Sociodemographic characterization of maxillofacial trauma in a third level center of complexity in Chía, Colombia

Main Article Content

José Antonio Vélez Serna
Julio Cesar García Casallas
Luis Ángel Nieto Vargas
Luisa Fernanda Cogua Martinez
Melanie Alejandra Pérez Orbegozo

Abstract

Introduction: Maxillofacial trauma is considered a surgical emergency when associated with cranioencephalic trauma (CET). The most important demographic findings will be described in a group of patients selected for the present study. To describe the sociodemographic and clinical characteristics of patients diagnosed with maxillofacial trauma, as well as to determine the main treatment and stabilization guidelines developed in a third level complexity center in the township of Chía in Colombia.
Materials and methods: This is a observational and descriptive study, developed by the Department of Clinical Pharmacology and Maxillofacial Surgery to characterize the demographic population with maxillofacial trauma at the Clínica de la Universidad
de La Sabana. Results: We analyzed 37 patients in the present study, with an average age of 35 years, finding a higher incidence of presentation in the male gender. Among the most frequent causes; in 56% of cases, traffic events are recorded as a motorcycle driver. Within the classification of fractures, panfacial’s fractures were found in 24.4% of the cases, being the most prevalent. In the hospital setting, 43% of patients had severe CET. The waiting time to perform a surgical intervention was approximately 3.8 days. Finally, management requirements were defined in the Intensive Care Unit (ICU) through 5 variables such as: use of vasopressors, sedation, analgesics, gastrostomy or tracheostomy and additional management in ICU


 

Article Details

Section

Trabajos Originales

How to Cite

1.
Sociodemographic characterization of maxillofacial trauma in a third level center of complexity in Chía, Colombia. Acta otorrinolaringol cir cabeza cuello [Internet]. 2023 Mar. 31 [cited 2025 Dec. 26];51(1):50-6. Available from: https://www.revista.acorl.org.co/index.php/acorl/article/view/720

References

1. Raposo A, Preisler G, Salinas F, Muñoz C, Monsalves MJ. Epidemiología de las fracturas maxilofaciales ratadas quirúrgicamente en Valdivia, Chile: 5 años de revisión. Rev Esp Cir Oral Maxilofac. 2013;35(1):18-22. doi: 10.1016/j.maxilo.2012.08.002

2. Lipovetsky F, Marin J, Ugarriza J. Metoclopramida en el paciente crítico. Acta Colomb Cuid Intensivo. 2017;17(2):129-32. doi: 10.1016/j.acci.2017.01.001

3. Farfán Y, Restrepo A, Molano J, Rey M, Garzón M, Marulanda JC, et al. La hemorragia digestiva alta en la Unidad de Cuidados Intensivos. Rev Col Gastroenterol. 2006;21(2):131-38.

4. Lipszyc F. Inotrópicos y vasopresores en el shock cardiogénico. PROSAC. 2014;10(1):78-88.

5. Ramos I, Samsó E. Analgesia y sedación del paciente crítico en ventilación mecánica. Rev Esp Anestesiol Reanim. 2007;54(5):302-12.

6. Hernández C, Bergeret J, Hernández M. Traqueostomía: principios y técnica quirúrgica. Cuad Cir. 2007;21(1):92-8. doi: 10.4206/cuad.cir.2007.v21n1-13

7. Espinós J. Gastrostomía endoscópica percutánea (GEP): indicaciones clínicas y resultados. Gastroenterol Hepatol. 1999;22(8):408-14.

8. Estrada F, Morales J, Tabla E, Solís B, Navarro A, Martínez M, et al. Neuroprotección y traumatismo craneoencefálico. Rev Fac Med UNAM. 2012;55(4):16-29.

9. Martínez C, Ramírez E, Marmolejo L, León M. Fracturas maxilofaciales atendidas en el Hospital de San Juan de Dios en Cali. Rev Estomat. 2003;11(1):32-8.

