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Epidemiology of Craniofacial/Skull Base Fractures

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Craniofacial Trauma

Abstract

The human face is the first focus of human interaction and a source of man’s fascination. In many ways, the face represents identity and personality of a human being. Ironically, the face and head are prone to frequent injuries. According to statistical analyses, injuries in general account for about 9% of the world’s deaths and 12% of the world’s burden of disease by the year 2000 (Devadiga and Prasad 2007). More than 90% of the world’s deaths from injuries occur in developing economies or economies in transition (Peden and Sminkey 2000).

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References

  • Allareddy V, Allareddy V, Nalliah RP. Epidemiology of facial fracture injuries. J Oral Maxillofac Surg. 2011;69(10):2613–8.

    Article  PubMed  Google Scholar 

  • Boenninghaus HG. Surgical treatment of frontobasal fractures, in particular of dura injuries by the ear, nose and throat specialist. Z Laryngol Rhinol Otol. 1971;50(9):631–40.

    PubMed  CAS  Google Scholar 

  • Brachvogel P, Staffensky RH, Koch B. Frontobasal fractures—treatment concept and incidence of late complications. Fortschr Kiefer Gesichtschir. 1991;36:131–3.

    PubMed  CAS  Google Scholar 

  • Brandes A, Gehrke G, Bschorer R, Olivier T, Schmelzle R. Zur Diagnostik und Therapie von Fremdkörperverletzungen der Orbita. In: Rochels R, Behrendt S, editors. Orbita-Chirurgie. Reinbek: Einhorn-Presse; 1997. p. 209–25.

    Google Scholar 

  • Brown MS, Ky W, Lisman RD. Concomitant ocular injuries with orbital fractures. J Craniomaxillofac Trauma. 1999;5(3):41–6.

    PubMed  CAS  Google Scholar 

  • Crossman J, Nissen J, Jenkins A. Managment of head injury. In: Booth PW, Eppley BL, Schmelzeisen R, editors. Maxillofacial trauma and esthetic facial reconstruction. Edinburgh: Churchill Livingstone; 2003. p. 63–74.

    Google Scholar 

  • Crow RW. Diagnosis and management of sports-related injuries to the face. Dent Clin North Am. 1991;35(4):719–32.

    PubMed  CAS  Google Scholar 

  • Dagi TF, George EG. The management of cerebrospinal fluid leaks. In: Schmidek HH, Sweet WH, editors. Operative neurosurgical techniques, vol. I. Philadelphia: Saunders; 1988. p. 57–69.

    Google Scholar 

  • Denecke HJ, Denecke MU, Draf E, Ey W, editors. Die Operationen an den Nasennebenhöhlen und der angrenzenden Schädelbasis. Berlin: Springer; 1992.

    Google Scholar 

  • Devadiga A, Prasad K. Epidemiology of maxillofacial fractures and concomitant injuries in a craniofacial unit: a retrospective study. Internet J Epidemiol. 2007;5(2):1–7

    Google Scholar 

  • Dietrich U, Feldges A, Sievers K, Kocks W. Localization of frontobasal traumatic cerebrospinal fluid fistulas. Comparison of radiologic and surgical findings. Zentralbl Neurochir. 1993;54(1):24–31.

    PubMed  CAS  Google Scholar 

  • Dietz H. Die frontobasale Schädelhirnverletzung. Berlin: Springer; 1970a.

    Book  Google Scholar 

  • Dietz H. Fronto-basal craniocerebral injuries. Clinical picture and problems of surgical treatment. Monogr Gesamtgeb Neurol Psychiatr. 1970b;130:1–163.

    PubMed  CAS  Google Scholar 

  • Dufresne CR, Carson BS, Zinreich SJ. Complex craniofacial problems. New York: Churchill Livingstone; 1992. p. 489–521.

    Google Scholar 

  • Dutton GN, Al Qurainy I. Opthalmic consequenzes of maxillofacial injuries. In: Fonseca RJ, Walker RV, editors. Oral and maxillofacial trauma, vol. 1. Philadelphia: Saunders; 1991.

    Google Scholar 

  • Eppley BL, Bhuller A. Principles of facial soft tissue injury repair. In: Ward-Booth P, Eppley L, Schmelzeisen R, editors. Maxillofacial trauma and esthetic facial reconstruction. Edinburgh: Churchill Livingstone; 2003. p. 153–67.

