JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (1): 59-61.doi: 10.6040/j.issn.1673-3770.0.2013.195

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Cranio-maxillofacial trauma (500 cases report)

ZHENG Li-you1, LI Xue-jun2   

  1. 1. Department of ENT, Laiwu Traditional Chinese Medical Hospital, Laiwu 271100, Shandong, China； 2. ICU Department,  People′s  Hospital of  Laiwu,  Laiwu 271100, Shandong, China
  • Received:2013-06-28 Online:2014-02-16 Published:2014-02-16

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Abstract:

Objective   To investigate the demographic, causes and clinical characteristics of cranio-maxillofacial trauma (CMT) to determine the appropriate treatment. Methods   Among 1265 cases of ENT and/or maxillofacial injury, clinical data of 500 patients accompanied with brain injury were reviewed. Results   In 1256 cases, injuries located at or above the nasal-acoustic line in 388 cases(30.67%) but under the plane in 112 (8.85%). The incidence of brain injury was significantly associated with this plane(P<0.01). In 500 CMT cases, the male to female ratio was 4.1  to 1, with the common ages ranging from 20 to 49. The leading cause of trauma was traffic accident(47.80%). As for brain injury, there were 59.40% concussion, 11.80% brain contusion, and 6.20% intracranial hematoma. According to GCS scoring system, 88.40% belonged to mild injuries and according to GOS prognostic score, and 95.4% recovered well. Conclusion   Male is prone to CMT than females, esp. for young adults. The main reason is traffic accident. The nasal-acoustic line is helpful for the diagnosis. With correct and effective treatment, the death toll will be minimal.

Key words: Maxillofacial,  Ear-nose-throat, Brain injury, Trauma

CLC Number: 

  • R782
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