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Facial Trauma: Oral and Maxillofacial Surgical Issues

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Modern Sports Dentistry

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

Athletic injuries to the face can occur in the form of minor soft tissue injuries such as bruises or abrasions, bony fractures, or damage to deeper structures. Head and neck trauma can threaten an athlete’s airway or neurologic function. Vision, hearing, salivary function, speech, facial movement, and sensation all have the potential to be affected. Teeth can be fractured, avulsed, or even aspirated. The individual evaluating head and neck injuries must be aware of the possible traumatic injuries in this region in order to properly treat an affected athlete. The causes, evaluation, and management of maxillofacial trauma will be presented to provide an understanding of this topic.

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References

  1. Conn JM, Annest JL, Gilchrist J. Sports and recreation related injury episodes in the US population. Inj Prev. 2003;9:117–23.

    Article  Google Scholar 

  2. Reehal P. Facial injury in sport. Curr Sports Med Rep. 2010;9:27–34.

    Article  Google Scholar 

  3. Allareddy V, Itty A, Maiorini E, et al. Emergency department visits with facial fractures among children and adolescents: an analysis of profile and predictors of causes of injuries. J Oral Maxillofac Surg. 2014;72:1756–65.

    Article  Google Scholar 

  4. Hill CM, Eppley BL, Thomas DW, Bond SE, Monaghan AM, Dover MS. Etiology and prevention of craniomaxillofacial trauma. In: Booth PW, Eppley BL, Schmelzeisen R, editors. Maxillofacial trauma and esthetic facial reconstruction. 2nd ed. St. Louis: Saunders/Elsevier; 2012. p. 3–18.

    Chapter  Google Scholar 

  5. Hwang K, You SH, Lee HS. Outcome analysis of sport-related multiple facial fractures. J Craniofac Surg. 2009;20:825–9.

    Article  Google Scholar 

  6. Maladiere E, Bado F, Meninguad JP, Guilbert F, Bertrand JC. Aetiology and incidence of facial fractures sustained during sports: a prospective study of 140 patients. Int J Oral Maxillofac Surg. 2001;30:291–5.

    Article  Google Scholar 

  7. Murphy C, O’Connell JE, Kearns G, Stassen L. Sports-related maxillofacial injuries. J Craniofac Surg. 2015;26:2120–3.

    Article  Google Scholar 

  8. Perkins SW, Dayan SH, Sklarew EC, Hamilton M, Bussell GS. The incidence of sports-related facial trauma in children. Ear Nose Throat J. 2000;79:632–4, 636, 638.

    PubMed  Google Scholar 

  9. Roccia F, Diaspro A, Nasi A, Berrone S. Management of sport-related maxillofacial injuries. J Craniofac Surg. 2008;19:377–83.

    Article  Google Scholar 

  10. Nalliah RP, et al. Epidemiology of hospital based emergency department visits due to sports injuries. Pediatr Emerg Care. 2014;30:511–5.

    Article  Google Scholar 

  11. Afrooz PN, Bukowski MR, James IB, Daniel LN, Blavijo-Alvarez JA. The epidemiology of mandibular fractures in the United States, part 1: a review of 13,142 cases from the US National Trauma Data Bank. J Oral Maxillofac Surg. 2015;73:2361–6.

    Article  Google Scholar 

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

    Article  Google Scholar 

  13. Antoun JS, Lee KH. Sports-related maxillofacial fractures over an 11-year period. J Oral Maxillofac Surg. 2008;66:504–8.

    Article  Google Scholar 

  14. MacIsaac ZM, Berhane H, Cray J Jr, et al. Nonfatal sport-related craniofacial fractures: characteristics, mechanisms, and demographic data in the pediatric population. Plast Reconstr Surg. 2013;131:1339.

    Article  Google Scholar 

  15. Steenstrup SE, Bere T, Bahr R. Head Injuries among FIS World Cup alpine and freestyle skiers and snowboarders. Br J Sports Med. 2014;48(1):41–5.

    Article  Google Scholar 

  16. Chua DY, Lo S. Orbital fracture in a professional diver. J Maxillofac Oral Surg. 2015;14(Suppl 1):81–3.

    Article  Google Scholar 

  17. Brandt MT. Oral and maxillofacial aspects of diving medicine. Mil Med. 2004;169:137–41.

    Article  Google Scholar 

  18. Ethan D, Basch CH, Johnson GD, Hammond R. An analysis of technology related distracted biking behaviors and helmet use among cyclists in New York City. J Community Health. 2016;41:138.

    Article  Google Scholar 

  19. Gamble T, Walker I. Wearing a bicycle helmet can increase risk taking and sensation seeking in adults. Psychol Sci. 2016;27:289.

    Article  Google Scholar 

  20. American College of Surgeons. ATLS: advanced trauma life support. Chicago: American College of Surgeons; 2012.

    Google Scholar 

  21. Halsey JN, Hoppe IC, Marano AA, Kordahl AM, Lee ES, Granich MS. Characteristics of cervical spine injury in pediatric patients with facial fractures. J Craniofac Surg. 2016;27:109–11.

    Article  Google Scholar 

  22. Elahi MM, Brar MS, Ahmed N, et al. Cervical spine injury in association with craniomaxillofacial fractures. Plast Reconstr Surg. 2008;121:201.

    Article  Google Scholar 

  23. Mulligan RP, Mahabir RC. The prevalence of cervical spine injury, head injury or both with isolated and multiple craniomaxillofacial fractures. Plast Reconstr Surg. 2010;126:1647.

    Article  Google Scholar 

  24. Erbele ID, Sorensen MP, Rivera A. Otologic and temporal bone injuries, triage, and management. Atlas Oral Maxillfac Surg Clin North Am. 2013;21:117–25.

