BULIK, Oliver, Milan MACHÁLKA, Ondřej LIBERDA, René FOLTÁN, René JURA, Eva GELNAROVÁ and Tomáš PAVLÍK. Traumatické poranění mozku a zlomeniny obličejového skeletu (Traumatic Brain Injury and Fractures of the Facial Skeleton). Česká a slovenská neurologie a neurochirurgie. 2008, 71/104, No 5, p. 559-564. ISSN 1210-7859.
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Basic information
Original name Traumatické poranění mozku a zlomeniny obličejového skeletu
Name in Czech Traumatické poranění mozku a zlomeniny obličejového skeletu
Name (in English) Traumatic Brain Injury and Fractures of the Facial Skeleton
Authors BULIK, Oliver (203 Czech Republic, guarantor), Milan MACHÁLKA (203 Czech Republic), Ondřej LIBERDA (203 Czech Republic), René FOLTÁN (203 Czech Republic), René JURA (203 Czech Republic), Eva GELNAROVÁ (203 Czech Republic) and Tomáš PAVLÍK (203 Czech Republic).
Edition Česká a slovenská neurologie a neurochirurgie, 2008, 1210-7859.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30211 Orthopaedics
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.319
RIV identification code RIV/00216224:14110/08:00035012
Organization unit Faculty of Medicine
UT WoS 000259946700006
Keywords (in Czech) traumatické poranění mozku; fraktura obličejových kostí
Keywords in English traumatic brain injuries; fractures of the facial bones
Tags traumatic brain injuries
Tags Reviewed
Changed by Changed by: RNDr. Tomáš Pavlík, Ph.D., učo 52483. Changed: 1/4/2010 09:26.
Abstract
Objective: To identify the occurrence and severity of brain injury in the case of fractures of the facial skeleton and the relationship between the incidence of brain injuries and the cause of the injury and the location of the fracture. Sample set and methodology: The work is based on study of a sample of 762 patients with fractures of the facial skeleton. The incidence of brain injury was analysed in relation to individual types of fractures and various mechanisms by which injury took place. Results: Brain injuries occurred in 285 patients with fractures of the facial bones (37.4% of the sample) with severe brain injury (cerebral contusion, intracranial haemorrhage, more severe diffuse axonal injury) occurring in 56 patients (19.6%). Brain injury is most common in head injuries suffered in motor vehicle accidents - 68.5% (74 of 108) and in fractures of both jaws - 65% (26 of 40). Severe brain injury occurs most frequently in combination with a fracture of the upper jaw (73.2%, 41 of 56) and injuries suffered in motor vehicle accidents (43%, 24 of 56). Conclusion: The most frequent and most severe brain injuries occur in combination with fractures of the upper jaw as a result of motor vehicle accidents. The severity of brain injury relates to the intensity and location of the impact force and it is not possible to prove a protective effect of the facial bones.
Abstract (in English)
Objective: To identify the occurrence and severity of brain injury in the case of fractures of the facial skeleton and the relationship between the incidence of brain injuries and the cause of the injury and the location of the fracture. Sample set and methodology: The work is based on study of a sample of 762 patients with fractures of the facial skeleton. The incidence of brain injury was analysed in relation to individual types of fractures and various mechanisms by which injury took place. Results: Brain injuries occurred in 285 patients with fractures of the facial bones (37.4% of the sample) with severe brain injury (cerebral contusion, intracranial haemorrhage, more severe diffuse axonal injury) occurring in 56 patients (19.6%). Brain injury is most common in head injuries suffered in motor vehicle accidents - 68.5% (74 of 108) and in fractures of both jaws - 65% (26 of 40). Severe brain injury occurs most frequently in combination with a fracture of the upper jaw (73.2%, 41 of 56) and injuries suffered in motor vehicle accidents (43%, 24 of 56). Conclusion: The most frequent and most severe brain injuries occur in combination with fractures of the upper jaw as a result of motor vehicle accidents. The severity of brain injury relates to the intensity and location of the impact force and it is not possible to prove a protective effect of the facial bones.
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