    Google Scholar 

  • Ernst A, Herzog M, Saidl RO. Traumatologie des Kopf-Hals-Bereiches. Stuttgart: Thieme; 2004.

    Google Scholar 

  • Founier JY. Traumatology-the neurosurgens view. Abstract: Kongress Swiss Society of Neurosurgery Oktober—Lugano. 2007.

    Google Scholar 

  • Gassner R, Hackl W, Tuli T, Fink C, Waldhart E. Differential profile of facial injuries among mountainbikers compared to bicyclists. J Trauma. 1999;47(1):50–4.

    Article  CAS  PubMed  Google Scholar 

  • Godbersen GS, Kügelgen C. Klassifikation von Stirnhöhlenwandfrakturen. In: Schmelzle R, editor. Schädelbasischirurgie. Damaskus: Al-Budoor; 1998a. p. 22–7.

    Google Scholar 

  • Godbersen GS, Kügelgen C. Operative Versorgung von Duraverletzungen nach Stirnhöhlenwandfraktur. In: Schmelzle R, editor. Schädelbasischirurgie. Damaskus: Al-Budoor; 1998b. p. 187–91.

    Google Scholar 

  • Gruss JS. Complex nasoethmoid-orbital and midfacial fractures: role of craniofacial surgical techniques and immediate bone grafting. Ann Plast Surg. 1986;17(5):377–90.

    Article  CAS  PubMed  Google Scholar 

  • Gwyn PP. Facial fractures—associated injuries and complications. Plast Reconstr Surg. 1970;47:225.

    Article  Google Scholar 

  • Haeusler R. Facial injury to vehicle occupants associated with traffic crashes. Clin Plast Surg. 1975;2(1):47–51.

    PubMed  CAS  Google Scholar 

  • Hardt N. Chirurgische Probleme bei penetrierenden Orbitaverletzungen. In: Sailer HF, Hardt N, editors. Swiss Kiefer- und Gesichts Chir, vol. 2. Küsnacht: F. Wüst; 1989. p. 47–50.

    Google Scholar 

  • Hardt N, Sgier F, Gottsauner A. Techniken der Rekonstruktion kraniofazialer Frakturen und Defekte. In: Sailer HF, Hardt N, editors. Swiss Kiefer- und Gesichts Chir, vol. 3. Küsnacht: F. Wüst; 1990. p. 49–54.

    Google Scholar 

  • Haug RH, Savage JD, Likavec MJ, Conforti PJ. A review of 100 closed head injuries associated with facial fractures. J Oral Maxillofac Surg. 1992;50(3):218–22.

    Article  CAS  PubMed  Google Scholar 

  • Hausamen JE, Schmelzeisen R. Traumatologie der Schädelbasis. Reinbek: Einhorn; 1996.

    Google Scholar 

  • Hausamen JE, Schmidseder R. Involvement of the anterior skull base in fractures of the midface. Fortschr Kiefer Gesichtschir. 1975;19:134–13.

    PubMed  CAS  Google Scholar 

  • Hill CM, Crosher RF, Caroll MJ, Mason DA. Facial fractures—the results of a prospective four-year-study. J Maxillofac Surg. 1984;12(6):267–70.

    Article  CAS  PubMed  Google Scholar 

  • Ioannides C, Treffers W, Rutten M, Noverraz P. Ocular injuries associated with fractures involving the orbit. J Craniomaxillofac Surg. 1988;16(4):157–9.

    Article  CAS  PubMed  Google Scholar 

  • Jacobs JR. Cerebrospinal fluid fistula. In: Mathog RH, editor. Maxillofacial traumam. Baltimore: Williams and Wilkins; 1984. p. 297–302.

    Google Scholar 

  • Joos U, Piffko J, Meyer U. Behandlung von frontobasalen Traumen und Polytraumen. Mund Kiefer Gesichtschir. 2001;5:86–93.

    Article  CAS  PubMed  Google Scholar 

  • Kalsbeck WD, Mc Laurin RL, Harris BS. The national head and spinal cord injury survey: major findings. J Neurosurg. 1980;53:519–31.

