Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study

Abstract Background The purpose of this study was to identify the epidemiologic factors of panfacial fractures (PFs), and to evaluate the significance of anatomic PF categories and the Facial Injury Severity Scale (FISS) in classifying and standardizing panfacial injuries. Methods A retrospective re...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chengzhong Lin, Jinyang Wu, Chengshuai Yang, Chuxi Zhang, Bing Xu, Yong Zhang, Shilei Zhang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Panfacial fracture (PF) Concomitant injury Postinjury complication Anatomic PF category Facial injury severity scale Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/0761c59ccf0744099f21faee560a6516
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0761c59ccf0744099f21faee560a6516
record_format	dspace
spelling	oai:doaj.org-article:0761c59ccf0744099f21faee560a65162021-11-08T11:04:01ZClassifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study10.1186/s12903-021-01900-w1472-6831https://doaj.org/article/0761c59ccf0744099f21faee560a65162021-11-01T00:00:00Zhttps://doi.org/10.1186/s12903-021-01900-whttps://doaj.org/toc/1472-6831Abstract Background The purpose of this study was to identify the epidemiologic factors of panfacial fractures (PFs), and to evaluate the significance of anatomic PF categories and the Facial Injury Severity Scale (FISS) in classifying and standardizing panfacial injuries. Methods A retrospective review of all patients treated with PFs at our institution between June 2010 and April 2021 was performed. PF was defined as a concurrent fracture in at least 3 of 4 facial subunits (frontal, upper midface, lower midface, and mandible). Data regarding patient demographics, causes of injury, location of fractures, major concomitant injuries, and postinjury complications were collected, and the FISS score was collected from each patient. Statistical analysis was performed using IBM SPSS Statistics version 22.0. Results A total of 227 patients were enrolled. The most commonly fractured bones were the maxillary sinus wall (92.1%), mandible (82.8%), and zygomatic arch (75.3%), and the most common fracture sites in PFs were graphically presented. Four PF patterns were defined: FULM (n = 60), FUL (n = 39), ULM (n = 127), and FUM (n = 1). There was a significant association between PF patterns and sex (p = 0.018), the number of concomitant injuries (p = 0.014), and early surgical airway management (p = 0.003). Different PF patterns were significantly correlated with different types of concomitant injuries and complications. The FISS score showed a significant difference with PF patterns (p = 0.000) and sex (p = 0.007), and a FISS value of 11 or more is the appropriate cutoff for the prediction of multiple concomitant injuries and complications. Conclusions Both the anatomic PF categories and FISS were significantly correlated with various concomitant injuries and complications. The combination of PF categories and FISS provided a better positive and negative prediction of concomitant injuries and complications for PF patients. Patients with FULM and FISS > 11 had an obviously higher proportion of the need for multiprofessional treatment.Chengzhong LinJinyang WuChengshuai YangChuxi ZhangBing XuYong ZhangShilei ZhangBMCarticlePanfacial fracture (PF)Concomitant injuryPostinjury complicationAnatomic PF categoryFacial injury severity scaleDentistryRK1-715ENBMC Oral Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Panfacial fracture (PF) Concomitant injury Postinjury complication Anatomic PF category Facial injury severity scale Dentistry RK1-715
spellingShingle	Panfacial fracture (PF) Concomitant injury Postinjury complication Anatomic PF category Facial injury severity scale Dentistry RK1-715 Chengzhong Lin Jinyang Wu Chengshuai Yang Chuxi Zhang Bing Xu Yong Zhang Shilei Zhang Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
description	Abstract Background The purpose of this study was to identify the epidemiologic factors of panfacial fractures (PFs), and to evaluate the significance of anatomic PF categories and the Facial Injury Severity Scale (FISS) in classifying and standardizing panfacial injuries. Methods A retrospective review of all patients treated with PFs at our institution between June 2010 and April 2021 was performed. PF was defined as a concurrent fracture in at least 3 of 4 facial subunits (frontal, upper midface, lower midface, and mandible). Data regarding patient demographics, causes of injury, location of fractures, major concomitant injuries, and postinjury complications were collected, and the FISS score was collected from each patient. Statistical analysis was performed using IBM SPSS Statistics version 22.0. Results A total of 227 patients were enrolled. The most commonly fractured bones were the maxillary sinus wall (92.1%), mandible (82.8%), and zygomatic arch (75.3%), and the most common fracture sites in PFs were graphically presented. Four PF patterns were defined: FULM (n = 60), FUL (n = 39), ULM (n = 127), and FUM (n = 1). There was a significant association between PF patterns and sex (p = 0.018), the number of concomitant injuries (p = 0.014), and early surgical airway management (p = 0.003). Different PF patterns were significantly correlated with different types of concomitant injuries and complications. The FISS score showed a significant difference with PF patterns (p = 0.000) and sex (p = 0.007), and a FISS value of 11 or more is the appropriate cutoff for the prediction of multiple concomitant injuries and complications. Conclusions Both the anatomic PF categories and FISS were significantly correlated with various concomitant injuries and complications. The combination of PF categories and FISS provided a better positive and negative prediction of concomitant injuries and complications for PF patients. Patients with FULM and FISS > 11 had an obviously higher proportion of the need for multiprofessional treatment.
format	article
author	Chengzhong Lin Jinyang Wu Chengshuai Yang Chuxi Zhang Bing Xu Yong Zhang Shilei Zhang
author_facet	Chengzhong Lin Jinyang Wu Chengshuai Yang Chuxi Zhang Bing Xu Yong Zhang Shilei Zhang
author_sort	Chengzhong Lin
title	Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
title_short	Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
title_full	Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
title_fullStr	Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
title_full_unstemmed	Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study
title_sort	classifying and standardizing panfacial trauma according to anatomic categories and facial injury severity scale: a 10-year retrospective study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0761c59ccf0744099f21faee560a6516
work_keys_str_mv	AT chengzhonglin classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT jinyangwu classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT chengshuaiyang classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT chuxizhang classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT bingxu classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT yongzhang classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy AT shileizhang classifyingandstandardizingpanfacialtraumaaccordingtoanatomiccategoriesandfacialinjuryseverityscalea10yearretrospectivestudy
_version_	1718442396328394752

Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective study

Ejemplares similares