Facial Plast Surg 2021; 37(06): 781-789
DOI: 10.1055/s-0041-1723006
Original Article

Facial Protection to Prevent Facial Trauma and Allow for Optimal Protection after Facial Fracture Repair

1   Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
,
Tom Shokri
2   Department of Otolaryngology, Pennsylvania State University, Hershey, Pennsylvania
,
3   Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
,
Yadranko Ducic
4   Department of Facial Plastics, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations

Abstract

Facial skeletal fractures continue to affect humankind, and many methods to alleviate and prevent the injuries outright have been sought after. Prevention is desired, but the implementation and general compliance may contribute to missed opportunities to decrease the burden of facial skeletal trauma. In this article, we explore the preventative as well as postoperative options for the protection of the facial skeleton.



Publication History

Article published online:
01 February 2021

© 2021. Thieme. All rights reserved.

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  • References

  • 1 Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-Junior S. Facial fractures: large epidemiologic survey in Northern Brazil reveals some unique characteristics. J Oral Maxillofac Surg 2016; 74 (12) 2480.e1-2480.e12
  • 2 Gaddipati R, Ramisetti S, Vura N, Reddy KR, Nalamolu B. Analysis of 1,545 fractures of facial region-a retrospective study. Craniomaxillofac Trauma Reconstr 2015; 8 (04) 307-314
  • 3 Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990; 48 (09) 926-932
  • 4 Cornelius CP, Gellrich N, Hillerup S, Kusumoto K, Schubert W. AO Surgery Reference. Accessed May 10, 2020 at: https://surgeryreference.aofoundation.org/cmf/trauma/midface/further-reading/introduction
  • 5 Frommer SA, Bhatt RA. Sports-Related Facial Trauma. Accessed May 19, 2020 at: https://emedicine.medscape.com/article/1284288-overview#showall
  • 6 Roccia F, Dell'Acqua A, Angelini G, Berrone S. Maxillofacial trauma and psychiatric sequelae: post-traumatic stress disorder. J Craniofac Surg 2005; 16 (03) 355-360
  • 7 Hull AM, Lowe T, Devlin M, Finlay P, Koppel D, Stewart AM. Psychological consequences of maxillofacial trauma: a preliminary study. Br J Oral Maxillofac Surg 2003; 41 (05) 317-322
  • 8 Levine E, Degutis L, Pruzinsky T, Shin J, Persing JA. Quality of life and facial trauma: psychological and body image effects. Ann Plast Surg 2005; 54 (05) 502-510
  • 9 Sahni V. Psychological impact of facial trauma. Craniomaxillofac Trauma Reconstr 2018; 11 (01) 15-20
  • 10 Moses H, Powers D, Keeler J. et al. Opportunity cost of surgical management of craniomaxillofacial trauma. Craniomaxillofac Trauma Reconstr 2016; 9 (01) 76-81
  • 11 Goulart DR, Durante L, de Moraes M, Asprino L. Characteristics of maxillofacial trauma among alcohol and drug users. J Craniofac Surg 2015; 26 (08) e783-e786
  • 12 Othman S, Cohn JE, Toscano M, Shokri T, Zwillenberg S. Substance use and maxillofacial trauma: a comprehensive patient profile. J Oral Maxillofac Surg 2020; 78 (02) 235-240
  • 13 Smith AJ, Hodgson RJ, Bridgeman K, Shepherd JP. A randomized controlled trial of a brief intervention after alcohol-related facial injury. Addiction 2003; 98 (01) 43-52
  • 14 Eggensperger NM, Danz J, Heinz Z, Iizuka T. Occupational maxillofacial fractures: a 3-year survey in central Switzerland. J Oral Maxillofac Surg 2006; 64 (02) 270-276
  • 15 Yamamoto K, Matsusue Y, Murakami K. et al. Maxillofacial fractures due to work-related accidents. J Craniomaxillofac Surg 2011; 39 (03) 182-186
  • 16 Girotto JA, MacKenzie E, Fowler C, Redett R, Robertson B, Manson PN. Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg 2001; 108 (02) 312-327
