A retrospective analysis of the relationship between facial injury and mild traumatic brain injury

Nurliza Abdul Razak, Rifqah Nordin, Normastura Abd Rahman, Roszalina Ramli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/Aims: The association between facial injury characteristics and mild traumatic brain injury (mTBI) is unclear. The aim of this study was to determine the association between facial injury characteristics and mTBI. Methods: A retrospective review utilizing patients' medical records at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia, was performed. Records of subjects with a history of facial trauma from 1 April 2012 to 31 December 2012 were selected. Various levels and surgical speciality records were reviewed to ascertain the diagnoses of facial injuries and mTBI. Results: A total of 348 medical records with the diagnosis of facial injuries were included. The prevalence of mTBI among these patients was 41.4% (95% CI 36.2-46.6). The majority of the patients with mTBI were in the age group of 18-25 years old. Patients with or without facial lacerations that were located on the lower face had a significant association with mTBI, P=.001, compared to other types of soft tissue injury. In addition, a statistically significant association was observed between facial fractures occurring to the middle face and mTBI, P=.018. Pearson chi-square test also showed statistically significant association between the severity of facial injuries and mTBI, P=.018. Conclusions: Mild traumatic brain injury should be suspected in patients with facial injuries and particularly those with lower face lacerations, midface fractures, moderate to severe facial injury and presence of multiple injuries.

Original languageEnglish
JournalDental Traumatology
DOIs
Publication statusAccepted/In press - 2017

Fingerprint

Brain Concussion
Facial Injuries
Lacerations
Malaysia
Medical Records
Soft Tissue Injuries
Multiple Trauma
Chi-Square Distribution
Age Groups

Keywords

  • Facial injury
  • Mild traumatic brain injury
  • Retrospective study

ASJC Scopus subject areas

  • Oral Surgery

Cite this

A retrospective analysis of the relationship between facial injury and mild traumatic brain injury. / Abdul Razak, Nurliza; Nordin, Rifqah; Abd Rahman, Normastura; Ramli, Roszalina.

In: Dental Traumatology, 2017.

Research output: Contribution to journalArticle

@article{9c9a416b68f84b8c8bbd1499d1609fed,
title = "A retrospective analysis of the relationship between facial injury and mild traumatic brain injury",
abstract = "Background/Aims: The association between facial injury characteristics and mild traumatic brain injury (mTBI) is unclear. The aim of this study was to determine the association between facial injury characteristics and mTBI. Methods: A retrospective review utilizing patients' medical records at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia, was performed. Records of subjects with a history of facial trauma from 1 April 2012 to 31 December 2012 were selected. Various levels and surgical speciality records were reviewed to ascertain the diagnoses of facial injuries and mTBI. Results: A total of 348 medical records with the diagnosis of facial injuries were included. The prevalence of mTBI among these patients was 41.4{\%} (95{\%} CI 36.2-46.6). The majority of the patients with mTBI were in the age group of 18-25 years old. Patients with or without facial lacerations that were located on the lower face had a significant association with mTBI, P=.001, compared to other types of soft tissue injury. In addition, a statistically significant association was observed between facial fractures occurring to the middle face and mTBI, P=.018. Pearson chi-square test also showed statistically significant association between the severity of facial injuries and mTBI, P=.018. Conclusions: Mild traumatic brain injury should be suspected in patients with facial injuries and particularly those with lower face lacerations, midface fractures, moderate to severe facial injury and presence of multiple injuries.",
keywords = "Facial injury, Mild traumatic brain injury, Retrospective study",
author = "{Abdul Razak}, Nurliza and Rifqah Nordin and {Abd Rahman}, Normastura and Roszalina Ramli",
year = "2017",
doi = "10.1111/edt.12355",
language = "English",
journal = "Dental Traumatology",
issn = "1600-4469",
publisher = "Blackwell Munksgaard",

}

TY - JOUR

T1 - A retrospective analysis of the relationship between facial injury and mild traumatic brain injury

AU - Abdul Razak, Nurliza

AU - Nordin, Rifqah

AU - Abd Rahman, Normastura

AU - Ramli, Roszalina

PY - 2017

Y1 - 2017

N2 - Background/Aims: The association between facial injury characteristics and mild traumatic brain injury (mTBI) is unclear. The aim of this study was to determine the association between facial injury characteristics and mTBI. Methods: A retrospective review utilizing patients' medical records at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia, was performed. Records of subjects with a history of facial trauma from 1 April 2012 to 31 December 2012 were selected. Various levels and surgical speciality records were reviewed to ascertain the diagnoses of facial injuries and mTBI. Results: A total of 348 medical records with the diagnosis of facial injuries were included. The prevalence of mTBI among these patients was 41.4% (95% CI 36.2-46.6). The majority of the patients with mTBI were in the age group of 18-25 years old. Patients with or without facial lacerations that were located on the lower face had a significant association with mTBI, P=.001, compared to other types of soft tissue injury. In addition, a statistically significant association was observed between facial fractures occurring to the middle face and mTBI, P=.018. Pearson chi-square test also showed statistically significant association between the severity of facial injuries and mTBI, P=.018. Conclusions: Mild traumatic brain injury should be suspected in patients with facial injuries and particularly those with lower face lacerations, midface fractures, moderate to severe facial injury and presence of multiple injuries.

AB - Background/Aims: The association between facial injury characteristics and mild traumatic brain injury (mTBI) is unclear. The aim of this study was to determine the association between facial injury characteristics and mTBI. Methods: A retrospective review utilizing patients' medical records at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia, was performed. Records of subjects with a history of facial trauma from 1 April 2012 to 31 December 2012 were selected. Various levels and surgical speciality records were reviewed to ascertain the diagnoses of facial injuries and mTBI. Results: A total of 348 medical records with the diagnosis of facial injuries were included. The prevalence of mTBI among these patients was 41.4% (95% CI 36.2-46.6). The majority of the patients with mTBI were in the age group of 18-25 years old. Patients with or without facial lacerations that were located on the lower face had a significant association with mTBI, P=.001, compared to other types of soft tissue injury. In addition, a statistically significant association was observed between facial fractures occurring to the middle face and mTBI, P=.018. Pearson chi-square test also showed statistically significant association between the severity of facial injuries and mTBI, P=.018. Conclusions: Mild traumatic brain injury should be suspected in patients with facial injuries and particularly those with lower face lacerations, midface fractures, moderate to severe facial injury and presence of multiple injuries.

KW - Facial injury

KW - Mild traumatic brain injury

KW - Retrospective study

UR - http://www.scopus.com/inward/record.url?scp=85026555742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026555742&partnerID=8YFLogxK

U2 - 10.1111/edt.12355

DO - 10.1111/edt.12355

M3 - Article

C2 - 28649703

AN - SCOPUS:85026555742

JO - Dental Traumatology

JF - Dental Traumatology

SN - 1600-4469

ER -