IADR Abstract Archives
A retrospective Analysis of Panfacial Fractures and Polytrauma: Case Series
Objectives: Panfacial fractures (PFFs) are commonly defined as those that simultaneously involve the three transverse thirds of the facial region, as a result of high-energy trauma. The purpose of this study was to analyze the epidemiological features of polytrauma patients (PTP) treated for PFFs in the Mutual de Seguridad Clinical Hospital (MSCH).
Methods: This retrospective observational study was conducted on cases at the MSCH, where the data of patients treated by the Maxillofacial Surgery unit between January 2016 and December 2018 were reviewed. The inclusion criteria was: patient with simultaneous fractures of at least 3 of 4 axial segments of the facial skeleton and diagnosis of polytrauma. Exclusion criteria: insufficient data or not available. 785 files were reviewed, of which 5 were included according to criteria.
Results: The 5 patients had a total of 55 types of fractures (table 1). The most predominant etiology was car accident (60%). The patients were aged between 21 and 57 years with mean age of 45 years. There was only one female patient. All patients had associated other injuries, multiple complications and sequelae (table 2). 80% of the patients underwent reintervention for internal fixation removal (table 3). The time between the accident and the last surgical procedure varies between 8-36 months, while the follow-up time varies between 10-49 months.
Conclusions: The PFFs have a complex nature even for the most experienced surgeons, especially in polytraumatized patients. Among the many possible complications, the most prevalent was wound sepsis. As for sequels, they were aesthetic, dental, neuropathic or ocular problems. In order to reduce the rate of complications, reinterventions and sequelae, it is recommended to resolve the PFFs early, with a multidisciplinary medical team, with emphasis on antiseptic surgical procedures.
Methods: This retrospective observational study was conducted on cases at the MSCH, where the data of patients treated by the Maxillofacial Surgery unit between January 2016 and December 2018 were reviewed. The inclusion criteria was: patient with simultaneous fractures of at least 3 of 4 axial segments of the facial skeleton and diagnosis of polytrauma. Exclusion criteria: insufficient data or not available. 785 files were reviewed, of which 5 were included according to criteria.
Results: The 5 patients had a total of 55 types of fractures (table 1). The most predominant etiology was car accident (60%). The patients were aged between 21 and 57 years with mean age of 45 years. There was only one female patient. All patients had associated other injuries, multiple complications and sequelae (table 2). 80% of the patients underwent reintervention for internal fixation removal (table 3). The time between the accident and the last surgical procedure varies between 8-36 months, while the follow-up time varies between 10-49 months.
Conclusions: The PFFs have a complex nature even for the most experienced surgeons, especially in polytraumatized patients. Among the many possible complications, the most prevalent was wound sepsis. As for sequels, they were aesthetic, dental, neuropathic or ocular problems. In order to reduce the rate of complications, reinterventions and sequelae, it is recommended to resolve the PFFs early, with a multidisciplinary medical team, with emphasis on antiseptic surgical procedures.