Volume : VI, Issue : III, March - 2016

ASSOCIATION OF HEAD INJURY AND MAXILLOFACIAL TRAUMA: A PROSPECTIVE CASE CONTROL STUDY

Dr. Pradeep Goil, Dr. Ankit Jain, Dr. Nirmal Kumar Gupta

Abstract :

 INTRODUCTION: There is paucity of information in literature regarding the relationship between head injury and facial trauma despite there anatomic proximity. This study aims at evaluating the type of injury, management and outcomes of patients sustaining maxillofacial trauma and concomitant cranial injury. MATERIAL AND METHOD:A prospective study was conducted in the department of plastic and reconstructive surgery, SMS hospital between January to December 2015. A total of 472 patients with maxillofacial injury were evaluated and there charts maintained. Patients were divided into two groups, patients with concomitant maxillofacial and head injury (study group–384 patients) and the others with only maxillofacial injuries (control group–88 patients). The groups were compared for demographic profile; pattern of head and maxillofacial injuries and correlation between head and maxillofacial injury was evaluated. RESULTS: In this study we found that 81.3% patients with maxillofacial injury had associated head injury. There was a predominant sex bias with males being more prone to suffer maxillofacial injuries in both the groups. Majority of the patients were aged between 20–40 years. RTA was the most common cause of injury in the study group whereas fall from height was the most common cause in the control group. Fracture zygoma was the most common maxillofacial injury in the study group and fracture mandible was more common in the control group. Fracture mandible was also the most common isolated fracture in the whole study. Concussion was the most common associated head injury followed by pneumocephalus and depressed skull fracture. Loss of consciousness was the most common neurosurgical complaint followed by headache and vomiting. Most of the patients with head injury were managed conservatively and depressed skull fracture followed by intracranial hematoma was the most common cause of neurosurgical intervention. Fracture zygoma was found to have the strongest impact on the incidence of head injury followed by fracture of mandible and naso–orbito–ethmoidal complex. Fractures of the mid face region were most commonly associated with head injury and associated neurosurgical intervention. CONCLUSION: Fractures of the bone in proximity of the ain were most commonly associated with head injury and also are the most common cause of neurosurgical interventions.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR. PRADEEP GOIL, DR. ANKIT JAIN, DR. NIRMAL KUMAR GUPTA ASSOCIATION OF HEAD INJURY AND MAXILLOFACIAL TRAUMA: A PROSPECTIVE CASE CONTROL STUDY Indian Journal of Applied Research, Vol.6, Issue : 3 March 2016

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