Management of Post-Traumatic Craniofacial Lesion Associations in a University Hospital Setting in Ouagadougou
Prise en Charge des Associations Lésionnelles Crânio-Faciales Post-Traumatiques en Milieu Hospitalo-universitaire à Ouagadougou
DOI:
https://doi.org/10.5281/hra.v2i11.6130Keywords:
Craniofacial trauma, Lesion associations, Multidisciplinary treatmentAbstract
aRESUME
Introduction. Au Burkina Faso, les contraintes structurelles, organisationnelles, socioéconomiques et en ressources humaines rendent souvent difficile la mise en place et la coordination d’équipes de prise en charge pluridisciplinaire dans les associations lésionnelles crânio-faciales. L’objectif de notre travail était de rapporter les aspects de la prise en charge de ces lésions dans notre contexte. Méthodologie. Il s’agissait d’une étude transversale descriptive à collecte rétrospective monocentrique sur une période de trois ans allant du 1er juin 2020 au 31 mai 2023 au Centre Hospitalier Universitaire Yalgado Ouédraogo. Ont été inclus dans l’étude, tous les patients pris en charge pour des associations lésionnelles crânio-encéphaliques et maxillo-faciales, consécutives à un traumatisme crânio-facial, dans les services de Neurochirurgie et de Stomatologie et Chirurgie Maxillo-faciale. Résultats. Nous avons retenu 104 patients avec une moyenne d’âge de 33,12 ans pour un sex-ratio de 8,4. Les lésions étaient consécutives aux accidents de la circulation routière dans 94,23% des cas. La perte de connaissance initiale et les plaies crânio-faciales ont été notées respectivement dans 80% et 75,96% des cas. Les contusions cérébrales (40,38 %) et les embarrures (35,57 %) ont été notées et associées aux fractures zygomatiques dans 30 cas (28,85%). La prise en charge chirurgicale a été pluridisciplinaire concomitante chez 40% des patients. L’évolution à long terme était favorable dans 65,38 % des cas. Conclusion. Les lésions traumatiques crânio-faciales sont fréquentes et touchent tous les âges. L’évolution sous traitement multidisciplinaire est favorable dans la majorité des cas.
ABSTRACT
Introduction. In Burkina Faso, structural, organisational, socio-economic and human resource constraints often make it difficult to set up and coordinate multidisciplinary management teams for craniofacial lesions. The aim of our work was to report on aspects of the management of these injuries in our context. Methodology. This was a monocentric retrospective descriptive cross-sectional study conducted over a three-year period from 1 June 2020 to 31 May 2023 at the Yalgado Ouédraogo University Hospital. All patients treated for associated cranioencephalic and maxillofacial lesions following craniofacial trauma in the Neurosurgery and Stomatology and Maxillofacial Surgery departments were included in the study. Results. We included 104 patients with an average age of 33.12 years and a sex ratio of 8.4. The injuries were the result of road traffic accidents in 94.23% of cases. Initial loss of consciousness and craniofacial wounds were noted in 80% and 75.96% of cases respectively. Cerebral contusions (40.38%) and embarrures (35.57%) were noted and associated with zygomatic fractures in 30 cases (28.85%). Surgical management was multidisciplinary and concomitant in 40% of patients. Long-term outcome was favourable in 65.38% of cases. Conclusion. Craniofacial traumatic injuries are common and affect all ages. Under multidisciplinary treatment, the majority of patients had a favourable outcome.
References
Giraud O, de Soultrait F, Goasguen O, Thiery G, Cantaloube D. Traumatismes craniofaciaux. EMC - Dent. 2004;1(3):244-274. doi:10.1016/j.emcden.2004.01.002
Othman A, Al-Mofreh Al-Qahtani F, Al-Qahtani H, et al. Traumatic brain injuries and maxillofacial fractures: a systematic review and meta-analysis. Oral Maxillofac Surg. 2022;27(3):373-385. doi:10.1007/s10006-022-01076-9
Stanford‐Moore GB, Niyigaba G, Tuyishimire G, et al. Effect of Delay of Care for Patients with Craniomaxillofacial Trauma in Rwanda. OTO Open. 2022;6(2):2473974X221096032. doi:10.1177/2473974X221096032
Kabre A, Zabsonre DS, Toguyeni TL, Boureima K, Lompo PNF. Traumatismes crânio-encéphaliques (TCE) de l’enfant. J Neurochir. 2020;(32):13-18.
