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Severe epistaxis in facial fractures
Plastic and Reconstructive Surgery
|June 1, 1983
Summary
Epistaxis, or nosebleeds, occurred in 4% of facial fracture patients. Midface fractures showed a higher incidence of nosebleeds at 11%, with some requiring significant medical intervention.
Area of Science:
- Otorhinolaryngology
- Trauma Surgery
Background:
- Facial fractures are common injuries.
- Epistaxis is a frequent symptom associated with head and facial trauma.
Observation:
- A 5-year review of 312 patients with facial fractures was conducted.
- The incidence of epistaxis was analyzed across different fracture types.
Findings:
- Overall epistaxis incidence was 4% in patients with facial fractures.
- Midface fractures presented a significantly higher epistaxis incidence of 11% (12 of 108 patients).
- Six cases necessitated packing or transfusion; two required surgical intervention for epistaxis control.
Implications:
- This data highlights the importance of monitoring for epistaxis in midface fracture patients.
- Understanding epistaxis incidence aids in managing potential complications and resource allocation in trauma care.