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https://hdl.handle.net/2440/45593
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Type: | Journal article |
Title: | The conservative management of facial fractures: indications and outcomes |
Author: | Back, C. McLean, N. Anderson, P. David, D. |
Citation: | Journal of Plastic, Reconstructive and Aesthetic Surgery, 2007; 60(2):146-151 |
Publisher: | Print Edition - Churchill Livingstone |
Issue Date: | 2007 |
ISSN: | 1748-6815 1878-0539 |
Statement of Responsibility: | C.P.N. Back, N.R. McLean, P.J. Anderson and D.J. David |
Abstract: | Background: With little in the published literature on the conservative management of facial fractures we set out to determine whether our current criteria for treatment are valid. Method: Two hundred and thirty adult patients with fractures of the facial skeleton were treated conservatively by our unit between February 1997 and January 2003. Their notes were reviewed retrospectively. Results: Most patients were males (76%), the average age was 38 years, and drugs or alcohol were a significant aspect of the history in 30% of the cases. The most common mechanism of injury was assault (47%), followed by falls and sporting injuries. Fifty percent of the fractures involved the orbital or orbito-zygomatic complex, and 55% had associated injuries. Average follow-up was for six weeks (range 0–44 weeks). Most patients were managed conservatively based on our current criteria of un-displaced/minimally displaced fracture (57%); or minimal/no symptoms (24%). At final review, a number had residual symptoms, but only three required corrective surgery. The other reasons for conservative management included patient non-compliance (11%), and medical contraindications (8%). Conclusion: Our results support current indications for the conservative management of facial fractures, but emphasise the need for ongoing follow-up of these patients. |
Keywords: | Facial Bones Humans Skull Fractures Radiography Treatment Outcome Retrospective Studies Time Factors Adolescent Adult Aged Aged, 80 and over Middle Aged Female Male |
DOI: | 10.1016/j.bjps.2006.01.032 |
Published version: | http://dx.doi.org/10.1016/j.bjps.2006.01.032 |
Appears in Collections: | Aurora harvest 6 Surgery publications |
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