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KMID : 0948320040040010050
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Konyang Medical Journal
2004 Volume.4 No. 1 p.50 ~ p.55
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The Clinical Analysis of Patients with Facial Fractures
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Yoo Jin-Hyun
Park Joon-Seok
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Abstract
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Facial trauma require careful, thoughtful treatment because the patient’s face is such a prime focus of attention by others. Facial trauma commonly presents a complex problem to the emergency physician because it may be an isolated injury or occur in conjunction with other trauma. This study is to analyze the clinical characteristics of facial fractures to help improve our understanding for the assessment and emergency treatment of patients with them. A retrospective method was used to study facial-fracture patients visiting our emergency room from May 2002 to April 2003. During the research, a total number of 206 patients with facial fractures were examined. The average age was 36.819.6 years. The male predominated over female (3.4 : 1). The monthly incidence was the highest in March. The most common accident time was between 6:00 p.m. and midnight. As for the injury mechanism, traffic accidents were the primary cause with 40.3%. Orbital fracture was the most common overall facial fracture (44.7%). Ninetyseven (47.1%) patients had associated injuries. Head (28.6%) and extremity (23.3%) injuries are the most common associated injuries. The emergency procedures used were intubations (9) and thoracostomies (4). The emergency operations performed were craniotomies (5) and exploratory laparotomies (2). Four patients died due to brain injuries. We believe emergency physicians can maximize the effectiveness of their treatment of patients with facial fractures and their associated injuries through a coordinated team approach, while minimizing the complications and sequela.
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KEYWORD
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Facial fracture, Clinical characteristics
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