Analysis of Patients Facial Trauma Using the Facial Injury Severity Scale (FISS) at Pusan National University Regional Trauma Center
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Patients with severe trauma, including facial injuries, are evaluated and treated immediately in emergencies. A variety of assessment systems are utilized to determine whether a trauma patient needs immediate medical attention. The purpose of this study is to confirm that using the Facial Injury Severity Scale (FISS) can help assess the severity of facial trauma in patients and plan appropriate treatment. From 2016 to 2022, a study was conducted at Pusan National University Hospital Regional Trauma Center, investigating patients with facial trauma among severe trauma patients of a 741 patients. Data such as patients’ gender, age, admission date, cause of accident, facial fracture location, time until surgery, and hospitalization duration were collected to evaluate the severity of facial trauma using FISS (Facial Injury Severity Scale) scores. In a 7-year retrospective study at Pusan National University Hospital Trauma Center, severe trauma patients exhibited a gender ratio of 4.18:1 (male to female). Saturdays and October stood out as peak periods for patient visits. Using FISS scores, 741 patients were categorized into Mild and Severe trauma groups. The Mild group averaged an age of 53.97 years, while the Severe group averaged 45.21 years. Car accidents were the primary cause across both groups, with FISS scores ranging from 1 to 10. Zygomatico Maxillary Complex (ZMC) fractures were predominant in mid-face fractures, while mandible fractures clustered in symphysis and parasymphysis regions. Elevated FISS scores correlated with more severe facial trauma and complex fractures. Hospitalization duration showed no significant difference between Mild group (40.31±44.33 days) and Severe group (40.52±57.12 days). This study used the FISS score to assess facial trauma patients. ZMC fractures were common in the Mid-face, while symphyseal fractures were predominant in the mandible. Higher FISS scores indicated greater severity and the need for surgical intervention. The FISS system helps evaluate and guide treatment for minimizing long-term complications.
Abstract
Patients with severe trauma, including facial injuries, are evaluated and treated immediately in emergencies. A variety of assessment systems are utilized to determine whether a trauma patient needs immediate medical attention. The purpose of this study is to confirm that using the Facial Injury Severity Scale (FISS) can help assess the severity of facial trauma in patients and plan appropriate treatment. From 2016 to 2022, a study was conducted at Pusan National University Hospital Regional Trauma Center, investigating patients with facial trauma among severe trauma patients of a 741 patients. Data such as patients’ gender, age, admission date, cause of accident, facial fracture location, time until surgery, and hospitalization duration were collected to evaluate the severity of facial trauma using FISS (Facial Injury Severity Scale) scores. In a 7-year retrospective study at Pusan National University Hospital Trauma Center, severe trauma patients exhibited a gender ratio of 4.18:1 (male to female). Saturdays and October stood out as peak periods for patient visits. Using FISS scores, 741 patients were categorized into Mild and Severe trauma groups. The Mild group averaged an age of 53.97 years, while the Severe group averaged 45.21 years. Car accidents were the primary cause across both groups, with FISS scores ranging from 1 to 10. Zygomatico Maxillary Complex (ZMC) fractures were predominant in mid-face fractures, while mandible fractures clustered in symphysis and parasymphysis regions. Elevated FISS scores correlated with more severe facial trauma and complex fractures. Hospitalization duration showed no significant difference between Mild group (40.31±44.33 days) and Severe group (40.52±57.12 days). This study used the FISS score to assess facial trauma patients. ZMC fractures were common in the Mid-face, while symphyseal fractures were predominant in the mandible. Higher FISS scores indicated greater severity and the need for surgical intervention. The FISS system helps evaluate and guide treatment for minimizing long-term complications.