Kabre A, Zabsonré S, Haro H, Sanou A. Les hématomes extra duraux post traumatiques: Aspects cliniques et pronostiques à propos de 164 cas. 2013;(18):21-26.
Konsem T, Millogo M, Coulibaly A, Ili V, Ouedraogo RWL, Ouedraogo D. Traumatismes maxillo-faciaux par accidents de la circulation routière impliquant les engins à deux roues au Centre Hospitalier Universitaire Yalgado Ouedraogo (CHU-YO). Aspects épidémiologiques et anatomo-cliniques. Odonto-Stomatol Trop. 2018;41:53-58.
Goh EZ, Beech N, Johnson NR. Traumatic maxillofacial and brain injuries: a systematic review. Int J Oral Maxillofac Surg. 2021;50(8):1027-1033. doi:10.1016/j.ijom.2020.12.003
Abosadegh M M, Rahman SAb, Saddki N. Association of traumatic head injuries and maxillofacial fractures: a retrospective study | 10.1111/edt.12349-Sci_hub. 2017;33:369-374.
Moussa M, Kaka HYA, Bancole PS, Kone R, Sidibe O. Traumatismes Cranio-Faciaux et Absence de Casque de Sécurité chez les Conducteurs de Moto à Niamey. Health Sci Dis. 2020;21(9):73-76. doi:10.5281/hsd.v21i9.2131
Traore H, Traore S, Kane A, et al. Les traumatismes crânio faciaux. Rev Col Odont-Stomal Afr Chir Maxilo-Fac. 2018;(Spécial):62-65.
Nawi MAA, Noor NFM, Shaari R, et al. The patterns of facial fractures in traumatic brain injury (TBI) patients using ordinal regression: a retrospective study of five years. AIMS Neurosci. 2022;9(3):345-357. doi:10.3934/Neuroscience.2022019
Bérété P, Zégbeh NEK, Assouan C, Djémi EM, Yapo ARE, Crézoit GE. Disjonctions crânio-faciales : Aspects socio- démographiques et cliniques au centre hospitalier et universitaire de Bouaké en Côte d’Ivoire. Health Sci Dis. 2022;29(1):45-50. doi:10.1016/j.jidi.2019.01.002
Bouchaouch A, Hassani FD, Abboud H, et al. Les traumatismes de l’étage antérieur de la base du crane: à propos d’une série de 136 cas. Pan Afr Med J. 2015;21. doi:10.11604/pamj.2015.21.155.3511
Rajandram RK, Syed Omar SN, Rashdi MFN, Abdul Jabar MN. Maxillofacial injuries and traumatic brain injury : A pilot study. Dent Traumatol. 2014;30(2):128-132. doi:10.1111/edt.12052
Ruslin M, Wolff J, Yusuf HY, Arifin MZ, Boffano P, Forouzanfar T. Use of neuron-specific enolase to predict mild brain injury in motorcycle crash patients with maxillofacial fractures: A pilot study. Chin J Traumatol. 2019;22(1):47-50. doi:10.1016/j.cjtee.2018.12.004
Galteland P, Døving M, Næss I, et al. The association between head injury and facial fracture treatment: an observational study of hospitalized bicyclists from a level 1 trauma centre. Acta Neurochir (Wien). 2024;166(132):1-7. doi:10.1007/s00701-024-06019-9
You Y, Romero J, Diaz G, Evans R. Concurrent Traumatic Brain Injury with Craniofacial Trauma: A 10-Year Analysis of a Single Institution’s Trauma Registry. Trauma Care. 2023;3(3):108-113. doi:10.3390/traumacare3030011
Hissene M, Hamma I, Bako D, et al. Aspects Cliniques et Scanographiques des Traumatismes Crânioencéphaliques à l’Hôpital National de Niamey. Health Sci Dis. 2022;23(10):78-81.
