ARE LOCATION AND SEVERITY OF FACIAL TRAUMA RISK FACTOR FOR ASSOCIATED CERVICAL LESIONS?
Authors:
Novelli G.1, Canzi G.2, Mirabella S.1,3, Sozzi D.1
Affiliation:
1 Maxillo-Facial Division, IRCCS San Gerardo Dei Tintori, Monza – University of Milano Bicocca
2 Maxillo-Facial Division, Grande Ospedale Metropolitano Niguarda, Milan
3 Maxillo-Facial Surgery Specialization School, University of Milan
Doi: 10.54936/haoms242p76
ABSTRACT:
Introduction: Facial traumas can be associated with cervical spine lesions that need to be correctly and promptly recognized to allow safe management of trauma patients. The aim of this work is to demonstrate a correlation between cervical spine lesion and location and severity of facial trauma.
Material and methods: A 10 years retrospective analysis has been conducted with prospectively collected data, patients had a diagnosis of at least one facial and/or cervical spine lesion. Facial fractures had been categorized using the Comprehensive Facial Injury (CFI) score. Patients were stratified in: Mild Facial Trauma (CFI<4), Moderate Facial Trauma (4 ≤ CFI < 10), Severe Facial Trauma (CFI≥10). The primary outcome was to identify severity degree and site of the facial trauma that correlated with a higher probability of having concomitant cervical spine lesions.
Results: 1197 patients were included in the study: 78% affected by facial trauma, 16% affected by cervical spine lesions.
48% of patients was characterized by mild facial trauma, 35% moderate, 17% severe.
The middle facial third was involved in 45% of cases, the superior third in 13% and the inferior in 10%.
The multivariate analysis shows multiple independent risk factors for facial lesions with cervical spine lesions. The main factors were: middle facial third involvement (OR 1.11, p 0.004) and the severity measurement of the facial trauma, showing that the risk of develop cervical spine lesion increases by 6% with every point of CFI score attributed (OR 1.06, p 0.004)
Conclusion: Facial traumas represent a risk factor for the concomitant presence of cervical spine lesions. Between the other factors, the main risk is associated with sever middle facial third traumas. To stratify patients based on site and severity of the facial trauma can be helpful in the appropriate diagnostical and therapeutical management of patients at risk of associated cervical spine lesions.
KEY WORDS:
Authors:
Novelli G.1, Canzi G.2, Mirabella S.1,3, Sozzi D.1
Affiliation:
1 Maxillo-Facial Division, IRCCS San Gerardo Dei Tintori, Monza – University of Milano Bicocca
2 Maxillo-Facial Division, Grande Ospedale Metropolitano Niguarda, Milan
3 Maxillo-Facial Surgery Specialization School, University of Milan
Doi: 10.54936/haoms242p76
ABSTRACT:
Introduction: Facial traumas can be associated with cervical spine lesions that need to be correctly and promptly recognized to allow safe management of trauma patients. The aim of this work is to demonstrate a correlation between cervical spine lesion and location and severity of facial trauma.
Material and methods: A 10 years retrospective analysis has been conducted with prospectively collected data, patients had a diagnosis of at least one facial and/or cervical spine lesion. Facial fractures had been categorized using the Comprehensive Facial Injury (CFI) score. Patients were stratified in: Mild Facial Trauma (CFI<4), Moderate Facial Trauma (4 ≤ CFI < 10), Severe Facial Trauma (CFI≥10). The primary outcome was to identify severity degree and site of the facial trauma that correlated with a higher probability of having concomitant cervical spine lesions.
Results: 1197 patients were included in the study: 78% affected by facial trauma, 16% affected by cervical spine lesions.
48% of patients was characterized by mild facial trauma, 35% moderate, 17% severe.
The middle facial third was involved in 45% of cases, the superior third in 13% and the inferior in 10%.
The multivariate analysis shows multiple independent risk factors for facial lesions with cervical spine lesions. The main factors were: middle facial third involvement (OR 1.11, p 0.004) and the severity measurement of the facial trauma, showing that the risk of develop cervical spine lesion increases by 6% with every point of CFI score attributed (OR 1.06, p 0.004)
Conclusion: Facial traumas represent a risk factor for the concomitant presence of cervical spine lesions. Between the other factors, the main risk is associated with sever middle facial third traumas. To stratify patients based on site and severity of the facial trauma can be helpful in the appropriate diagnostical and therapeutical management of patients at risk of associated cervical spine lesions.
KEY WORDS: