Featured Research

from universities, journals, and other organizations

Soldiers' Facial Fractures Can Be Repaired In War Zones

Date:
November 21, 2007
Source:
JAMA and Archives Journals
Summary:
American military personnel with facial fractures who meet certain criteria can undergo surgery to treat their injuries without being evacuated from war zones, according to a new report.

American military personnel with facial fractures who meet certain criteria can undergo surgery to treat their injuries without being evacuated from war zones, according to a report in the Archives of Facial Plastic Surgery.

Related Articles


Up to 61 percent of all patients wounded during Operation Iraqi Freedom have had a head and neck injury, according to background information in the article. "Prior to May 2005, most American military personnel with facial fractures were air evacuated from the Iraqi theater for definitive treatment of their facial fractures," the authors write. "Concerns about sterility, infection with Acinetobacter baumannii (a bacteria that has infected wounds and prostheses and caused catheter-related sepsis in many troops returning home) and delaying evacuation out of theater were all reasons cited for not definitively repairing facial fractures in theater."

Beginning in May 2005, American soldiers meeting strict guidelines underwent repair of their facial fractures by a procedure known as open reduction and internal fixation, which involves using mesh implants or plates to mend broken bones.

Candidates for having the operation in Iraq met the following criteria:

  • Their fracture was exposed either by a wound or by another procedure already being performed.
  • Treating them in Iraq would not delay their evacuation from the theater of war.
  • Treatment would allow them to remain in Iraq.

Manuel A. Lopez, M.D., and Jonathan L. Arnholt, M.D., of the Wilford Hall Medical Center, San Antonio, reviewed the records of 207 patients taken to the operating room by the otolaryngologist--facial plastic surgeon at the 322nd Expeditionary Medical Group at the Air Force Theater Hospital, Balad Air Base, Iraq from May to September 2005. The hospital is located in the Sunni Triangle, approximately 40 miles north of Baghdad.

A total of 175 patients (85 percent) were operated on for traumatic injury and 52 patients required open reduction and internal fixation of a facial fracture. Of these 52 patients, 17 were American military personnel who underwent an open reduction and internal fixation. An average of 8.3 months later, 16 of them were contacted or followed up on the global military medical database.

"None of these patients developed an Acinetobacter baumannii infection or had a complication caused by the definitive in-theater open reduction and internal fixation," the authors write. Only one patient required revision surgical repair due to high pressure in the skull.

"The practice of definitively treating facial fractures in a war zone using the criteria discussed in this article can lead to improved patient outcomes," the authors write. "It has been shown that a delay in fracture fixation can lead to both increased technical difficulties and infectious complications." An untreated fracture can become more difficult to repair because the surrounding facial muscles are fibrous and frequently contract. Complications such as nerve weakness and misaligned teeth are more prevalent in jaw fractures with delayed treatment, they note.

"Primary closure of soft tissue defects by open reduction and internal fixation of facial fractures on initial presentation to a well-equipped, in-theater hospital decreases the need for further facial surgery for patients when they return to the United States," they conclude.

Journal reference: Arch Facial Plast Surg. 2007;9(6):400-405. 


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Soldiers' Facial Fractures Can Be Repaired In War Zones." ScienceDaily. ScienceDaily, 21 November 2007. <www.sciencedaily.com/releases/2007/11/071119170222.htm>.
JAMA and Archives Journals. (2007, November 21). Soldiers' Facial Fractures Can Be Repaired In War Zones. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2007/11/071119170222.htm
JAMA and Archives Journals. "Soldiers' Facial Fractures Can Be Repaired In War Zones." ScienceDaily. www.sciencedaily.com/releases/2007/11/071119170222.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Nurse Nina Pham Cured of Ebola

Texas Nurse Nina Pham Cured of Ebola

AFP (Oct. 25, 2014) — An American nurse who contracted Ebola while caring for a Liberian patient in Texas has been declared free of the virus and will leave the hospital. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) — The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins