Vessel injuries of the head and neck presenting in mandibular fractures

Hans C. Brockhoff; Chris Morris; Paul Tiwana; Nicolas Bebeau; Ceib Phillips

doi:10.1016/j.oooo.2014.04.009

Vessel injuries of the head and neck presenting in mandibular fractures

Hans C. Brockhoff, Chris Morris, Paul Tiwana, Nicolas Bebeau, Ceib Phillips

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

OBJECTIVE: Extracranial vascular injuries of the head and neck are relatively underdiagnosed in patients with acute trauma and can carry devastating sequelae. We wished to identify the correlation between mandibular fractures and injuries to major vessels of the head and neck.

STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.

RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.

CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.

Original language	English (US)
Pages (from-to)	267-270
Number of pages	4
Journal	Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume	118
Issue number	3
DOIs	https://doi.org/10.1016/j.oooo.2014.04.009
State	Published - Sep 1 2014

ASJC Scopus subject areas

General Medicine

Access to Document

10.1016/j.oooo.2014.04.009

Cite this

@article{d2456adde3764b2c923d0def83300e1e,

title = "Vessel injuries of the head and neck presenting in mandibular fractures",

abstract = "OBJECTIVE: Extracranial vascular injuries of the head and neck are relatively underdiagnosed in patients with acute trauma and can carry devastating sequelae. We wished to identify the correlation between mandibular fractures and injuries to major vessels of the head and neck.STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.",

author = "Brockhoff, {Hans C.} and Chris Morris and Paul Tiwana and Nicolas Bebeau and Ceib Phillips",

year = "2014",

month = sep,

day = "1",

doi = "10.1016/j.oooo.2014.04.009",

language = "English (US)",

volume = "118",

pages = "267--270",

journal = "Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology",

issn = "1528-395X",

publisher = "Elsevier USA",

number = "3",

}

TY - JOUR

T1 - Vessel injuries of the head and neck presenting in mandibular fractures

AU - Brockhoff, Hans C.

AU - Morris, Chris

AU - Tiwana, Paul

AU - Bebeau, Nicolas

AU - Phillips, Ceib

PY - 2014/9/1

Y1 - 2014/9/1

N2 - OBJECTIVE: Extracranial vascular injuries of the head and neck are relatively underdiagnosed in patients with acute trauma and can carry devastating sequelae. We wished to identify the correlation between mandibular fractures and injuries to major vessels of the head and neck.STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.

AB - OBJECTIVE: Extracranial vascular injuries of the head and neck are relatively underdiagnosed in patients with acute trauma and can carry devastating sequelae. We wished to identify the correlation between mandibular fractures and injuries to major vessels of the head and neck.STUDY DESIGN: A retrospective review of our trauma registry was performed for the 1993-2007 period. The data on all mandibular fractures were collected.RESULTS: A total of 2288 patients presented to Parkland Memorial Hospital with mandibular fractures, of whom 47 (2%) had an injury to a major vessel of the neck. Nearly half, 23 (48.9%), were the result of high-velocity penetrating injuries, namely gunshot wounds, whereas 17 (36.2%) were the result of high-velocity blunt motor vehicle or motorcycle collisions.CONCLUSIONS: Patients who sustain a mandibular fracture in the setting of a high-velocity mechanism should be approached with the possibility of vascular injury of the great vessels of the neck kept in mind.

UR - http://www.scopus.com/inward/record.url?scp=84929129355&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929129355&partnerID=8YFLogxK

U2 - 10.1016/j.oooo.2014.04.009

DO - 10.1016/j.oooo.2014.04.009

M3 - Article

C2 - 24984808

AN - SCOPUS:84929129355

SN - 1528-395X

SN - 2212-4411

VL - 118

SP - 267

EP - 270

JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

IS - 3

ER -

Vessel injuries of the head and neck presenting in mandibular fractures

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this