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Published on: January 7, 2019
The facial skeleton: Armor to the brain?
Satishkumar G Patil1, Bindu S Patil2, Udupikrishna Joshi1
1Department of Oral and Maxillofacial Surgery, H.K.E's S. Nijalingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India.
Facial fractures indicate a high risk of associated head injuries, as the facial skeleton does not protect the brain. Trauma patients with facial fractures require immediate head injury assessment.
Area of Science:
- Traumatology
- Neurosurgery
- Emergency Medicine
Background:
- Road traffic accidents are a leading cause of mortality in urban areas.
- Facial fractures are common in trauma and may be linked to neuro-cranial injuries.
- Conflicting literature exists on whether facial bones protect the brain or indicate head trauma.
Purpose of the Study:
- To investigate the correlation between facial fractures and head injuries.
- To determine if the facial skeleton offers protection against brain injury.
Main Methods:
- A prospective study was conducted over two years (August 2013-July 2015).
- 100 patients with facial fractures reporting to the emergency department were enrolled.
- Data collected included fracture patterns, head injury presence, and severity using the Glasgow Coma Scale.
Main Results:
- 51% of patients with facial fractures sustained head injuries.
- The mandible and zygomatico-maxillary complex were the most common facial fractures.
- Head-injured patients predominantly had upper or middle third facial fractures and lower Glasgow Coma Scale scores.
Conclusions:
- The facial skeleton does not cushion the brain from impact.
- Facial trauma patients must be evaluated for potential head injuries.
- Early recognition and management of associated head injuries are crucial in facial trauma cases.
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