Craniofacial Injuries Resulting from Polytrauma: Mechanisms, Imaging, and Complications
DOI:
https://doi.org/10.12775/QS.2024.31.55242Keywords
Craniofacial injuries, craniofacial trauma, craniofacial fractures, maxillofacial trauma, literature review, polytrauma patientsAbstract
Purpose: This literature review aims to identify and analyse the most common mechanisms causing injuries in the craniofacial region their diagnosis and possible sequelae.
Methods: The study analysed publications from the Medline database made available in PubMed and Google Scholar considering the following keywords "maxillofacial injuries" and/or "maxillofacial trauma" and/or "maxillofacial fractures".
Results: Craniofacial injuries in polytrauma patients are often complicated by their heterogeneous nature and coexistence with other injuries. Their incidence and mechanisms vary depending on the country of investigation. Diagnosis includes advanced imaging techniques such as CT scans. Treatment often requires multidisciplinary collaboration.
Conclusions: Craniofacial injuries in polytraumatic patients require a complex diagnostic and therapeutic approach. Interdisciplinary collaboration is crucial to achieve the best clinical outcome. The most common causes include road traffic collisions, assaults, falls and sports-related injuries. Despite properly applied treatment protocols, they generate changes in the stomatognathic system, sensory disturbances, blindness and, in extreme cases, can lead to death
References
Alvi, A., Doherty, T., & Lewen, G. (2003). Facial Fractures and Concomitant Injuries in Trauma Patients.
Atisha, D. M., Van Rensselaer Burr, T., Allori, A. C., Puscas, L., Erdmann, D., & Marcus, J. R. (2016). Facial Fractures in the Aging Population. Plastic and Reconstructive Surgery, 137(2), 587–593. https://doi.org/10.1097/01.prs.0000475791.31361.9a
Avery, L. L., Susarla, S. M., & Novelline, R. A. (2011). Multidetector and three-dimensional CT evaluation of the patient with maxillofacial injury. In Radiologic Clinics of North America (Vol. 49, Issue 1, pp. 183–203). https://doi.org/10.1016/j.rcl.2010.07.014
Banks, P. B. A. P. M. (2015). Fractures of the Facial Skeleton (1st ed.).
Boeddinghaus, R., & Whyte, A. (2008). Current concepts in maxillofacial imaging. European Journal of Radiology, 66(3), 396–418. https://doi.org/10.1016/j.ejrad.2007.11.019
Boffano, P., Kommers, S. C., Karagozoglu, K. H., & Forouzanfar, T. (2014). Aetiology of maxillofacial fractures: A review of published studies during the last 30 years. In British Journal of Oral and Maxillofacial Surgery (Vol. 52, Issue 10, pp. 901–906). Churchill Livingstone. https://doi.org/10.1016/j.bjoms.2014.08.007
Boffano, P., Roccia, F., Zavattero, E., Dediol, E., Uglešić, V., Kovačič, Ž., Vesnaver, A., Konstantinović, V. S., Petrović, M., Stephens, J., Kanzaria, A., Bhatti, N., Holmes, S., Pechalova, P. F., Bakardjiev, A. G., Malanchuk, V. A., Kopchak, A. V., Galteland, P., Mjøen, E., … Forouzanfar, T. (2015). European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study. Journal of Cranio-Maxillofacial Surgery, 43(1), 62–70. https://doi.org/10.1016/j.jcms.2014.10.011
Bojino, A., Roccia, F., Giaccone, E., & Cocis, S. (2020). Comprehensive analyses of maxillofacial fractures due to non-professional sports activities in Italy. Dental Traumatology, 36(6), 632–640. https://doi.org/10.1111/edt.12586
Chrcanovic, B. R. (2012). Factors influencing the incidence of maxillofacial fractures. Oral and Maxillofacial Surgery, 16(1), 3–17. https://doi.org/10.1007/s10006-011-0280-y
Conforte, J. J., Alves, C. P., Sánchez, M. del P. R., & Ponzoni, D. (2016). Impact of trauma and surgical treatment on the quality of life of patients with facial fractures. International Journal of Oral and Maxillofacial Surgery, 45(5), 575–581. https://doi.org/10.1016/j.ijom.2015.11.022
Dreizin, D., Nam, A. J., Tirada, N., Levin, M. D., Stein, D. M., Bodanapally, U. K., Mirvis, S. E., & Munera, F. (2016). Multidetector CT of mandibular fractures, reductions, and complications: A clinically relevant primer for the radiologist. Radiographics, 36(5), 1539–1564. https://doi.org/10.1148/rg.2016150218
