Associated injuries in facial fractures: review of 839 patients

L. H. Lim, L. K. Lam, M. H. Moore*, J. A. Trott, D. J. David

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

105 Citations (Scopus)


Patients with facial trauma may have associated injuries requiring immediate or specialised attention. This paper reports the incidence and nature of significant associated neurosurgical, ocular, spinal, torso and extremity injuries in facial fracture patients treated by the Department of Plastic and Reconstructive Surgery from June 1989 to June 1992. Of 839 patients treated during the period, 95 patients (11.3%) sustained significant concomitant injuries outside the facial skeleton. There were 45 (5.4%) patients with associated neurosurgical injuries, 33 (3.9%) with ocular injuries, 8 (0.9%) with spinal injuries, 16 (1.9%) with injuries of the torso, and 62 (7.4%) with injuries of the extremities. The spectrum of the injuries is presented. Most neurosurgical injuries are a result of focal impact and the intervention required is related mainly to local fracture management and the repair of dural tears. The risk of significant ocular injury is highest when the fracture involves the orbit. Injuries of the spine, torso (chest, abdomen, pelvis), and limbs were seen mainly in road trauma patients.

Original languageEnglish
Pages (from-to)635-638
Number of pages4
JournalBritish Journal of Plastic Surgery
Issue number8
Publication statusPublished - 1993
Externally publishedYes


Dive into the research topics of 'Associated injuries in facial fractures: review of 839 patients'. Together they form a unique fingerprint.

Cite this