Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.
Int J Oral Maxillofac Surg. 2011 May;40(5):483-6. doi: 10.1016/j.ijom.2011.01.005. Epub 2011 Feb 16.
UK service personnel sustaining maxillofacial wounds in Afghanistan are stabilised in a field hospital prior to evacuation for definitive treatment at the Royal Centre for Defence Medicine (RCDM). Descriptive injury data were gathered from the Joint Theatre Trauma Registry (JTTR) between 1 January 2008 and 31 December 2009 and matched to hospital clinical records. The mean Abbreviated Injury Severity (AIS) scores in service personnel sustaining maxillofacial wounds alone were compared with those with injuries to all body areas. Maxillofacial wounds were present in 21% of British servicemen sustaining battle injuries, but 30% of all evacuations despite the similar mean AIS of each group. This probably reflects the complex care these injuries often require that is not possible in the field. In the field hospital, maxillofacial wounds were predominantly debrided and definitive repair was deferred until evacuated to RCDM. AIS codes are an excellent predictor of mortality from face and eye wounds but they reflect morbidity poorly. The authors propose that instead of a single AIS code, each military face and eye injury should be ascribed a second separate Occulo-Facial Functional and Aesthetic (OFFA) outcome score that more accurately predicts the aesthetic and functional parameters of these wounds.
在阿富汗，英国服务人员遭受颌面创伤后，将在野战医院进行稳定治疗，然后转移到皇家国防医学中心（RCDM）进行明确治疗。2008 年 1 月 1 日至 2009 年 12 月 31 日期间，从联合战区创伤登记处（JTTR）收集了描述性损伤数据，并与医院临床记录进行了匹配。单独遭受颌面创伤的服务人员的平均简明损伤严重程度评分（AIS）与所有身体区域受伤的评分进行了比较。在遭受战斗伤害的英国军人中，颌面创伤占 21%，但在所有撤离人员中占 30%，尽管每组的平均 AIS 相似。这可能反映了这些损伤通常需要的复杂护理，而在现场是不可能进行的。在野战医院，颌面创伤主要进行清创处理，并推迟到转移到 RCDM 进行确定性修复。AIS 代码是面部和眼部创伤死亡率的极好预测指标，但它们对发病率的反映较差。作者建议，对于每一个军事面部和眼部损伤，除了一个单一的 AIS 代码外，还应赋予第二个单独的眼面功能和美容（OFFA）结果评分，以更准确地预测这些伤口的美容和功能参数。