Eggensperger, N., Smolka, K., Scheidegger, B., Zimmermann, H., & IIZuka, T. (2007). A 3-year survey of assault-related maxillofacial fractures in central Switzerland. Journal of Cranio-Maxillofacial Surgery, 35(3), 161–167. https://doi.org/10.1016/j.jcms.2007.01.002
Elhammali, N., Bremerich, A., & Rustemeyer, J. (2010). Demographical and clinical aspects of sports-related maxillofacial and skull base fractures in hospitalized patients. International Journal of Oral and Maxillofacial Surgery, 39(9), 857–862. https://doi.org/10.1016/j.ijom.2010.04.006
Elkbuli, A., Dowd, B., Spano, P. J., Hai, S., Boneva, D., & McKenney, M. (2019). The association between seatbelt use and trauma outcomes: Does body mass index matter? American Journal of Emergency Medicine, 37(9), 1716–1719. https://doi.org/10.1016/j.ajem.2018.12.023
Ferreira, M. C., Batista, A. M., de Oliveira Ferreira, F., Ramos-Jorge, M. L., & Marques, L. S. (2014). Pattern of oral-maxillofacial trauma stemming from interpersonal physical violence and determinant factors. Dental Traumatology, 30(1), 15–21. https://doi.org/10.1111/edt.12047
Gandhi, S., Ranganathan, L. K., Solanki, M., Mathew, G. C., Singh, I., & Bither, S. (2011). Pattern of maxillofacial fractures at a tertiary hospital in northern India: A 4-year retrospective study of 718 patients. Dental Traumatology, 27(4), 257–262. https://doi.org/10.1111/j.1600-9657.2011.00996.x
Gassner, R., Tuli, T., Hächl, O., Rudisch, A., & Ulmer, H. (2003). Cranio-maxillofacial trauma: A 10 year review of 9543 cases with 21 067 injuries. Journal of Cranio-Maxillofacial Surgery, 31(1), 51–61. https://doi.org/10.1016/S1010-5182(02)00168-3
Hino, S., Yamada, M., Iijima, Y., Araki, R., Kaneko, T., & Horie, N. (2020). Effects of alcohol consumption on maxillofacial fractures in simple falls. Clinical and Experimental Dental Research, 6(5), 544–549. https://doi.org/10.1002/cre2.308
Hull, A. M., Lowe, T., & Finlay, P. M. (2003). The psychological impact of maxillofacial trauma: An overview of reactions to trauma. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 95(5), 515–520. https://doi.org/10.1067/moe.2003.161
Ito, R., Kubota, K., Yaguchi, S., Furudate, K., Tanaka, Y., & Kobayashi, W. (2020). Falls Due to Loss of Consciousness are Associated With Maxillofacial Fracture Severity. Journal of Oral and Maxillofacial Surgery, 78(3), 423–429. https://doi.org/10.1016/j.joms.2019.10.023
Kaasalainen, T., Ekholm, M., Siiskonen, T., & Kortesniemi, M. (2021). Dental cone beam CT: An updated review. In Physica Medica (Vol. 88, pp. 193–217). Associazione Italiana di Fisica Medica. https://doi.org/10.1016/j.ejmp.2021.07.007
Kishore, J., Vatsa, R., Singh, J., Kumari, M., Kumar, T., & Bandgar, S. (2020). Psychological Impact on Maxillofacial Trauma Patients – An Observational Study. Journal of Medicine and Life, 13(4), 458–462. https://doi.org/10.25122/jml-2020-0111
Kryst, L. (1999). Chirurgia szczękowo-twarzowa (wyd. 5). PZWL Wydawnictwo Lekarskie.
Laine F; Coway W; Laskin D. (1993). RADIOLOGY OF MAXILLOFACIAL TRAUMA.
Lee, K. H., Snape, L., Steenberg, L. J., & Worthington, J. (2007). Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ Journal of Surgery, 77(8), 695–698. https://doi.org/10.1111/j.1445-2197.2007.04189.x
Liu, B. C., Ivers, R., Norton, R., Boufous, S., Blows, S., & Lo, S. K. (2008). Helmets for preventing injury in motorcycle riders. In Cochrane Database of Systematic Reviews (Issue 1). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD004333.pub3
Ludlow, J. B., Davies-Ludlow, L. E., Brooks, S. L., & Howerton, W. B. (2006). Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. Dentomaxillofacial Radiology, 35(4), 219–226. https://doi.org/10.1259/dmfr/14340323
Maurya, R. P., Singh, V. P., Singh, M. K., Sen, P. R., Verma, A., Professor, A., & Resident, J. (n.d.). Diagnostic value of three dimensional CT reconstruction in various orbital disorders. In Original Research Article International Journal of Ocular Oncology and Oculoplasty (Vol. 1, Issue 1).
