Management of head and neck trauma in a developing country
Purpose To investigate cases of trauma in head and neck region; to elucidate the characteristic problems in a developing country. Design and setting Prospective study; 324 patients with trauma related to head and neck analysed in a tertiary care center from August 1999 to August 2005 Results 33.6% o...
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| Veröffentlicht in: | Indian Journal of Otolaryngology and Head & Neck Surgery 2009, Vol.61 (Suppl 1), p.35-43 |
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| container_issue | Suppl 1 |
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| container_title | Indian Journal of Otolaryngology and Head & Neck Surgery |
| container_volume | 61 |
| creator | Prasad, Kishore Chandra Prasad, Sampath Chandra Shenoy, S. Vijendra Kumar, Abhijith |
| description | Purpose
To investigate cases of trauma in head and neck region; to elucidate the characteristic problems in a developing country.
Design and setting
Prospective study; 324 patients with trauma related to head and neck analysed in a tertiary care center from August 1999 to August 2005
Results
33.6% of patients fell in 21–30 year age group. Road traffic accidents (41.4%) were the most common cause of trauma. Nasal bone fractures were the most common fractures. 72.84% presented with bleeding and 72.22% with pain. 92.9% had tenderness. Only 15% of the patients could afford a CT scan. Plain radiograph diagnosed fractures in 83.33% of cases. ORIF was the treatment of choice in cases of fractures of the zygoma, maxilla and mandible. Open reduction and internal fixation (ORIF) gave good long-term results with satisfactory cosmosis. Most of our patients did not have any significant sequelae. Cerebral concussion was the most common associated injury (35.48%).
Conclusion
In developing countries, one cannot follow the approaches used for RTAs in developed countries. Treating surgeons will have to select investigation tools and treatment options according to the socioeconomical and cultural variations, which differ from country to country, and also within different parts of the country. |
| doi_str_mv | 10.1007/s12070-009-0015-7 |
| format | Article |
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To investigate cases of trauma in head and neck region; to elucidate the characteristic problems in a developing country.
Design and setting
Prospective study; 324 patients with trauma related to head and neck analysed in a tertiary care center from August 1999 to August 2005
Results
33.6% of patients fell in 21–30 year age group. Road traffic accidents (41.4%) were the most common cause of trauma. Nasal bone fractures were the most common fractures. 72.84% presented with bleeding and 72.22% with pain. 92.9% had tenderness. Only 15% of the patients could afford a CT scan. Plain radiograph diagnosed fractures in 83.33% of cases. ORIF was the treatment of choice in cases of fractures of the zygoma, maxilla and mandible. Open reduction and internal fixation (ORIF) gave good long-term results with satisfactory cosmosis. Most of our patients did not have any significant sequelae. Cerebral concussion was the most common associated injury (35.48%).
Conclusion
In developing countries, one cannot follow the approaches used for RTAs in developed countries. Treating surgeons will have to select investigation tools and treatment options according to the socioeconomical and cultural variations, which differ from country to country, and also within different parts of the country.</description><identifier>ISSN: 0019-5421</identifier><identifier>ISSN: 2231-3796</identifier><identifier>EISSN: 0973-7707</identifier><identifier>DOI: 10.1007/s12070-009-0015-7</identifier><identifier>PMID: 23120667</identifier><language>eng</language><publisher>India: Springer-Verlag</publisher><subject>Head and Neck Surgery ; Main ; Main Article ; Medicine ; Medicine & Public Health ; Otorhinolaryngology</subject><ispartof>Indian Journal of Otolaryngology and Head & Neck Surgery, 2009, Vol.61 (Suppl 1), p.35-43</ispartof><rights>Association of Otolaryngologists of India 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-341ce4ed13662191b3f7428ab6c49a00f44c020b73d8b175285e73f114aeafbd3</citedby><cites>FETCH-LOGICAL-c442t-341ce4ed13662191b3f7428ab6c49a00f44c020b73d8b175285e73f114aeafbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3450095/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3450095/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23120667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prasad, Kishore Chandra</creatorcontrib><creatorcontrib>Prasad, Sampath Chandra</creatorcontrib><creatorcontrib>Shenoy, S. Vijendra</creatorcontrib><creatorcontrib>Kumar, Abhijith</creatorcontrib><title>Management of head and neck trauma in a developing country</title><title>Indian Journal of Otolaryngology and Head & Neck Surgery</title><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><description>Purpose
To investigate cases of trauma in head and neck region; to elucidate the characteristic problems in a developing country.
Design and setting
Prospective study; 324 patients with trauma related to head and neck analysed in a tertiary care center from August 1999 to August 2005
Results
33.6% of patients fell in 21–30 year age group. Road traffic accidents (41.4%) were the most common cause of trauma. Nasal bone fractures were the most common fractures. 72.84% presented with bleeding and 72.22% with pain. 92.9% had tenderness. Only 15% of the patients could afford a CT scan. Plain radiograph diagnosed fractures in 83.33% of cases. ORIF was the treatment of choice in cases of fractures of the zygoma, maxilla and mandible. Open reduction and internal fixation (ORIF) gave good long-term results with satisfactory cosmosis. Most of our patients did not have any significant sequelae. Cerebral concussion was the most common associated injury (35.48%).
