨骨折(38.2%)。在患者出现的症状中,意识丧失(52%)和头痛(43%)的患病率最高。复合性压抑性骨折,挫伤和颅内血肿是颅内病变手术干预的主要原因。在这项研究中死亡的大量患者都伴有全身性损伤。移位的面部骨折是面部骨折的手术指征。结论:颅面部外伤的大多数是成年男性,外伤的主要原因是道路交通事故。大量的患者有轻度的头部受伤,仅需要保守治疗。

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