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Craniomaxillofacial injuries: experience in Tehran

A A Taher1

  • 1Maxillofacial Surgery Clinic, Baqiet Ulla University Hospital, Tehran, Iran.

The Journal of Craniofacial Surgery
|September 1, 1996
PubMed
Summary

Firearm-related craniofacial injuries were common during the Iraq-Iran conflict, with the lower third of the face most frequently affected. Complication rates were high, particularly for firearm-induced trauma.

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Area of Science:

  • Trauma Surgery
  • Oral and Maxillofacial Surgery
  • Plastic Surgery

Background:

  • Craniofacial trauma presents complex challenges in diagnosis and management.
  • Understanding injury patterns is crucial for effective treatment strategies.
  • The Iraq-Iran conflict resulted in a significant number of civilian and military casualties with severe injuries.

Purpose of the Study:

  • To analyze the patterns and causes of craniofacial injuries treated in Tehran hospitals.
  • To identify the most common anatomical locations and injury types.
  • To report on treatment modalities and complication rates.

Main Methods:

  • Retrospective analysis of 1,608 patients treated between 1984 and 1990.
  • Classification of injuries by type (soft tissue, bony, mixed) and anatomical level (lower, middle, upper thirds).
  • Data collection on injury causes, associated injuries, and treatment outcomes.

Main Results:

  • The majority of injuries were mixed (70%), with lower third craniofacial injuries being most prevalent (69%).
  • Firearm-related injuries accounted for 71% of cases, with the mandible being the most common site in the lower third.
  • High complication rates were observed, especially following firearm injuries.

Conclusions:

  • Firearm violence during the conflict led to a high incidence of severe craniofacial trauma.
  • The lower third of the face, particularly the mandible, was most susceptible to these injuries.
  • Effective management requires addressing associated injuries and anticipating high complication rates.

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