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The Relationship of the Facial Injury Location and the Traumatic Brain Hemorrhage
Journal of the Korean Society of Emergency Medicine ; : 514-521, 2016.
Artículo en Coreano | WPRIM | ID: wpr-68483
ABSTRACT

PURPOSE:

Several studies have reported that facial fractures were associated with traumatic brain injuries or cervical injuries. The purpose of this study was to analyze the relationship between the location of facial injury and traumatic brain hemorrhage in order to support future decisions for image evaluation in facial injury patients.

METHODS:

In this retrospective cohort study, we evaluated facial injury patients without external head trauma who visited the emergency department at our hospital between January 1, 2014 and October 31, 2014. We divided the cohort into 2 groups Facial injury patients with associated traumatic brain hemorrhage and those without traumatic brain hemorrhage. We compared the factors related to traumatic brain hemorrhage, such as facial injury locations, mechanism of accident, types of wounds, altered mentality, headache, and loss of consciousness between the two groups.

RESULTS:

In 873 patients, 73 (8.36%) presented traumatic brain hemorrhage and the other 800 had no traumatic brain hemorrhage on a brain computed tomography (CT) scan. The rate of headache, loss of consciousness, altered mentality, traffic accident, fall down, fracture, temporal injury, frontal injury, multiple facial area injury, and upper facial area (frontal and upper orbital area) injury were higher in the traumatic brain hemorrhage group than in the non-traumatic brain hemorrhage group (p<0.05). The risk factors of traumatic brain hemorrhage were headache, loss of consciousness, altered mentality, facial bone fracture, and temporal area injury of the face.

CONCLUSION:

If a facial injury patient has any of the following factors temporal area injury, facial bone fracture, altered mentality, headache, and loss of consciousness, we have to evaluate the brain CT scan even if the patient had no external head injury.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Órbita / Hueso Temporal / Inconsciencia / Heridas y Lesiones / Encéfalo / Lesiones Encefálicas / Traumatismo Múltiple / Accidentes de Tránsito / Tomografía Computarizada por Rayos X / Estudios Retrospectivos Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Órbita / Hueso Temporal / Inconsciencia / Heridas y Lesiones / Encéfalo / Lesiones Encefálicas / Traumatismo Múltiple / Accidentes de Tránsito / Tomografía Computarizada por Rayos X / Estudios Retrospectivos Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Emergency Medicine Año: 2016 Tipo del documento: Artículo