참고문헌 (25)
- 정경원, "외상환자에 대한 손상 중증도 점수체계와 국내 외상성과 연구", Journal of Acute Care Surgery, 6(1), pp.11~17 (2016), 대한외상중환자외과학회
- Zhang J, "Maxillofacial Injury Severity Score : proposal of a new scoring system", Int J Oral Maxillofac Surg, 35, pp.109~114 (2006)
- Shetty V, "The Mandible Injury Severity Score : Development and Validity", J Oral Maxillofac Surg, 65, pp.663~670 (2007)
- Bagheri SC, "Application of a Facial Injury Severity Scale in Craniomaxillofacial Trauma", J Oral Maxillofac Surg, 64, pp.408~414 (2006)
- Yang R, "Why should we start from mandibular fractures in the treatment of panfacial fractures?", J Oral Maxillofac Surg, 70, pp.1386~1392 (2012)
- Si-Yeon Park, "A retrospective analysis of emergency room visits of oral and maxillofacial surgery patients in a tertiary care hospital", Oral Biology Research, 43(1), pp.74~82 (2019), 치의학연구원[DOI]
- 백지선, "상계백병원 응급실에 내원한 구강악안면외과 응급환자에 대한 임상적 연구", Maxillofacial Plastic Reconstructive Surgery, 30(6), pp.561~566 (2008), 대한악안면성형재건외과학회
- 김효건, "Facial Bone Fracture Patients Visiting Pusan National University Hospital in Busan and Yangsan: Trends and Risks", Maxillofacial Plastic Reconstructive Surgery, 36(4), pp.140~145 (2014), 대한악안면성형재건외과학회[DOI]
- 권혁준, "대구지역 안면골 골절의 임상역학적 연구", Archives of Plastic Surgery, 34(3), pp.365~370 (2007), 대한성형외과학회
- Cheol-Heum Park, "Big Data Statistical Analysis of Facial Fractures in Korea", Journal of Korean Medical Science, 35(7), pp.1~12 (2020), 대한의학회[DOI]
- 김광석, "Schwannoma of the posterior branch of the great auricular nerve", Archives of Craniofacial Surgery, 21(6), pp.368~371 (2020), 대한두개안면성형외과학회[DOI]
- Yamamoto K, "Clinical analysis of midfacial fractures", Mater Sociomed, 26, pp.21~25 (2014)
- Udeabor S, "Pattern of midface trauma with associated concomitant injuries in a nigerian referral centre", Niger J Surg, 20, pp.26~29 (2014)
- Zaleckas L, "Prevalence and etiology of midfacial fractures : a study of 799cases", Medicina(Kaunas), 51, pp.222~227 (2015)
- Thorén H, "Occurrence and types of associated injuries in patients with fractures of the facial bones", J Oral Maxillofac Surg, 68, pp.805~810 (2010)
- Aita TG, "Can a Facial Injury Severity Scale Be Used to Predict the Need for Surgical Intervention and Time of Hospitalization?", J Oral Maxillofac Surg, 76, pp.1280~ (2018)[DOI]
- Choi JW, "Treatment of panfacial fractures and threedimensional outcome analysis : the occlusion first approach", J Craniofac Surg, 30, pp.1255~1258 (2019)
- 김지예, "Panfacial Bone Fracture and Medial to Lateral Approach", Archives of Craniofacial Surgery, 17(4), pp.181~185 (2016), 대한두개안면성형외과학회
- Jang SB, "Concomitant injuries and complications according to categories of pan-facial fracture : a retrospective study", J Craniomaxillofac Surg, 48, pp.427~434 (2020)
- Erdmann D, "A retrospective analysis of facial fracture etiologies", Ann Plast Surg, 60, pp.398~403 (2008)
- Dalena MM, "Assessment of panfacial fractures in the pediatric population", J Oral Maxillofac Surg, 78, pp.1156~1161 (2020)
- Septa D, "Etiology, incidence and patterns of mid-face fractures and associated ocular injuries", J Maxillofac Oral Surg, 13, pp.115~119 (2014)
- Ravindran V, "Metaanalysis of maxillofacial trauma in the northern districts of kerala : one year prospective study", J Maxillofac Oral Surg, 10, pp.321~327 (2011)
- Ykeda RB, "Epidemiological profile of 277 patients with facial fractures treated at the emergency room at the ENT Department of Hospital do Trabalhador in Curitiba", PR, in 2010, 2012, pp.16, 437~444
- Morrow BT, "Evidencebased medicine : mandible fractures", Plast Reconstr Surg, 134, pp.1381~1390 (2014)