Hassan Neven Ahmed, Kelany Rabab Sayed El, Emara Ashraf Mahmoud, Amer Mohamed
Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Tanta University, Egypt.
J Forensic Leg Med. 2010 Jan;17(1):26-32. doi: 10.1016/j.jflm.2009.07.008. Epub 2009 Aug 13.
The goal of this work was to determine the craniofacial injury patterns in hospitalized patients to facilitate the awareness, by identifying, describing and quantifying trauma for use in planning and evaluation of preventive programs. Two-hundred and fifty five patients with craniofacial injuries were registered at the department of neurosurgery in Tanta University Hospital. Data were collected including age, gender, medical history, cause of injury and type of injury, location and frequency of soft tissue injuries, skull fractures, facial bone fractures, brain injuries and concomitant injuries, patient symptoms, clinical signs and the radiological findings. The most common causes of craniofacial injuries were road traffic accidents, followed by activity of daily life and assaults. Gender distribution showed that, males were at higher risk than females with a ratio of 5.5/1. In total of skull fractures, 47.84% were fissure fracture and 24.31% were depressed fractures. In total of brain injuries, 7.06% for concussion, 4.71% for contusion, 10.98% for brain laceration, 14.12% for pneumocephalus and 36.47% for brain edema. Regression analysis revealed increased risk for skull fractures and brain injuries in traffic accidents were 84.78%, 94.20%, respectively, and 59.14%, 50.54% in activity of daily life, but the probability of soft tissue injuries increase in traffic accident and violence.
这项工作的目标是确定住院患者的颅面损伤模式，通过识别、描述和量化创伤，以提高人们的认识，用于预防计划的规划和评估。255例颅面损伤患者在坦塔大学医院神经外科登记。收集的数据包括年龄、性别、病史、损伤原因和类型、软组织损伤的部位和频率、颅骨骨折、面骨骨折、脑损伤和伴随损伤、患者症状、临床体征和放射学检查结果。颅面损伤最常见的原因是道路交通事故,其次是日常生活活动和袭击。性别分布显示,男性比女性风险更高,比例为5.5/1。在颅骨骨折中,47.84%为裂缝骨折,24.31%为凹陷骨折。在脑损伤中,脑震荡占7.06%,挫伤占4.71%,脑裂伤占10.98%,气颅占14.12%,脑水肿占36.47%。回归分析显示,交通事故中颅骨骨折和脑损伤的风险增加分别为84.78%、94.20%,在日常生活活动中分别为59.14%、50.54%,但交通事故和暴力中软组织损伤的可能性增加。