    Google Scholar 

  • Kessler P, Hardt N. Ergebnisse der transkranialen und subkranialen Versorgung von Frakturen des nasoethmoidoorbitalen Systems bei komplexen Mittelgesichtsfrakturen. Mund Kiefer Gesichtschir. 1998;2:202–8.

    Article  CAS  PubMed  Google Scholar 

  • Koch T, Lehnhardt E. Verletzungen im Hals-Nasen-Ohren-Bereich. In: Tscherne—Unfallchirurgie, vol. 1. Kopf und Körperhöhlen. Berlin: Springer; 2000.

    Google Scholar 

  • Kocks W. Lokalisation von frontobasalen Liquorfisteln. Zentralbl Neurochir. 1993;54:24–31.

    PubMed  Google Scholar 

  • Kral T, Zentner J, Viewe U, Solymosi L, Schramm J. Diagnosis and treatment of frontobasal skull fractures. Neurosurg Rev. 1997;20(1):19–3.

    Article  CAS  PubMed  Google Scholar 

  • Kretschmer H. Neurotraumatologie. Stuttgart: Thieme; 1978.

    Google Scholar 

  • Kuttenberger J, Hardt N, Schlegel C. Diagnosis and initial management of laryngotracheal injuries associated with facial fractures. J Cranio-Maxillofac Surg. 2004;32:80–4.

    Article  Google Scholar 

  • Lehmann U, Rickels E, Krettek C. Multiple traumas with craniocerebral trauma. Early definitive surgical management of long bone fractures. Unfallchirurg. 2001;104(3):196–209.

    Article  CAS  PubMed  Google Scholar 

  • Loew F, Pertuiset B, Chaumier EE, Jaksche H. Traumatic, spontaneous and postoperative CSF rhinorrhea. Adv Tech Stand Neurosurg. 1984;11:169–207.

    Article  CAS  PubMed  Google Scholar 

  • Manson P, French J, Hoopes J. Managment of midfacial fractures. In: Georgiade N, Georgiade G, Riefkohl R, Barwick W, editors. Essentials of plastic maxillofacial and reconstructive surgery. Baltimore: Williams and Wilkins; 1987.

    Google Scholar 

  • Mathog RH. Atlas of craniofacial trauma. Philadelphia: Saunders; 1992.

    Google Scholar 

  • Mathog RH, Arden RL, Marks SC. Trauma of the nose and paranasal sinuses. Stuttgart: Thieme; 1995.

    Google Scholar 

  • Mc Mahon JD, Koppel DA, Devlin M, Moos KF. Maxillary and panfacial fractures. In: Ward-Booth P, Eppley BL, Schmelzeisen R, editors. Maxillofacial trauma and esthetic facial reconstruction. Edinburgh: Churchill Livingstone; 2003. p. 153–67.

    Google Scholar 

  • Neidhardt O. Kraniofaziale und frontobasale Schädelverletzungen. Retrospektive Nachuntersuchung. MKG-Klinik—Kantonspital Luzern, Dissertation Universität Basel. 2002.

    Google Scholar 

  • Neubauer H. Das frontobasale Trauma—Ophthalmologische Aspekte. Fortschr Kiefer Gesichtschir. 1987;32:223–6.

    Google Scholar 

  • O Brian MD, Reade PC. The management of dural tear resulting from midfacial fracture. Head Neck Surg. 1984;6:810.

    Article  Google Scholar 

  • Ommaya AK. Cerebrospinal fluid fistula. In: Wilkins RH, Rengachary SS, editors. Neurosurgery. New York: Mc Graw-Hill; 1985. p. 1637–47.

    Google Scholar 

  • Panzoni E, Clauser C, Giorgi B. Maxillofacial fractures in sports: clinico-statistical study of 107 cases. Riv Ital Stomatol. 1983;52(12):955–60.

    PubMed  CAS  Google Scholar 

  • Peden M, Sminkey L. The injury chart book. Geneva: WHO; 2000.

    Google Scholar 

  • Piek J, Jantzen JP. Empfehlungen zur Erstversorgung des Patienten mit Schädel-Hirntrauma bei Mehrfachverletzung. Op-J. 2000;16:105–10.

    Article  Google Scholar 

  • Potthoff PC. Schädel-Hirn-Trauma. Hexagon Roche. 1985;13(3):1–9.

