Facial Fractures: Independent Prediction of Neurosurgical Intervention

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

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Published in:Asian journal of neurosurgery 2022-03, Vol.17 (1), p.017-022
Main Authors: Lucke-Wold, Brandon, Pierre, Kevin, Aghili-Mehrizi, Sina, Murad, Gregory Joseph Anatol
Format: Article
Language:English
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Summary:Abstract Context  Over half of patients with facial fractures have associated traumatic brain injury (TBI). Based on force dynamic cadaveric studies, Le Fort 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 was collected from the trauma registry from 2010 to 2019. Methods and Materials  Patients over 18 years, with confirmed facial fracture, reported TBI, available neuroimaging, and hospital admission were included. Statistical Analysis  Retrospective contingency analysis with fraction of total comparison was used with chi-square analysis for demographic and injury characteristic data. Results  Note that 1,001 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:10.1055/s-0042-1749068