Concomitant Injuries in Patients With Panfacial Fractures

• DOI: 10.1097/ta.0b013e3181492f41
• Publication Date: 2009-03-03T22:17:51Z
• Authors: Keith E. Follmar; Marklieke DeBruijn; Alessio Baccarani; Anthony D. Bruno; Srinivasan Mukundan; Detlev Erdmann; Jeffrey R. Marcus
• Keywords: Concomitant; Facial trauma; Trauma Center

Background: Patients with panfacial fractures comprise a small portion of the overall facial fracture patient population. Because forces necessary to cause injury, these patients often have other concomitant injuries. The timing operative management remains controversial. Methods: A 3-year review all was conducted at Duke University Medical Center (2003–2005, 437 total patients). All fractures, defined as involving least three four segments (frontal, upper midface, lower and mandible), were analyzed. Results: Panfacial present in 38 (9% population). Twenty (53%) suffered most common mechanism trauma motor vehicle collision, category injury intracranial or hemorrhage. Other commonly occurring categories included abdominal organ pneumothorax, pulmonary contusion, spine fracture, rib sternum extremity pelvic fractures. There no significant difference day operation for between those isolated injuries (hospital 2.1 vs. hospital 2.9, not significant). Conclusions: Concomitant parts body are found trauma. In our experience, do significantly delay an adverse effect on treatment strategy consistent timely is described.