    Google Scholar 

  • Probst C. Frontobasale Verletzungen-Pathogenetische, diagnostische und therapeutische Probleme aus neurochirurgischer Sicht. Bern: Huber; 1971.

    Google Scholar 

  • Probst C. Neurosurgical aspects of frontobasal injuries with cerebrospinal fluid fistulas: experience with 205 operated patients. Akt Traumatol. 1986;16(2):43–9.

    CAS  Google Scholar 

  • Probst C, Tomaschett C. The neurosurgical treatment of traumatic fronto-basal spinal fluid fistulas (1982–1986). Akt Traumatol. 1990;20(5):217–25.

    CAS  Google Scholar 

  • Probst R, Fiesbach A, Moser A. Fronto-basale Frakturen beim Kind. Laryngorhinologie. 1990;69(3):150–4.

    Article  CAS  Google Scholar 

  • Prokop D. 547 facial bone fractures: a statistical report of the neuruppin clinic for stomatology and maxillofacial surgery for the years 1968–1977. Stomatol DDR. 1980;30(4):241–9.

    PubMed  CAS  Google Scholar 

  • Raveh J, Vuillemin T. The surgical one-stage management of combined cranio-maxillo-facial and frontobasal fractures. Advantages of the subcranial approach in 374 cases. J Craniomaxillofac Surg. 1988;16(4):160–72.

    Article  CAS  PubMed  Google Scholar 

  • Raveh J, Laedrach K, Vuillemin T, Zingg M. Management of combined frontonaso-orbital/skull base fractures and telecanthus in 355 cases. Arch Otolaryngol Head Neck Surg. 1992;118(6):605–14.

    Article  CAS  PubMed  Google Scholar 

  • Raveh J, Lädrach K, Iizuka T, Leibinger F. Subcranial extended anterior approch for skull base tumors: surgical procedure and reconstruction. In: Donald PJ, editor. Surgery of the skull base. Philadelphia: Lippincott-Raven; 1998. p. 165–94.

    Google Scholar 

  • Rohrbach JM, Steuhl KP, Knorr M, Kirchhof B. Ophthalmologische Traumatologie. Stuttgart: Schattauer; 2000.

    Google Scholar 

  • Rowe NL, Williams JL, editors. Maxillofacial injuries, vol. I. Edinburgh: Churchill Livingstone; 1985.

    Google Scholar 

  • Ruchholtz S, Zintl B, Nast-Kolb D, Waydhas C, Schwender D, Pfeifer KJ, Schweiberer L. Qualitätsmanagement der frühen klinischen Polytraumaversorgung. Unfallchirurg. 1997;11:859–562.

    Article  Google Scholar 

  • Schaller B. Das Schädelhirntrauma—Neue pathophysiologische und therapeutische Gesichtspunkte. Swiss Surg. 2003;8:123–37.

    Article  Google Scholar 

  • Schilli W, Joos U. Treatment of pan-facial fractures. Fortschr Kiefer Gesichtschir. 1991;36:36–8.

    PubMed  CAS  Google Scholar 

  • Schmidek HH, Sweet WH. Operative neurosurgical techniques, vol. I. Philadelphia: Saunders; 1988.

    Google Scholar 

  • Schneider O, Richter HP. Die Besonderheiten in der Diagnostik und Behandlung offener Schädel-Hirn-Verletzungen, einschliesslich der Basisfrakturen. Unfallchirurg. 1993;96:591–4.

    PubMed  CAS  Google Scholar 

  • Schroeder HG. Frontobasal fractures. Systematic and symptomatic aspects. Eur Arch Otorhinolaryngol Suppl. 1993;1:275–85.

    PubMed  CAS  Google Scholar 

  • Schroth I, Cristophis S, Kästner S, Jünger T, Jödicke A, Howaldt HP, Böker DK. Management und operative Therapie bei frontobasalen Schädelfrakturen. In: Schmelzle R, editor. Schädelbasischirurgie. Damaskus: Al-Budoor; 1998. p. 37–9.

    Google Scholar 

  • Schroth I, Winking M, Böker DK. Sichere Duradefektdeckung bei frontobasaler Verletzung über die bifrontale Craniotomie. In: Böker DK, Deinsberger W, editors. Schädelbasischirurgie. Wien: Springer; 2004. p. 83–6.

