Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital
Pande Komang Gerry Paramesta1*, I Ketut Wiargitha2, I Wayan Niryana3, Tjok Gde Bagus Mahadewa3, I Wayan Periadijaya4, and I Ketut Widiana5
Abstract
Identifying intracranial lesions in patients with maxillofacial injuries is crucial to improving survival. The purpose of this study was to compile a predictive index of the occurrence of intracranial lesions based on age, location of trauma, and cause of injury in maxillofacial trauma patients. An analytical observational study with a retrospective cohort design. Bivariable analysis and Multivariate analysis using SPSS IBM 26. The value of p<0.005 is significant. There were 81 subjects with maxillofacial trauma with intracranial lesions. Most of the samples were 25 years old (71.6%). Meanwhile, based on the location of the fracture, most of the subjects suffered from Le Fort I, Le Fort II, or a combination of both (70.4%). Only 12.3% of subjects had Le Fort III fractures (with or without Le Fort I or II fractures), and only 17. 3% had concurrent Le Fort II and III fractures. As for 80.2% of the subjects suffered injuries caused by traffic accidents. Intracranial lesions were found in 59.3% of subjects with predominant EDH (21%). Age 25 years increased the risk of intracranial lesions with adjusted OR 19.77 (95% CI 3.77–103.67). Le Fort II & III fractures adjusted OR of 52.68 (95%CI 2.50–112.188). Traffic accident an adjusted OR of 16.75 (95%CI 2.83–99.29). There was a significant and independent relationship between age 25 years, location of Le Fort II & III fractures, and traffic accidents as a cause of injury with intracranial lesions in patients with maxillofacial fractures.
Keywords
maxillofacial trauma; intracranial lesion; predictor
Cite This Article
Paramesta, P. K. G., Wiargitha, I. K., Niryana, I. W., Mahadewa, T. G. B., Periadijaya, I. W., Widiana, I. K. (2023). Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital. International Journal of Scientific Advances (IJSCIA), Volume 4| Issue 2: Mar-Apr 2023, Pages 1ุ72-176, URL: https://www.ijscia.com/wp-content/uploads/2023/04/Volume4-Issue2-Mar-Apr-No.413-172-176.pdf
Volume 4 | Issue 2: Mar-Apr 2023
