지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제42권 제6호
- 발행연도
- 2020.1
- 수록면
- 1 - 6 (6page)
이용수
초록· 키워드
오류제보하기
IntroductionFacial fractures (FFs) occur after high- and low-energy trauma; differences in associated injuries and outcomes have not been well articulated. ObjectiveTo compare the epidemiology, management, and outcomes of patients suffering FFs from high-energy and low-energy mechanisms. MethodsWe conducted a 6-year retrospective local trauma registry analysis of adults aged 18–55 years old that suffered a FF treated at the Santa Barbara Cottage Hospital. Fracture patterns, concomitant injuries, procedures, and outcomes were compared between patients that suffered a high-energy mechanism (HEM: motor vehicle crash, bicycle crash, auto versus pedestrian, falls from height > 20 feet) and those that suffered a low-energy mechanism (LEM: assault, ground-level falls) of injury. ResultsFFs occurred in 123 patients, 25 from an HEM and 98 from an LEM. Rates of Le Fort (HEM 12% vs. LEM 3%, P = 0.10), mandible (HEM 20% vs. LEM 38%, P = 0.11), midface (HEM 84% vs. LEM 67%, P = 0.14), and upper face (HEM 24% vs. LEM 13%, P = 0.217) fractures did not significantly differ between the HEM and LEM groups, nor did facial operative rates (HEM 28% vs. LEM 40%, P = 0.36). FFs after an HEM event were associated with increased Injury Severity Scores (HEM 16.8 vs. LEM 7.5, P <0.001), ICU admittance (HEM 60% vs. LEM 13.3%, P <0.001), intracranial hemorrhage (ICH) (HEM 52% vs. LEM 15%, P <0.001), cervical spine fractures (HEM 12% vs. LEM 0%, P = 0.008), truncal/lower extremity injuries (HEM 60% vs. LEM 6%, P <0.001), neurosurgical procedures for the management of ICH (HEM 54% vs. LEM 36%, P = 0.003), and decreased Glasgow Coma Score on arrival (HEM 11.7 vs. LEM 14.2, P <0.001). ConclusionFFs after HEM events were associated with severe and multifocal injuries. FFs after LEM events were associated with ICH, concussions, and cervical spine fractures. Mechanism-based screening strategies will allow for the appropriate detection and management of injuries that occur concomitant to FFs. Type of studyRetrospective cohort study. Level of evidenceLevel III.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Laura Gartshore / 2010 / A brief account of the life of René Le Fort / British Journal of Oral and Maxillofacial Surgery 48(3):173~175
Biju Pappachan / 2012 / Biomechanics of Cranio-Maxillofacial Trauma / Journal of Maxillofacial and Oral Surgery 11(2):224~230
Rasmané Béogo / 2013 / Associated injuries in patients with facial fractures: a review of 604 patients / Pan African Medical Journal 16(119)
Thuy-My T. Le / 2019 / Implications of Facial Fracture in Airway Management of the Adult Population / Annals of Plastic Surgery 82(4S):S179~S184
Matthias Hohlrieder / 2003 / Traumatic intracranial hemorrhages in facial fracture patients: review of 2,195 patients / Intensive Care Medicine 29(7):1095~1100
Biju Pappachan / 2012 / Biomechanics of Cranio-Maxillofacial Trauma / Journal of Maxillofacial and Oral Surgery 11(2):224~230
Rasmané Béogo / 2013 / Associated injuries in patients with facial fractures: a review of 604 patients / Pan African Medical Journal 16(119)
Thuy-My T. Le / 2019 / Implications of Facial Fracture in Airway Management of the Adult Population / Annals of Plastic Surgery 82(4S):S179~S184
Matthias Hohlrieder / 2003 / Traumatic intracranial hemorrhages in facial fracture patients: review of 2,195 patients / Intensive Care Medicine 29(7):1095~1100
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
헬리콥터 응급의료체계의 개요
대한의사협회지
2020 .01
-
Reduced Mortality in Severely Injured Patients Using Hospital-based Helicopter Emergency Medical Services in Interhospital Transport
Journal of Korean Medical Science
2017 .01
-
응급의료 전용헬기와 지상 앰뷸런스를 이용한 병원 간 이송에서 외상 환자의 예후 비교
Journal of trauma and injury : JTI
2015 .01
-
Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
Journal of Korean Medical Science
2016 .01
-
Feasibility of Using Fat Degeneration of Lumbar Extensor Muscle as an Alternative Diagnostic Criterion for Sarcopenia in Patients with Osteoporotic Vertebral Fractures
Asian Spine Journal
2020 .01
-
Treatment Experiences of Traumatic Brain Injury Patients using Doctor-Helicopter Emergency Medical Service: Early Data in a Regional Trauma Center
Korean Journal of Neurotrauma
2020 .01
-
Effective Transport for Trauma Patients under Current Circumstances in Korea: A Single Institution Analysis of Treatment Outcomes for Trauma Patients Transported via the Domestic 119 Service
Journal of Korean Medical Science
2015 .01
-
Silent invasion of Hem-O-Lok clip
Annals of Surgical Treatment and Research
2018 .03
-
내시경역행담췌관조영술로 치료한 복강경 총담관 탐색술 후 Hem-o-lok 클립 이동으로 인한 재발성 담관염
대한췌담도학회지
2021 .01
-
Gait Disturbance as an Initial Manifestation of the Paraneoplastic Neurologic Syndrome in a Patient with Lung Cancer
대한근전도 전기진단의학회지
2020 .01
-
Predictors of fragility fracture and low bone mineral density in patients with a history of parental fracture
Osteoporosis and Sarcopenia
2019 .01
-
Study of Patients with Bilateral Knee Osteoarthritis Undergoing Total Knee Replacement Procedure with Coexisting Lumbar Spondylosis Symptoms
Asian Spine Journal
2021 .12
-
Amifampridines are the Most Effective Drugs for Treating Lambert-Eaton Myasthenic Syndrome With a Focus on Pediatric Lambert-Eaton Myasthenic Syndrome
Journal of Clinical Neurology
2024 .07
-
Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study
Annals of Rehabilitation Medicine
2017 .01
-
Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
Neurospine
2021 .12
-
Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients
Maxillofacial Plastic Reconstructive Surgery
2018 .10
-
Big Data Statistical Analysis of Facial Fractures in Korea
Journal of Korean Medical Science
2020 .01
-
Clinical Characteristics of Primary and Secondary Osteoporotic Fractures: Data from Single Referral Center Emergency Department
대한골대사학회지
2019 .01
-
Ankylosing Spondylitis: Patterns of Spinal Injury and Treatment Outcomes
Asian Spine Journal
2016 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0