Facial fractures: Independent prediction of neurosurgical intervention

Context: Over half of patients with facial fractures have associated traumatic brain injury (TBI). Based on force dynamic cadaveric studies, Lefort type 2 and 3 fractures are associated with severe injury. Correlation to neurosurgical intervention is not well characterized. Aims: This study characte...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2021-10, Vol.16 (4), p.792-796
Main Authors: Lucke-Wold, Brandon, Pierre, Kevin, Aghili-Mehrizi, Sina, Murad, Gregory
Format: Article
Language:English
Subjects:
Brain
Injuries
Medical research
Medicine, Experimental
Original
Original Article
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Summary:Context: Over half of patients with facial fractures have associated traumatic brain injury (TBI). Based on force dynamic cadaveric studies, Lefort type 2 and 3 fractures are associated with severe injury. Correlation to neurosurgical intervention is not well characterized. Aims: This study characterizes fracture pattern types in patients requiring neurosurgical intervention and assesses whether this is different from those not requiring intervention. Settings and Design: Retrospective data were collected from the trauma registry from 2010 to 2019. Subjects and Methods: Patients over 18, with confirmed facial fracture, reported TBI, available neuroimaging, and hospital admission were included. Statistical Analysis Used: Retrospective Contingency Analysis with Fraction of Total Comparison was used with Chi-square analysis for demographic and injury characteristic data. Results: One thousand and one patients required no neurosurgical intervention and 171 required intervention. The intervention group had a significantly greater number of patients with Glasgow Coma Scale (GCS)
ISSN:1793-5482
2248-9614
DOI:10.4103/ajns.AJNS_251_21