Prathigudupu RS, Tiwari RVC, Mathew P, Roy B, Sadique S, Tiwari H (2018) Mortality in maxillofacial trauma – a review. Zandi M, SeyedHoseini SR (2013) The relationship between head injury and facial trauma: a case-control study. Radomski M, Zettervall S, Schroeder ME, Messing J, Dunne J, Sarani B (2016) Critical care for the patient with multiple trauma. New Injury Severity Score value ≥ 41 is a critical level for survival prognosis and should be considered in treatment planning and management of this category of patients. Age, GCS, and NISS were the most reliable indicator of lethal outcome.Īge, Glasgow Coma Scale and New Injury Severity Score main factors, that predicts lethal outcome with high accuracy. The mortality rates in patients with severe pan-facial fractures were higher ( p = 0.008) than in single anatomical area (6% vs 1.5%). Mainly with isolated midface bones (49.7%), pan-facial (34.6%), mandible (12.9%), and frontal bone and walls (2.8%) fractures. Resultsĭuring 6-year observation period, 719 patients were treated with multiple or combined maxillofacial trauma, brain injuries and polytrauma. Values of New Injury Severity Score, Glasgow Coma Scale, Facial Injury Severity Scale, age, and length of hospital stay were statistically analysed to determine presence of relationships between these indicators and define factors that significantly associated with lethal outcome. The study evaluated patients with facial and concomitant injuries, who received the multidisciplinary treatment in a specialized trauma hospital. Identify the most common concomitant injuries associated with facial trauma, and compare the efficacy of various scoring systems in estimation of mortality risks in this category of patients.
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