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Vision Training Methods for Sports Concussion Mitigation and Management
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How do oral and maxillofacial surgeons manage concussion?

D Hammond1, R Welbury1, G Sammons1

  • 1Harrington Building, University of Central Lancashire, Preston, PR1 2HE.

The British Journal of Oral & Maxillofacial Surgery
|January 13, 2018
PubMed
Summary

Over one third of patients with craniofacial trauma experience concussion. Oral and maxillofacial surgeons should screen all patients for concussion and refer them to traumatic brain injury clinics for follow-up.

Keywords:
Concussiondistracting injurymaxillofacial trauma

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Area of Science:

  • Trauma Surgery
  • Neurosurgery
  • Oral and Maxillofacial Surgery

Background:

  • Craniofacial trauma often presents with visible injuries, leading surgeons to overlook less apparent conditions like concussion.
  • Concussion, a form of traumatic brain injury, can have persistent effects on patient recovery and psychosocial well-being.

Purpose of the Study:

  • To determine the incidence of concussion in patients with facial fractures.
  • To assess current screening and management practices for concussion within oral and maxillofacial surgery departments.

Main Methods:

  • Retrospective review of 500 consecutive patients with facial fractures at Queen Elizabeth Hospital, Birmingham.
  • Analysis of medical records for concussion screening, documentation of neurological signs, and referral patterns.

Main Results:

  • 37% of patients (186/500) had concussion; 35% (174/500) had more severe traumatic brain injury.
  • Only 7% of patients were referred to a traumatic brain injury clinic.
  • Oral and maxillofacial surgeons documented loss of consciousness in 63% of patients.

Conclusions:

  • A significant proportion of craniofacial trauma patients suffer from concussion.
  • Routine screening for concussion is recommended for all patients presenting with craniofacial trauma.
  • Improved referral pathways to traumatic brain injury clinics are necessary for comprehensive patient care.