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Brain Injuries and Facial Fractures: A Prospective Study of Incidence of Head Injury Associated with Maxillofacial Trauma

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Abstract

Background

Presence of head injuries in patients with maxillofacial trauma is a lifethreatening condition. Prompt determination of head injury in these patients is crucial for improving patient survival and recovery. Hence, the need to know about the incidence of head injuries associated with maxillofacial trauma becomes an important aspect.

Materials and Methods

A total of 100 patients were included in the study. Patient with head injuries associated with maxillofacial fractures was accounted to determine the incidence and pattern of head injuries accompanying maxillofacial trauma. They were evaluated for epidemiological demographic and clinical characteristics.

Results

The present study had 91% predominance of male patients with age ranging from 1 to 75 years. 91% cases were as a result of RTA. The most frequent maxillofacial injury represented was the fractured mandible. The incidence of head injuries associated with maxillofacial trauma was 67 %. Among all the patterns of head injuries, concussion was the most common head injury associated with maxillofacial trauma.

Conclusion

In our study, the risk of head injury increased significantly as the Glasgow Coma Scale score decreased and with increase in the number of facial fractures. There was association between head injury and maxillofacial trauma.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Hkes’s S. Nijalingappa Institute of Dental Sciences and Research, Near Sedam Road, Gulbarga, Karnataka, India

    Udupikrishna M. Joshi, Saujanya Saikar, Satishkumar Patil & Kundan Shah

  2. Department of Neurosurgery, Mahadevappa Rampure Medical College, Gulbarga, Karnataka, India

    Shashank Ramdurg

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  1. Udupikrishna M. Joshi
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  2. Shashank Ramdurg
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  3. Saujanya Saikar
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  4. Satishkumar Patil
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  5. Kundan Shah
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Correspondence to Udupikrishna M. Joshi.

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All authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Joshi, U.M., Ramdurg, S., Saikar, S. et al. Brain Injuries and Facial Fractures: A Prospective Study of Incidence of Head Injury Associated with Maxillofacial Trauma. J. Maxillofac. Oral Surg. 17, 531–537 (2018). https://doi.org/10.1007/s12663-017-1078-8

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  • DOI: https://doi.org/10.1007/s12663-017-1078-8

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