    Chapter  Google Scholar 

  • Schweiberer L, Nast-Kolb D, Duswald KH, Waynas CH, Müller K. Das Polytrauma—Behandlung nach dem diagnostischen und therapeutischen Stufenplan. Unfallchirurg. 1987;90:529–35.

    PubMed  CAS  Google Scholar 

  • Serletti JM, Manson PN. Craniofacial trauma. In: Dufresne CR, Carson BS, Zinreich SJ, editors. Complex craniofacial problems. New York: Churchill Livingstone; 1992. p. 559.

    Google Scholar 

  • Shockley WW. Laryngeal trauma. In: Schokley WW, Pillsbury HC, editors. The neck—diagnosis and surgery. St. Louis: Mosby; 1993.

    Google Scholar 

  • Smith AC, Bradley PJ. Progessive dyspnoe following facial injury. Oral Maxillofac Surg. 1986;24:28–30.

    CAS  Google Scholar 

  • Spangenberg P, Scherer R, Stolke D. Posttraumatische cerebrospinale rhinorrhoe. Anästhesiol Intensivmed Notfallmed Schmerzther. 1997;32(2):105–8.

    Article  CAS  PubMed  Google Scholar 

  • Strohecker J. Zur Akutversorgung offener frontobasaler Traumen: Primär—und Spätergebnisse. Z Unfallchir Versicherungsmed Berufskr. 1984;77:21–6.

    PubMed  CAS  Google Scholar 

  • Tarantino CA, Dowd MD, Murdock TC. Short vertical falls in infants. Pediatr Emerg Care. 1999;12(1):5–8.

    Article  Google Scholar 

  • Theissing J, editor. HNO—Operationslehre. 3rd ed. Stuttgart: Thieme; 1996.

    Google Scholar 

  • Vajda L, Zahn W, Bonorden S. Comparative studies of computed tomographic findings and the operation site in frontobasal fractures. Fortschr Kiefer Gesichtschir. 1987;32:80–2.

    PubMed  CAS  Google Scholar 

  • Wahlmann UW, Wagner W. Frontobasale Beteiligung bei Mittelgesichtsfrakturen—Probleme der Diagnostik und Therapie. Fortschr Kiefer Gesichtschir. 1991;36:125–7.

    PubMed  CAS  Google Scholar 

  • Waller G. Rhinoliquorrhoe ohne frontobasale Fraktur. In: Schuchardt K, Becker R, editors. Fortschr Kiefer Gesichtschir, vol. 12. 1977. p. 62–4.

    Google Scholar 

  • Wallis A, Donald PJ. Frontal sinus fractures: a review of 72 cases. Laryngoscope. 1988;98(6/1):593–8.

    PubMed  CAS  Google Scholar 

  • Weerda H. Traumatologie der Frontobasis und Umgebung, einschliesslich der endokraniellen Komplikationen. In: Naumann HH, editor. Kopf- und Halschirurgie, vol. 1. Gesicht, Nase und Gesichtsschädel. Stuttgart: Thieme; 1995.

    Google Scholar 

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Authors and Affiliations

  1. Clinic of Cranio-Maxillofacial Surgery, Luzerner Kantonsspital, Luzern, Switzerland

    Nicolas Hardt M.D., D.D.S., Ph.D.

  2. Clinic of Cranio-Maxillofacial Surgery, Maastricht University Medical Center, Maastricht, Netherlands

    Peter Kessler M.D., D.D.S., Ph.D.

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  1. Nicolas Hardt M.D., D.D.S., Ph.D.
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  2. Peter Kessler M.D., D.D.S., Ph.D.
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Correspondence to Peter Kessler M.D., D.D.S., Ph.D. .

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Editors and Affiliations

  1. Klinik für Mund- Kiefer und Gesichtschirurgie, Kantonssital Luzern, Luzern, Switzerland

    Nicolas Hardt

  2. Department of Cranio-Maxillofacial Surgery, University of Maastricht, Maastricht, The Netherlands

    Peter Kessler

  3. Clinic of Cranio-Maxillofacial Surgery, Kantonsspital Luzern, Luzern, Switzerland

    Johannes Kuttenberger

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Hardt, N., Kessler, P. (2019). Epidemiology of Craniofacial/Skull Base Fractures. In: Hardt, N., Kessler, P., Kuttenberger, J. (eds) Craniofacial Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-77210-3_1

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