Assessing the Ignored Associated Injuries of the Ear, Nose and Throat in Patients with Multiple Trauma in Shahid Rahnamun Hospital of Yazd in 2012 and 2013
Keywords:
maxillofacial trauma, associated injuries, ENTAbstract
Background: Many trauma patients in the Emergency Department are unconscious, and this causes many other problems to go undiagnosed, resulting in the loss of valuable time in initiating the appropriate treatments. The purpose of this study was to determine the prevalence and types of injuries to the ears, nose, and throat that are ignored in patients with multiple traumas in an Emergency Department.
Methods: This study was conducted by assessing patients with multiple traumas who were admitted to the Emergency Department at Shahid Rahnamun Hospital in Yazd, Iran, in 2012 and 2013, and who were advised to acquire diagnostic workups and treatment in the Ear, Nose, and Throat Department. The patients’ data were gathered by studying their records and by careful examinations, and the data were analyzed using the chi-squared test by SPSS version 18.
Results: Among the 230 patients who were counseled, 170 patients had multiple traumas that were caused by accidents, falls, conflicts between individuals, and natural disasters. Fifty-four patients with low Glassco Coma Scale (GCS) values who were admitted to the ICU were counseled after they regained consciousness. Among the 54 cases, 12 cases (22%) had nasal fractures and four cases had septal hematomas that resulted in infections and severe deformities. Twenty-four cases (44%) had lacerations of posterior auricular components, one case required extended debridement, and two cases had extensive necrosis that required a local flap. Two cases (3%) had paralyzed facial nerves, 8 cases (14%) had fractured mandibles, and 10 cases (18%) had laceration of the oral mucosa (lingual - buccal) that require extended debridement in the operating room.
Conclusions: It is recommended that complete physical examinations be done in patients with multiple trauma after they are stabilized; such examinations would require careful training of the medical staff and also careful and timely counseling.
References
Saddas RS. Maxillofacial war injuries during the Iraq-Iran War: An analysis of 300 cases. Int J Oral
MaxillofacSurg.2003;2(2):209-14. PMID: 12729785. doi: 10.1054/ijom.2002.0285
Aremu SK, Alabi BS, Segun-Busari SW, Omotoso SW. Audit of Pediatric ENT Injuries. Int J Biomed Sci.
;7(3):218–21. PMID: 23675239, PMCid: PMC3614839
Singh I, Gathwala G, Gathwala L, Yadav SPS, Wig U. Ear, Nose and Throat injuries in children. Pak J
Otolaryngol. 1993;13(3):133–5.
Matilda I, Lucky O, Chibuike N. Ear, nose and throat injuries in a tertiary institution in Niger delta region
Nigeria. J Med Res Prac. 2012;13(3):59–62.
Arif RK, Naseem U, Inayat U, Shah ED, Noor SK. Causes and complications of ear, nose and throat
injuries in children. A study of 80 cases. J Med Sc. 2006; 13(1):57–9.
Pakgohar A, Esmaili A. Seatbelt role in reducing mortality and morbidity in traffic road. Traffic manag.
;4(4):55-70.
Gilyoma JM, Chalya PL. Endoscopic procedures for removal of foreign bodies of the aerodigestive tract:
The Bugando Medical Centre experience. BMC Ear, Nose Throat Disorders. 2011;13(3):2. Doi:
1186/1472-6815-11-2
Kraft A, Abermann E, Stigler R, Zsifkovits C, Pedross F, Kloss F, et al. Craniomaxillofacial trauma:
synopsis of 14654 cases with 35129 injuries in 15 years. Craniomaxillofac Trauma Reconstr. 2012;5(1)41- 50. Doi: 10.1055/s-0031-1293520
Scherbaum M, Ferdinando D, Bortoli M, Engelmann L, Rocha F. Associated Injuries in Patients with
Maxillofacial Trauma at the Hospital São Vicente de Paulo, Passo Fundo, Brazil. J Oral Maxillofac Res
(Jul-Sep);4(3):1. DOI: 10.5037/jomr.2013.4301
Isik D. Presence of accompanying head injury in patients with maxillofacial trauma Ulus Travma Acil
Cerrahi Derg 2012;18 (3):200-6 doi: 10.5505/tjtes.2012.0104722
Baser N.Clinical management and reconstruction of isolated orbital floor fractures: The role of computed
tomography during preoperative evaluation. Ulus Travma AcilCerrahi Derg 2011;17 (6):545-53. doi:
5505/tjtes.2011.47135
Arif RK, Saatea A. Ear, nose and throat injuries in children. Ayub med Coll Abbottabad. 2005;13(3):54–6.
Figueriedo RR, Azevedo AA, Kos AO, Tomita S. Complications of Ear, nose and throat foreign bodies.
Braz J Otorhinolaryngol. 2008;13(3):7–15.
Dongas P, Hall GM. Mandibular fracture patterns in Tasmania, Australia. Aust Dent J. 2002;47(2):131-7.
Doi: 10.1111/j.1834-7819.2002.tb00316.x
Ansari MH. Maxillofacial fractures in Hamedan province, Iran:a retrospective study (1987-2001). J
Craniomaxillofac Surg. 2004;32(1):28-34. PMid: 14729047. Doi: 10.1016/j.jcms.2003.07.010
Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients.
Laryngoscope.2003Jan;113(1):102-6. PMid: 12514391. Doi: 10.1097/00005537-200301000-00019
Xydakis MS, Bebarta VS, Harrison CD, Conner JC, Grant GA, Robbins AS. Tympanic-membrane
perforation as a marker of concussive brain injury in Iraq. N Engl J Med. 2007 Aug 23;357(8):830-1.
PMid: 17715421. DOI: 10.1056/NEJMc076071
Hackl W, Hausberger K, Sailer R, Ulmer H, Gassner R. Prevalence of cervical spine injuries in patients
with facial trauma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Oct;92(4):370-6. PMid:
DOI: 10.1067/moe.2001.116894
Gassner R, Bösch R, Tuli T, Emshoff R. Prevalence of dental trauma in 6000 patients with facial injuries:
implications for prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Jan;87(1):27-33.
Doi: 10.1016/S1079-2104(99)70290-8
Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543
cases with 21,067 injuries. J Craniomaxillofac Surg. 2003 Feb;31(1):51-61. Doi: 10.1016/S1010- 5182(02)00168-3
Chalya PL, Mabula JB, Dass RM, Mbelenge N, Ngayomela IH, Chandika AB, Gilyoma JM. Injury
characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern
Tanzania.JTraumaManagOutcomes.2012Feb9;6(1):1. PMCid: PMC3292995. doi: 10.1186/1752-2897-6-1
Arvind RJ, Narendar R, Kumar PD, Venkataraman S, Gokulanathan S. Maxillofacial trauma in Tamil Nadu
children and adolescents: A retrospective study. J Pharm Bioallied Sci. 2013 Jun;5(Suppl 1):S33-5. PMid:
DOI: 10.4103/0975-7406.113290.
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