An analysis of 1,423 facial fractures in 788 patients at an urban trauma center

M. Scherer, W. G. Sullivan, D. J. smith, Linda Phillips, M. C. Robson

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

The hospital records of all patients presenting to a large urban trauma center emergency department with facial fractures from 1980 through 1984 were reviewed retrospectively. There were 788 patients in the study group, averaging 1.8 fractures per patient for a total of 1,423 facial fractures. The study population had 638 (80.9%) males and 150 (19.1%) females. Racial mix was 71.6% black, 27.8% white, and 0.6% oriental. The most frequent fracture involved the zygoma (23.6%), followed by the orbital floor (21.4%), maxilla, mandible, and nasal bones. The most frequent etiology was assault with a blunt object or first (70.1%) followed by motor vehicle accidents (13.5%), falls (9.3%), and gunshot wounds (6.1%). Initial diagnostic procedures included a facial X-ray series in 99.9%, tomograms in 43.1%, and CT studies in 8.1%. Surgical intervention was required in 61.2% of cases. Prosthetic materials were used in 8.5% of the cases. At our institution, personal assault was found to be the primary cause of both midface fractures and mandibular fractures.

Original languageEnglish (US)
Pages (from-to)388-390
Number of pages3
JournalJournal of Trauma
Volume29
Issue number3
StatePublished - 1989
Externally publishedYes

Fingerprint

Trauma Centers
Nasal Bone
Zygoma
Mandibular Fractures
Gunshot Wounds
Hospital Records
Maxilla
Motor Vehicles
Mandible
Accidents
Hospital Emergency Service
X-Rays
Population

ASJC Scopus subject areas

  • Surgery

Cite this

Scherer, M., Sullivan, W. G., smith, D. J., Phillips, L., & Robson, M. C. (1989). An analysis of 1,423 facial fractures in 788 patients at an urban trauma center. Journal of Trauma, 29(3), 388-390.

An analysis of 1,423 facial fractures in 788 patients at an urban trauma center. / Scherer, M.; Sullivan, W. G.; smith, D. J.; Phillips, Linda; Robson, M. C.

In: Journal of Trauma, Vol. 29, No. 3, 1989, p. 388-390.

Research output: Contribution to journalArticle

Scherer, M, Sullivan, WG, smith, DJ, Phillips, L & Robson, MC 1989, 'An analysis of 1,423 facial fractures in 788 patients at an urban trauma center', Journal of Trauma, vol. 29, no. 3, pp. 388-390.
Scherer, M. ; Sullivan, W. G. ; smith, D. J. ; Phillips, Linda ; Robson, M. C. / An analysis of 1,423 facial fractures in 788 patients at an urban trauma center. In: Journal of Trauma. 1989 ; Vol. 29, No. 3. pp. 388-390.
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