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Acta clinica Croatica, Vol. 61. No. 3, 2022.

Original scientific paper

https://doi.org/10.20471/acc.2022.61.03.06

Patterns of Facial Fractures and Associated Soft Tissue Injuries: A Retrospective Study on 1007 Patients

Raluca-Iulia Juncar ; Department of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, Romania
Paul Andrei Tent orcid id orcid.org/0000-0002-6807-6162 ; Department of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, Romania
Antonia Harangus ; Research Center for Functional Genomics, Biomedicine and Translational Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
Mihai Juncar ; Department of Oral and Maxillo-Facial Surgery, University of Oradea, Oradea, Romania

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Abstract

Background: Knowing the severity of a pathology in a population helps to both
establish a rapid diagnosis and to prepare medical staff to provide adequate and complete treatment.
The aim of this study was to determine the patterns of maxillofacial fractures and their associated soft
tissue injuries in order to identify the specific types of maxillofacial fractures with the highest incidence
of associated soft tissue injuries.
Methods: A 10-year retrospective evaluation of maxillofacial trauma was performed on 1007 patients.
All 1007 patients were clinically and paraclinically confirmed to have facial skeletal injuries.
Results: The highest incidence of maxillofacial fractures was found in the mandible (62.16%), the
mandibular angle being the most frequently involved (28.84%). Most of the fractures were complete
(97.82%), displaced (87.98%) and closed (86.30%). Hematoma was the most common associated
soft tissue injury (44.79%). In mandibular trauma, the incidence of hematoma and laceration was the
highest in angle and simultaneous multiple fracture lines (p=0.002). In the midface, hematoma was
more frequently associated with non-comminuted zygomatic bone fractures (p=0.003), while laceration
was associated with multiple underlying fracture lines (p=0.002).
Conclusions: Patients presenting with hematomas will most frequently have an underlying single
closed fracture line, while patients with lacerations will most frequently present underlying multiple
and displaced fractures.

Keywords

Maxillo-facial fractures; Trauma; Soft tissue injuries; Facial trauma; Facial fractures

Hrčak ID:

296077

URI

https://hrcak.srce.hr/296077

Publication date:

1.11.2022.

Article data in other languages: croatian

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