McGoldrick, D. M., Fragoso-Iñiguez, M., Lawrence, T., & McMillan, K. (2018). Maxillofacial injuries in patients with major trauma. British Journal of Oral and Maxillofacial Surgery, 56(6), 496–500. https://doi.org/10.1016/j.bjoms.2018.04.001
Meara, D. J. (2019). Diagnostic Imaging of the Maxillofacial Trauma Patient. In Atlas of the Oral and Maxillofacial Surgery Clinics of North America (Vol. 27, Issue 2, pp. 119–126). W.B. Saunders. https://doi.org/10.1016/j.cxom.2019.05.004
Murphy, C., O’Connell, J. E., Kearns, G., & Stassen, L. (2015). Sports-related maxillofacial injuries. Journal of Craniofacial Surgery, 26(7), 2120–2123. https://doi.org/10.1097/SCS.0000000000002109
Naveen Shankar, A., Naveen Shankar, V., Hegde, N., Sharma, & Prasad, R. (2012). The pattern of the maxillofacial fractures - A multicentre retrospective study. Journal of Cranio-Maxillofacial Surgery, 40(8), 675–679. https://doi.org/10.1016/j.jcms.2011.11.004
Nogami, S., Yamauchi, K., Bottini, G. B., Otake, Y., Sai, Y., Morishima, H., Higuchi, K., Ito, K., Gaggl, A., & Takahashi, T. (2019). Fall-related mandible fractures in a Japanese population: A retrospective study. Dental Traumatology, 35(3), 194–198. https://doi.org/10.1111/edt.12471
Petersen, L. Ø., Ipsen, E. Ø., Felding, U. A., von Buchwald, C., & Steinmetz, J. (2021). Sequelae of Major Trauma Patients with Maxillofacial Fractures. Annals of Otology, Rhinology and Laryngology, 130(5), 475–482. https://doi.org/10.1177/0003489420958732
Pillai, A. K., Nayak, S., Jain, N., Thomas, S., & Gour, N. (2023). Changing patterns of mid face fractures in 21century-A need to redefine lines. IP International Journal of Maxillofacial Imaging, 9(3), 149–155. https://doi.org/10.18231/j.ijmi.2023.025
Roccia, F., Boffano, P., Bianchi, F. A., & Zavattero, E. (2014). Maxillofacial Fractures due to Falls: does Fall Modality Determine the Pattern of Injury? Journal of Oral and Maxillofacial Research, 5(4). https://doi.org/10.5037/jomr.2014.5405
Roccia, F., Diaspro, A., Nasi, A., & Berrone, S. (2008). Management of Sport-Related Maxillofacial Injuries.
Rowbotham, S. K., Blau, S., Hislop-Jambrich, J., & Francis, V. (2018). Fatal falls involving stairs: an anthropological analysis of skeletal trauma. Forensic Science, Medicine, and Pathology, 14(2), 152–162. https://doi.org/10.1007/s12024-018-9964-z
Shah, J. P. (2015). Clinical Head and Neck Anatomy for Surgeons (P. A. Brennan, V. Mahadevan, & B. T. Evans, Eds.; 1st ed.). CRC Press.
Subhashraj, K., Nandakumar, N., & Ravindran, C. (2007). Review of maxillofacial injuries in Chennai, India: A study of 2748 cases. British Journal of Oral and Maxillofacial Surgery, 45(8), 637–639. https://doi.org/10.1016/j.bjoms.2007.03.012
Van Den Bergh, B., Karagozoglu, K. H., Heymans, M. W., & Forouzanfar, T. (2012). Aetiology and incidence of maxillofacial trauma in Amsterdam: A retrospective analysis of 579 patients. Journal of Cranio-Maxillofacial Surgery, 40(6). https://doi.org/10.1016/j.jcms.2011.08.006
Van Hout, W. M. M. T., Van Cann, E. M., Abbink, J. H., & Koole, R. (2013). An epidemiological study of maxillofacial fractures requiring surgical treatment at a tertiary trauma centre between 2005 and 2010. British Journal of Oral and Maxillofacial Surgery, 51(5), 416–420. https://doi.org/10.1016/j.bjoms.2012.11.002
Yamamoto, K., Kuraki, M., Kurihara, M., Matsusue, Y., Murakami, K., Horita, S., Sugiura, T., & Kirita, T. (2010). Maxillofacial Fractures Resulting From Falls. Journal of Oral and Maxillofacial Surgery, 68(7), 1602–1607. https://doi.org/10.1016/j.joms.2009.09.029
Zhou, H. H., Ongodia, D., Liu, Q., Yang, R. T., & Li, Z. B. (2013). Dental trauma in patients with maxillofacial fractures. Dental Traumatology, 29(4), 285–290. https://doi.org/10.1111/j.1600-9657.2012.01169.x
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