The management of mid-face fractures with intracranial injury

Keith E. Brandt, George L. Burruss, William Hickerson, Charles E. White, Joseph B. Delozier

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Recent advances have radically changed the management of facial fractures. CT scanning, extensive exposure, and rigid plate fixation in the setting of the trauma center have permitted early operation with improved results. A subset of patients with facial fractures will also have intracranial injuries (ICI). We sought to identify parameters associated with an increased risk for ICI. We also sought to examine the safety and limits of early craniofacial repair in patients with intracranial injuries. Of 114 mid-face fractures treated over a 1-year period, 43 (38%) had a concomitant ICI. The majority, 36 (84%), were from motor vehicle accidents (MVA). Frontal sinus and orbitoethmoid fractures were at the highest risk for ICI, although orbitozygomatic fractures caused by MVAs also had a surprisingly high incidence of ICI. Our results show that early craniofacial repair can be performed safely with appropriate general surgical and neurosugical support.

Original languageEnglish (US)
Pages (from-to)15-19
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume31
Issue number1
DOIs
StatePublished - Jan 1 1991

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Wounds and Injuries
Frontal Sinus
Trauma Centers
Motor Vehicles
Accidents
Safety
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

The management of mid-face fractures with intracranial injury. / Brandt, Keith E.; Burruss, George L.; Hickerson, William; White, Charles E.; Delozier, Joseph B.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 31, No. 1, 01.01.1991, p. 15-19.

Research output: Contribution to journalArticle

Brandt, Keith E. ; Burruss, George L. ; Hickerson, William ; White, Charles E. ; Delozier, Joseph B. / The management of mid-face fractures with intracranial injury. In: Journal of Trauma - Injury, Infection and Critical Care. 1991 ; Vol. 31, No. 1. pp. 15-19.
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