    Article  Google Scholar 

  25. Watanabe K, Kida W. Battle’s sign. N Engl J Med. 2012;367:1135.

    Article  Google Scholar 

  26. Kass JI, Ferguson BJ. Treatment of hematoma of the nasal septum. N Engl J Med. 2015;372(22):e28.

    Article  Google Scholar 

  27. Olson RA, Fonseca RJ, Zeitler DL, et al. Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg. 1982;40:23.

    Article  Google Scholar 

  28. Kelly DE, Harrigan WF. A survey of facial fractures: Bellevue hospital 1948-1974. J Oral Surg. 1975;33:146–9.

    PubMed  Google Scholar 

  29. Shetty V, Atchison K, Der-Matirosian C, Wang J, Belin TR. The mandible injury severity score: development and validity. J Oral Maxillofac Surg. 2007;65:663–70.

    Article  Google Scholar 

  30. Barton JR. A systematic bandage for fractures of the lower jaw. Am Med Recorder Phila. 1819;2:153.

    Google Scholar 

  31. Morris C, Kushner GM, Tiwana PS. Facial skeletal trauma in the growing patient. Oral Maxillofac Surg Clin North Am. 2011;24:351–64.

    Article  Google Scholar 

  32. Al-Moraissi EA, Ellis E. Surgical treatment of adult mandibular condylar fractures provides better outcomes than closed treatment: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2015;73:482–93.

    Article  Google Scholar 

  33. Hupp JR, Ellis E, Tucker MR, editors. Contemporary oral & maxillofacial surgery. St. Louis: Elsevier; 2008.

    Google Scholar 

  34. Smith BM, Deshmukh AM, Barber HD, Fonseca RJ. Mandibular fractures. In: Fonseca RJ, Barber HD, Powers MP, Frost DE, editors. Oral & maxillofacial trauma. 4th ed. St. Louis: Saunders/Elsevier; 2012. p. 293–330.

    Google Scholar 

  35. Laurentjoye M, Majoufre-Lefebvre C, Caix P, Siberchicot F, Ricard AS. Treatment of mandibular fractures with Michelet technique: manual fracture reduction without arch bars. J Oral Maxillofac Surg. 2009;67:2374–9.

    Article  Google Scholar 

  36. Amaratunga NA. The effect of teeth in the line of mandibular fractures on healing. J Oral Maxillofac Surg. 1987;45:312–4.

    Article  Google Scholar 

  37. Ellis E. Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation. J Oral Maxillofac Surg. 2002;60:863–5.

    Article  Google Scholar 

  38. Neal DC, Wagner WF, Alpert B. Morbidity associated with teeth in the line of mandibular fractures. J Oral Surg. 1978;36:859–62.

    PubMed  Google Scholar 

  39. Le Fort R. Étude expérimentale sur les fractures de la mâchoire supérieure. Rev Chir. 1901;23:208.

    Google Scholar 

  40. Golden BA, Jaskolka MS, Vescan A, Macdonald KI. Evaluation and management of frontal sinus injuries. In: Fonseca RJ, Barber HD, Powers MP, Frost DE, editors. Oral & maxillofacial trauma. 4th ed. St. Louis: Elsevier; 2012. p. 470–90.

    Google Scholar 

  41. Moss WJ, Kedarisetty S, Jafari A, Schaerer DE, Husseman JW. A review of hard palate fracture repair techniques. J Oral Maxillofac Surg. 2016;74:328–36.

    Article  Google Scholar 

  42. Ellis E, Perez D. An algorithm for the treatment of isolated zygomatico-orbital fractures. J Oral Maxillofac Surg. 2014;72:1975–83.

    Article  Google Scholar 

  43. Pitanguy I, Ramos AS. The frontal branch of the facial nerve: the importance of its variations in face lifting. Plast Reconstr Surg. 1966;38:352–6.

    Article  Google Scholar 

  44. Bruns TB, Worthington JM. Using tissue adhesive for wound repair: a practical guide to dermabond. Am Fam Physician. 2000;61:1383–8.

    PubMed  Google Scholar 

  45. Baker MD, Moore SE. Human bites in children: a six-year experience. Am J Dis Child. 1987;141:1285–90.

    Article  Google Scholar 

  46. Stevens MR, Emam HA, Cunningham L. Management of human and animal bites. In: Fonseca RJ, Barber HD, Powers MP, Frost DE, editors. Oral & maxillofacial trauma. 4th ed. St. Louis: Saunders/Elsevier; 2012. p. 615–32.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Oral and Maxillofacial Surgical Consultants, Edina, MN, USA

    Luke A. McMahon

  2. Department of Diagnostic and Biological Sciences, Division of Oral Medicine, Diagnosis and Radiology, University of Minnesota, Minneapolis, MN, USA

    Mansur Ahmad

  3. University of Minnesota School of Dentistry, Minneapolis, MN, USA

    Leon A. Assael

  4. Community Based Education and Practice, University of California, San Francisco, San Francisco, CA, USA

    Leon A. Assael

Authors
  1. Luke A. McMahon
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  2. Mansur Ahmad
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  3. Leon A. Assael
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Corresponding author

Correspondence to Luke A. McMahon .

Editor information

Editors and Affiliations

  1. Division of Oral Surgery, University of Minnesota, Minneapolis, MN, USA

    Mark Roettger

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McMahon, L.A., Ahmad, M., Assael, L.A. (2018). Facial Trauma: Oral and Maxillofacial Surgical Issues. In: Roettger, M. (eds) Modern Sports Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-44416-1_5

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  • DOI: https://doi.org/10.1007/978-3-319-44416-1_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44414-7

  • Online ISBN: 978-3-319-44416-1

  • eBook Packages: MedicineMedicine (R0)

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