Airway Compromise in Mandibular Fracture.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
01 Jun 2022
Historique:
pubmed: 6 10 2021
medline: 2 9 2022
entrez: 5 10 2021
Statut: ppublish

Résumé

Airway compromise is life threatening complication in the maxillofacial fracture. However, the incident of the airway compromise following mandibular fracture was little known. Maxillofacial fractures during the past 3 years from 2017 to 2020 were investigated retrospectively. There were 154 patients with maxillofacial fractures were noted in the past 3 years. Mandibular fractures accounted for 93% of the maxillofacial fracture. The most common cause of injury was falls (75%), followed by sports (12%). Of these, 3 cases (1.9%) needed an airway management at the time of initial treatment, and all were mandibular fractures. The average age was 55.7 ± 10 years and all were male. The cause of the injury was high-energy trauma including traffic accident and work-related injury. Endotracheal intubation was performed at the time of initial treatment. All cases were communicated mandibular fracture included symphysis and para-symphysis region, and the bone fragments including the genial tubercle were largely displaced inward.

Identifiants

pubmed: 34608005
doi: 10.1097/SCS.0000000000008219
pii: 00001665-900000000-92131
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e385-e386

Informations de copyright

Copyright © 2021 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

Sasaki R, Ogiuchi H, Kumasaka A, et al. Analysis of the pattern of maxillofacial fracture by five departments in Tokyo: a review of 674 cases. Oral Sci Int 2009; 6:1–7.
Tung TC, Tseng WS, Chen CT, et al. Acute life-threatening injuries in facial fracture patients: a review of 1,025 patients. J Trauma 2000; 49:420–424.
Gwyn PP, Carraway JH, Horton CE, et al. Facial fractures-associated injuries and complications. Plast Reconstr Surg 1971; 47:225–230.
Busuito MJ, Smith DJ, Robson MC. Mandibular fractures in an urban trauma center. J Trauma 1986; 26:826–829.
Sasaki R, Okamoto T, Sangu N, et al. Genial tubercle fracture. J Craniofac Surg 2019; 30:161–162.
Sasaki R, Okamoto T, Sangu NM, et al. Mandibular fracture in a patient taking a direct oral anticoagulant. J Craniofac Surg 2020; Epub ahead of print.
Taicher S, Givol N, Peleg M, et al. Changing indications for tracheostomy in maxillofacial trauma. J Oral Maxillofac Surg 1996; 54:292–295.
McDonnell D, Reza Nouri M, Todd ME. The mandibular lingual foramen: a consistent arterial foramen in the middle of the mandible. J Anat 1994; 184:363–369.
Liang X, Jacobs R, Lambrichts I, et al. Lingual foramina on the mandibular midline revisited: a macroanatomical study. Clin Anat 2007; 20:246–251.
Papadiochos I, Goutzanis L, Karydi KI, et al. Flared sign of flail mandible on computed tomography: an unstable fracture associated with a compromised airway. Br J Oral Maxillofaci Surg 2017; 55:968–970.
Seshul MB, Sinn DP, Gerlock AJ Jr. The Andy Gump fracture of the mandible: a cause of respiratory obstruction or distress. J Trauma 1978; 18:611–612.
Ryan JM, Ross DR, Obeid G. Genial tubercle fracture. J Oral Maxillofac Surg 2010; 68:2338–2341.

Auteurs

Ryo Sasaki (R)

Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine, Tokyo, Japan.

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