Conclusion
In developing countries, one cannot follow the approaches used for RTAs in developed countries. Treating surgeons will have to select investigation tools and treatment options according to the socioeconomical and cultural variations, which differ from country to country, and also within different parts of the country.</description><subject>Head and Neck Surgery</subject><subject>Main</subject><subject>Main Article</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Otorhinolaryngology</subject><issn>0019-5421</issn><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp9kE9LxDAQxYMoKuoH8CI5eqlmkjTZehBE_AeKFz2HNJ2u1TZZk3bBb2-WVdGLA2EC896b4UfIIbATYEyfJuBMs4KxKj8oC71BdlmlRaE105v5z6AqSslhhxyk9MpyKa6VENtkh4tsVkrvkrMH6-0cB_QjDS19QdtQ6xvq0b3RMdppsLTz1NIGl9iHRefn1IXJj_Fjn2y1tk948NX3yPP11dPlbXH_eHN3eXFfOCn5WAgJDiU2IJTiUEEtWi35zNbKycoy1krpGGe1Fs2sBl3yWYlatADSom3rRuyR83XuYqoHbFw-NdreLGI32Phhgu3M34nvXsw8LI2QZaZT5oDjr4AY3idMoxm65LDvrccwJQPAlQKRoWYprKUuhpQitj9rgJkVdrPGbnKwWWE3K8_R7_t-HN-Qs4CvBSmP_ByjeQ1T9JnZP6mfdKCMhQ</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Prasad, Kishore Chandra</creator><creator>Prasad, Sampath Chandra</creator><creator>Shenoy, S. Vijendra</creator><creator>Kumar, Abhijith</creator><general>Springer-Verlag</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2009</creationdate><title>Management of head and neck trauma in a developing country</title><author>Prasad, Kishore Chandra ; Prasad, Sampath Chandra ; Shenoy, S. Vijendra ; Kumar, Abhijith</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-341ce4ed13662191b3f7428ab6c49a00f44c020b73d8b175285e73f114aeafbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Head and Neck Surgery</topic><topic>Main</topic><topic>Main Article</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Otorhinolaryngology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prasad, Kishore Chandra</creatorcontrib><creatorcontrib>Prasad, Sampath Chandra</creatorcontrib><creatorcontrib>Shenoy, S. Vijendra</creatorcontrib><creatorcontrib>Kumar, Abhijith</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian Journal of Otolaryngology and Head & Neck Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prasad, Kishore Chandra</au><au>Prasad, Sampath Chandra</au><au>Shenoy, S. Vijendra</au><au>Kumar, Abhijith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of head and neck trauma in a developing country</atitle><jtitle>Indian Journal of Otolaryngology and Head & Neck Surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2009</date><risdate>2009</risdate><volume>61</volume><issue>Suppl 1</issue><spage>35</spage><epage>43</epage><pages>35-43</pages><issn>0019-5421</issn><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>Purpose
To investigate cases of trauma in head and neck region; to elucidate the characteristic problems in a developing country.
Design and setting
Prospective study; 324 patients with trauma related to head and neck analysed in a tertiary care center from August 1999 to August 2005
Results
33.6% of patients fell in 21–30 year age group. Road traffic accidents (41.4%) were the most common cause of trauma. Nasal bone fractures were the most common fractures. 72.84% presented with bleeding and 72.22% with pain. 92.9% had tenderness. Only 15% of the patients could afford a CT scan. Plain radiograph diagnosed fractures in 83.33% of cases. ORIF was the treatment of choice in cases of fractures of the zygoma, maxilla and mandible. Open reduction and internal fixation (ORIF) gave good long-term results with satisfactory cosmosis. Most of our patients did not have any significant sequelae. Cerebral concussion was the most common associated injury (35.48%).
Conclusion
In developing countries, one cannot follow the approaches used for RTAs in developed countries. Treating surgeons will have to select investigation tools and treatment options according to the socioeconomical and cultural variations, which differ from country to country, and also within different parts of the country.</abstract><cop>India</cop><pub>Springer-Verlag</pub><pmid>23120667</pmid><doi>10.1007/s12070-009-0015-7</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0019-5421 |
| ispartof | Indian Journal of Otolaryngology and Head & Neck Surgery, 2009, Vol.61 (Suppl 1), p.35-43 |
| issn | 0019-5421 2231-3796 0973-7707 |
| language | eng |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Head and Neck Surgery Main Main Article Medicine Medicine & Public Health Otorhinolaryngology |
| title | Management of head and neck trauma in a developing country |
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