Joshi UM, Ramdurg S, Saikar S, Patil S, Shah K. Brain Injuries and Facial Fractures: A Prospective Study of Incidence of Head Injury Associated with Maxillofacial Trauma. J Maxillofac Oral Surg. 2018;17(4):531-537. doi:10.1007/s12663-017-1078-8
Eltohami Y, Taha S. Neurological Manifestations of Maxillofacial Trauma. Open Access J Toxicol. 2018;3(3):1-9. doi:10.19080/OAJT.2018.03.555615
Dube A, Rao G, Tanwar A. Pattern of Maxillofacial Injury Associated with Head Injury at a Neuro Surgical Centre: An Analysis of 250 Cases. Int J Dent Med Spec. 2014;1(2):2-6. doi:10.5958/2394-4196.2014.00002.8
Pradeep G, Ankit J, Nirmal KG. Association of Head Injury and Maxillofacial Trauma: A Prospective Case – Control Study. Indian J Appl Res Med Sci. 2016;6(3):528-531.
You N, Choi MS, Roh TH, Jeong D, Kim SH. Severe Facial Fracture is related to Severe Traumatic Brain Injury. World Neurosurg. 2018;111:e47-e52. doi:10.1016/j.wneu.2017.11.166
Li H, Lu RJ, Wu P, et al. Numerical simulation and analysis of midfacial impacts and traumatic brain injuries. Ann Transl Med. 2021;9(6):459-459. doi:10.21037/atm-21-134
Fernandes TB, Mandrekar PN, Visen A, Sinai Khandeparker PV, Dhupar V, Akkara F. Pattern of associated brain injury in maxillofacial trauma: A retrospective study from a high-volume centre. Br J Oral Maxillofac Surg. 2022;60(10):1373-1378. doi:10.1016/j.bjoms.2022.09.002
Iqbal A, Yasin A, Javeed M, Rana T, Khan B, Yasin A. The Role of MDCT and 3D computed tomography in the assessment of maxillofacial fractures and their types: a tertiary care hospital experience. J Fatima Jinnah Med Univ. 2020;14(03):119-123. doi:10.37018/dvdu4414
Abosadegh M, Rahman ShaifulizanAB. Epidemiology and incidence of traumatic head injury associated with maxillofacial fractures: A global perspective. J Int Oral Health. 2018;10(2):63-70. doi:10.4103/jioh.jioh_9_18
Yu M, Wang SM. Anatomy, Head and Neck, Zygomatic. In: StatPearls. StatPearls Publishing; 2024. Accessed September 19, 2024. http://www.ncbi.nlm.nih.gov/books/NBK544257/
Agbara R, Obiechina AE, Ajike SO, Adeola DS. Pattern of maxillofacial injuries in patients with craniocerebral injuries: a prospective study. J Oral Med Oral Surg. 2018;24(3):112-118. doi:10.1051/mbcb/2018002
Udeabor S, Akinmoladun V, Olusanya A, Obiechina A. Pattern of midface trauma with associated concomitant injuries in a Nigerian Referral Centre. Niger J Surg. 2014;20(1):26. doi:10.4103/1117-6806.127105
Sigaroudi KA, Saberi VB, Chabok YS. The Relationship between Mid-face Fractures and Brain Injuries. Shiraz Univ Dent J. 2012;13(1):18-22.
AlGhamdi S, Alasmari FS, Alarjani MB, et al. Association between maxillofacial fractures and brain injuries in trauma patients: a cross-sectional study in the Kingdom of Saudi Arabia. Pan Afr Med J. 2022;43. doi:10.11604/pamj.2022.43.193.36283
Navaneetham R, Menon S, Sham ME, Kumar V. Role of the Maxillofacial Surgeon in Identifying the Correlation Between Facial Bone Fractures and Traumatic Brain Injury - A Prospective Study. Ann Maxillofac Surg. 2022;12(2):161-165. doi:10.4103/ams.ams_169_21
Elbaih AH, El-sayed DA, Abou-Zeid AE, Elhadary GK. Patterns of brain injuries associated with maxillofacial fractures and its fate in emergency Egyptian polytrauma patients. Chin J Traumatol. 2018;21(5):287-292. doi:10.1016/j.cjtee.2017.12.005
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Yakouba Haro, Motandi Idani, Abdoulaye Sanou, Sylvain Zabsonre, Tarcissus Konsem, Abel Kabre
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC BY-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