10. Valencia C, Aguirre A. Incidencia del trauma maxilofacial asociado a complicaciones de la vía aérea. Rev. Estomat. 2009;17(1):13-18.

11. Duque F, Martínez E, Gil F. Epidemiología de las fracturas mandibulares atendidas en el servicio de cirugía maxilofacial y estomatología del Hospital Universitario San Vicente de Paúl en el periodo 1998-2005. (Medellín, Colombia). Rev Salud Pública de Medellín. 2007;2(1):95-110. doi: 10.1016/j.gaceta.2015.04.007

12. Babatunde A, Oladimeji A, Udeabor S, Ambrose E. J Emerg Trauma Shock. 2013;6(4):235-70.

13. Lone P, Singh AP, Kour I, Kumar M. A 2-year retrospective analysis of facial injuries in patients treated at department of oral and maxillofacial surgery, IGGDC, Jammu, India. Natl J Maxillofac Surg. 2014;5(2):149-52. doi: 10.4103/0975-5950.154817

14. Almasri M. Severity and causality of maxillofacial trauma in the Southern region of Saudi Arabia. Saudi Dent J. 2013;25(3):107-10. doi: 10.1016/j.sdentj.2013.04.001

15. Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P. Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol. 2005;21(1):14-9. doi: 10.1111/j.1600-9657.2004.00262.x

16. Fuertes L, Mafla A, López E. Análisis epidemiológico de trauma maxilofacial en Nariño, Colombia. Rev. CES Odont. 2010;23(2):33-40.

17. Kostakis G, Stathopoulos P, Dais P, Gkinis G, Igoumenakis D, Mezitis M, et al. An epidemiologic analysis of 1,142 maxillofacial fractures and concomitant injuries. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(5 Suppl):S69-73. doi: 10.1016/j.tripleo.2011.08.029

18. Rana A, Khoso N, Arshad O, Siddiqi K. An assessment of maxilofacial injuries: a 5 year study of 2112 patients. Ann Pak Inst Med Sci. 2010;6(2):113-5.

19. Naveen Shankar A, Naveen Shankar V, Hegde N, Sharma, Prasad R. The pattern of the maxillofacial fractures - A multicentre retrospective study. J Craniomaxillofac Surg. 2012;40(8):675-9. doi: 10.1016/j.jcms.2011.11.004

20. Venegas O, Nicola M, Barrera C, Zambra M, Olivos B, Tovar R. Estudio descriptivo del traumatismo maxilofacial en el hospital de La Serena entre los años 2004 a 2011. Rev Chil Cir. 65(6);2013:525-29. doi: 10.4067/S0718-40262013000600009

21. Allareddy V, Allareddy V, Nalliah RP. Epidemiology of facial fracture injuries. J Oral Maxillofac Surg. 2011;69(10):2613-8. doi: 10.1016/j.joms.2011.02.057

22. van den Bergh B, Heymans MW, Duvekot F, Forouzanfar T. Treatment and complications of mandibular fractures: a 10-year analysis. J Craniomaxillofac Surg. 2012;40(4):e108-11. doi: 10.1016/j.jcms.2011.05.015

23. 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;31(1):51-61. doi: 10.1016/s1010-5182(02)00168-3

24. Bareiro F. Prevalencia de fracturas maxilofaciales en pacientes atendidos en el Hospital Nacional de Itauguá en los años 2007 al 2011. Rev Nac (Itauguá). 2013;5(1):44-9.

25. Krishnan DG. Systematic assessment of the patient with facial trauma. Oral Maxillofac Surg Clin North Am. 2013;25(4):537-44. doi: 10.1016/j.coms.2013.07.009

26. Kaufman Y, Cole P, Hollier L. Contemporary issues in facial gunshot wound management. J Craniofac Surg. 2008;19(2):421-7. doi: 10.1097/SCS.0b013e31816ae4a8

27. Díaz Fernández JM, Inclán Acosta A. Perfil clinicoepidemiológico del politrauma maxilofacial. MEDISAN. 2014;18(3):326-34.

Most read articles by the same author(s)