Craniofacial trauma: an assessment of risk related to timing of surgery

C Derdeyn; J A Persing; W C Broaddus; J B Delashaw; J Jane; P A Levine; J Torner

doi:10.1097/00006534-199008000-00005

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Craniofacial trauma: an assessment of risk related to timing of surgery

Journal article

Peer reviewed

Craniofacial trauma: an assessment of risk related to timing of surgery

C Derdeyn, J A Persing, W C Broaddus, J B Delashaw, J Jane, P A Levine and J Torner

Plastic and reconstructive surgery (1963), Vol.86(2), pp.238-245

08/1990

DOI: 10.1097/00006534-199008000-00005

PMID: 2367573

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Abstract

Following the retrospective analysis of approximately 4000 head-injury patients, 49 were identified with a combination of displaced facial fractures and significant cerebral trauma. The purpose of this study was to define clinical and radiographic features in these patients that are associated with a poor prognosis, which in turn might influence the timing of facial fracture repair. The presence of an upper-level facial fracture, low Glasgow coma score, intracranial hemorrhage, displacement of normally midline cerebral structures, and multisystem trauma was associated with a statistically significant poorer prognosis. Additionally, in demographically similar groups of patients (age, sex, concomitant injury) preselected for intracranial pressures of less than 15 mmHg at the time of surgery, no significant difference in survival was appreciated in patients who underwent early (0 to 3 days), middle (4 to 7 days), or late (greater than 7 days) surgical repair. Early surgical repair of facial fractures in these circumstances does not appear to have a negative impact on recovery.

Prognosis

Skull Fractures - surgery

Humans

Middle Aged

Risk Factors

Skull Fractures - complications

Child, Preschool

Infant

Male

Tomography, X-Ray Computed

Skull Fractures - physiopathology

Facial Bones - injuries

Cerebral Hemorrhage - diagnostic imaging

Cerebrospinal Fluid Pressure

Time Factors

Glasgow Coma Scale

Adolescent

Adult

Female

Skull Fractures - diagnostic imaging

Retrospective Studies

Facial Bones - diagnostic imaging

Cerebral Hemorrhage - complications

Child

Details

Title: Subtitle: Craniofacial trauma: an assessment of risk related to timing of surgery
Creators: C Derdeyn - Department of Plastic Surgery, University of Virginia Health Sciences Center, Charlottesville
J A Persing
W C Broaddus
J B Delashaw
J Jane
P A Levine
J Torner
Resource Type: Journal article
Publication Details: Plastic and reconstructive surgery (1963), Vol.86(2), pp.238-245
DOI: 10.1097/00006534-199008000-00005
PMID: 2367573
NLM abbreviation: Plast Reconstr Surg
ISSN: 0032-1052
eISSN: 1529-4242
Publisher: United States
Language: English
Date published: 08/1990
Academic Unit: Neurology; Radiology; Epidemiology; Iowa Neuroscience Institute; Surgery; Injury Prevention Research Center; Neurosurgery
Record Identifier: 9983995020502771

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