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KMID : 1146620230120030087
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Journal of Korean Academy of Advanced General Dentistry
2023 Volume.12 No. 3 p.87 ~ p.95
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Analysis of Patients Facial Trauma Using the Facial Injury Severity Scale (FISS) at Pusan National University Regional Trauma Cente
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Lee Cheon-Seo
Lee Soo-Byung
Yun Da-Bin
Choi Na-Rae
Song Jae-Min
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Abstract
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Patients with severe trauma, including facial injuries, are evaluated and treated immediately in emergencies. A variety of assessment systems are utilized to determine whether a trauma patient needs immediate medical attention. The purpose of this study is to confirm that using the Facial Injury Severity Scale (FISS) can help assess the severity of facial trauma in patients and plan appropriate treatment. From 2016 to 2022, a study was conducted at Pusan National University Hospital Regional Trauma Center, investigating patients with facial trauma among severe trauma patients of a 741 patients.
Data such as patients’ gender, age, admission date, cause of accident, facial fracture location, time until surgery, and hospitalization duration were collected to evaluate the severity of facial trauma using FISS (Facial Injury Severity Scale) scores. In a 7-year retrospective study at Pusan National University Hospital Trauma Center, severe trauma patients exhibited a gender ratio of 4.18:1 (male to female). Saturdays and October stood out as peak periods for patient visits.
Using FISS scores, 741 patients were categorized into Mild and Severe trauma groups. The Mild group averaged an age of 53.97 years, while the Severe group averaged 45.21 years. Car accidents were the primary cause across both groups, with FISS scores ranging from 1 to 10. Zygomatico Maxillary Complex (ZMC) fractures were predominant in mid-face fractures, while mandible fractures clustered in symphysis and parasymphysis regions. Elevated FISS scores correlated with more severe facial trauma and complex fractures. Hospitalization duration showed no significant difference between Mild group (40.31±44.33 days) and Severe group (40.52±57.12 days). This study used the FISS score to assess facial trauma patients. ZMC fractures were common in the Mid-face, while symphyseal fractures were predominant in the mandible. Higher FISS scores indicated greater severity and the need for surgical intervention. The FISS system helps evaluate and guide treatment for minimizing long-term complications.
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KEYWORD
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FISS (Facial Injury Severity Scale), Regional trauma center, Facial trauma
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