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Emergency Medicine: Oral and Maxillofacial Surgery

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Dear Colleagues,

Important improvements have been made in recent years in the management of emergencies in dentistry and maxillofacial surgery. Traumatology is still, today, the main cause of maxillofacial traumatic emergencies, and the management of facial, maxillofacial and ENT fractures is extremely important. The proper management of dental and dentoalveolar fractures, as well as traumatic avulsions and re-implantations/autotransplants, still represents a challenge today. From a dental point of view, extremely invasive surgical procedures, such as zygomatic implants in the treatment of severe bone atrophy of the upper jaw, can cause intra-surgical zygomatic fractures or even fractures of the orbital floor and invasion of noble areas.

We encourage the submission of scientific articles from clinicians and researchers, systematic reviews, narrative reviews, case reports and any scientific contribution that can enrich understanding of this relevant issue.

Dr. Rodolfo Reda
Dr. Alessio Zanza
Dr. Renzo Guarnieri
Guest Editors

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Research

10 pages, 1921 KiB

Open AccessArticle

Characteristics of E-Scooter-Related Maxillofacial Injuries over 2019–2022—Retrospective Study from Poznan, Poland

by Justyna Kowalczewska, Szymon Rzepczyk, Maciej Okła, Kacper Nijakowski, Łukasz Słowik, Aleksandra Makuch, Oliwia Hryniewicz, Julia Krasnoborska, Czesław Żaba and Krzysztof Osmola

J. Clin. Med. 2023, 12(11), 3690; https://doi.org/10.3390/jcm12113690 - 26 May 2023

Cited by 1 | Viewed by 1239

Abstract

Recently, there has been a considerable rise in the popularity and use of electric scooters. Because of this, the number of accidents involving them has also risen. Head and neck injuries are the most common. The aim of the study was to determine the most frequent craniofacial injuries resulting from accidents involving electric scooters, and to identify the risk factors directly related to their placement and severity. The study carried out a retrospective analysis of the medical records of patients of the Clinic of Maxillofacial Surgery over 2019–2022, in terms of craniofacial injuries suffered as a result of e-scooter-related accidents. In the study population (31 cases), of which 61.3% were men, the median age was 27 years. At the time of the accident, 32.3% patients were under the influence of alcohol. Accidents were most common in the 21–30 age group; more often than not, they occurred during warm months and on weekends. The study identified a total of 40 fractures in the patients. The most common craniofacial injuries were mandibular fractures (37.5%), zygomatic-orbital fractures (20%) and frontal bone fractures (10%). A multidimensional correspondence analysis was also performed, which showed that at an age of under 30, alcohol consumption and female gender were associated with a higher likelihood of mandibular fracture. Proper education on the risks associated with the use of e-scooters is essential, with particular emphasis on the impact of alcohol on the driver. It is important to develop diagnostic and therapeutic algorithms for doctors, both in ED and in specialised departments. Full article

(This article belongs to the Special Issue Emergency Medicine: Oral and Maxillofacial Surgery)

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11 pages, 4573 KiB

Open AccessArticle

Dental and Maxillofacial Emergency Algorithms in Swiss Emergency Departments

by Adelita Sommacal, Roland Bingisser, Andreas Filippi, Mascha Bethke, Florian M. Thieringer, Claude Jaquiéry and Britt-Isabelle Berg

J. Clin. Med. 2023, 12(8), 2952; https://doi.org/10.3390/jcm12082952 - 19 Apr 2023

Viewed by 1155

Abstract

This study aimed to evaluate the availability and use of dental and maxillofacial emergency algorithms in Swiss hospitals. A survey was performed among physicians at Swiss emergency departments (ED) and participants of the “36th Annual Meeting of the Society for Oral and Cranio-Maxillofacial Surgery”. Eighty-nine EDs in Switzerland were questioned about the availability and use of electronic algorithms in their hospitals. Eighty-one (91%) participated in the study. In 75 (93%) of the EDs, electronic algorithms are used, mainly “medStandards”. Six have no available algorithms. Fifty-two (64%) use algorithms daily. Eight (10%) Swiss EDs have maxillofacial and dental algorithms, and 73 (90%) have no access to or do not know about them. For dental algorithms, 28 (38%) of the respondents would like to have access, and 16 (22%) do not desire access. For maxillofacial algorithms, 23 (32%) want to have access and 21 (29%) do not want it. Most (74%) of the participating maxillofacial surgeons did not know about the existence of ED algorithms regarding their specialty. Our study shows that the existence of specific algorithms is often not known. Furthermore, there is a demand for dental and maxillofacial algorithms in Swiss EDs. Full article

(This article belongs to the Special Issue Emergency Medicine: Oral and Maxillofacial Surgery)

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