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MEDISAN
On-line version ISSN 1029-3019
Abstract
DIAZ FERNANDEZ, José Manuel and RODRIGUEZ RICARDO, Manuel Alejandro. Injuries severity profile in maxillofacial polytraumatism. MEDISAN [online]. 2014, vol.18, n.5, pp. 660-671. ISSN 1029-3019.
A descriptive and cross-sectional study of 525 patients with maxillofacial polytraumatism, assisted in the Maxillofacial Surgery Service at "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital was carried out from October, 2007 to September, 2010, with the aim of determining the levels of injuries severity of these polytraumatism, for which the new descriptive scale of maxillofacial injuries was applied as a support to the new punctuation of injuries severity. There was a high incidence of poly-injured patients under the effects of alcohol due to motor vehicles accidents; most of them were affected in their soft tissues or had a tissue combination. The extended lesions to more than one third of the face, or of 2 or more affected regions prevailed, as well as the severe level without vital risk as a consequence of greater complications. The operated patients had a higher lesion severity (20,7puntos) to those treated with a non-surgical modality (11,2 points).
Keywords : maxillofacial polytraumatism; new descriptive scale of maxillofacial injury; new score of injury severity; level of injury severity; secondary health care.