신체 타부위 손상을 동반한 악안면골 골절환자의 손상중증도 평점(Injury Severity Score)에 관한 임상적 연구

The clinical study about injury severity score in patients with facial bone fractures associated with injuries on other sites

This is a retrospective study about ISS (Injury Severity Score) of facial bone fractures with multiple injuries on other sites. The study was based on a series of 416 patients with facial bone fractures treated as patients at Severance Hospital and Won Joo Christian Hospital during the period of Jan., 1981 through Dec., 1986. The results were obtained as follows: 1. The most common location was head and neck (57%) among multiple injuries with facial bone fracture. The extremities (27%), chest (9%), abdomen (7%) were then next in order of frequency. 2. Mandible fracture was predominent as 39% and there were also zygoma fracture (25%), Le Fort Ⅱ fracture (24%), Le Fort Ⅲ fracture (12%). 3. In Dept. of first admission, Neurosurgery was predominant as 73% and Orthopedic Surgery (10%), Oral Surgery (6%), others in order. 4. The mean Injury Severity Score was 24 in survival patients and 38 in died patients, but there were variable changes on minimum and maximum score. 5. The most common causes of death were intracranial injury (60%) hypovolemic shock (12.5%), sepsis (12.5%), pneumothorax (6%) respectively. 6. Emergency operation was carried in 60 patients (14%) for facial bone fractures. 7. The ratio of male to female was 4.1: 1, and 3rd decade (37%) was the highest age group in incidence.