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  Česky / Czech version Otorinolaryng. a Foniat. /Prague/, 49, 2000, No. 4, pp. 233-236.
 
Causes and Mechanism of Contraction of Injuries of the Facial Skeleton from the ENT Aspect 
Lukáš J., Rambousek P. 

ORL oddělení VFN Praha,
 


Summary:

       The authors analyze the causes and mechanism of contraction of injuries in relation to the frequency of prevalence, sex and age of the patients. In the course of 24 months they treated 331 adult patients and 31 children with injuries of the facial skeleton. On account of fractures of the upper and medial third of the face 25 patients (7.5 % were treated. Isolated fractures of the nasal bones were diagnosed in 276 adult patients (83 %) and in 31 children. In 31 adult patients (10 %) an open fracture was involved and in 28 patients (9 %) reposition of the dislocated nasal bones was made under general anaesthesia. The authors treated also 30 patients (9 %) with multiple injuries and fractures of bones in the upper and medial portion of the face. The most frequent cause of injuries of the facial skeleton was violence caused by another person in 153 patients (46 %), the ratio of men with injuries of the upper and medial third of the face was 132 (87 %) with a maximum incidence between the second and third decade. The second most frequent cause of facial injuries were falls - 89 patients (27 %), both sexes being equally represented, the mean age being high. Sports injuries were recorded in 44 patients (13 %), transport injuries were recorded in 40 patients (12 %). The latter injuries were as to their extent and serious character the most severe ones as in the majority multiple injuries were involved.

        Key words: facial injuries, violence, multiple injury, aggression
       

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