  • 17 Janicak CA. An examination of occupational fatalities involving impact-related head injuries in the construction industry. J Occup Environ Med 1998; 40 (04) 347-350
  • 18 Konda S, Reichard A, Tiesman HM, Hendricks S. Non-fatal work-related traumatic brain injuries treated in US hospital emergency departments, 1998-2007. Inj Prev 2015; 21 (02) 115-120
  • 19 Iizuka T, Randell T, Güven O, Lindquist C. Maxillofacial fractures related to work accidents. J Craniomaxillofac Surg 1990; 18 (06) 255-259
  • 20 Hächl O, Tuli T, Schwabegger A, Gassner R. Maxillofacial trauma due to work-related accidents. Int J Oral Maxillofac Surg 2002; 31 (01) 90-93
  • 21 Exadaktylos AK, Bournakas T, Eggli S, Zimmermann H, Iizuka T. Maxillofacial injuries related to work accidents: a new concept of a hospital-based full electronic occupational trauma surveillance system. Occup Med (Lond) 2002; 52 (01) 45-48
  • 22 Dang S. Eye injuries at work, Am Academy Ophthalmology. 2016 . Accessed May 16, 2020 at: http://www.aao.org/eye-health/tips-prevention/injurieswork
  • 23 Lipscomb HJ, Dement JM, McDougall V, Kalat J. Work-related eye injuries among union carpenters. Appl Occup Environ Hyg 1999; 14 (10) 665-676
  • 24 Welch LS, Hunting KL, Mawudeku A. Injury surveillance in construction: eye injuries. Appl Occup Environ Hyg 2001; 16 (07) 755-762
  • 25 Lombardi DA, Pannala R, Sorock GS. et al. Welding related occupational eye injuries: a narrative analysis. Inj Prev 2005; 11 (03) 174-179
  • 26 Reesal MR, Dufresne RM, Suggett D, Alleyne BC. Welder eye injuries. J Occup Med 1989; 31 (12) 1003-1006
  • 27 Yu TS, Liu H, Hui K. A case-control study of eye injuries in the workplace in Hong Kong. Ophthalmology 2004; 111 (01) 70-74
  • 28 Lipscomb HJ. Effectiveness of interventions to prevent work-related eye injuries. Am J Prev Med 2000; 18 (4, Suppl): 27-32
  • 29 Weeks J, Levy B, Wagner G. Eds. Preventing Occupational Disease and Injury. Washington, DC: American Public Health Association; 1991: 245-249
  • 30 Zakrzewski H, Chung H, Sanders E, Hanson C, Ford B. Evaluation of occupational ocular trauma: are we doing enough to promote eye safety in the workplace?. Can J Ophthalmol 2017; 52 (04) 338-342
  • 31 Hoskin AK, Mackey DA, Keay L, Agrawal R, Watson S. Eye Injuries across history and the evolution of eye protection. Acta Ophthalmol 2019; 97 (06) 637-643
  • 32 Leonard JC. National trends in ocular injury: differing studies, common call to action. JAMA Ophthalmol 2019; 137 (01) 56-57
  • 33 Nakhgevany KB, LiBassi M, Esposito B. Facial trauma in motor vehicle accidents: etiological factors. Am J Emerg Med 1994; 12 (02) 160-163
  • 34 Stacey DH, Doyle JF, Gutowski KA. Safety device use affects the incidence patterns of facial trauma in motor vehicle collisions: an analysis of the National Trauma Database from 2000 to 2004. Plast Reconstr Surg 2008; 121 (06) 2057-2064
  • 35 Major MS, MacGregor A, Bumpous JM. Patterns of maxillofacial injuries as a function of automobile restraint use. Laryngoscope 2000; 110 (04) 608-611
  • 36 Simoni P, Ostendorf R, Cox III AJ. Effect of air bags and restraining devices on the pattern of facial fractures in motor vehicle crashes. Arch Facial Plast Surg 2003; 5 (01) 113-115
  • 37 Roccia F, Servadio F, Gerbino G. Maxillofacial fractures following airbag deployment. J Craniomaxillofac Surg 1999; 27 (06) 335-338
  • 38 McGwin Jr G, Metzger J, Alonso JE, Rue III LW. The association between occupant restraint systems and risk of injury in frontal motor vehicle collisions. J Trauma 2003; 54 (06) 1182-1187
  • 39 Mouzakes J, Koltai PJ, Kuhar S, Bernstein DS, Wing P, Salsberg E. The impact of airbags and seat belts on the incidence and severity of maxillofacial injuries in automobile accidents in New York State. Arch Otolaryngol Head Neck Surg 2001; 127 (10) 1189-1193
  • 40 Murphy Jr RX, Birmingham KL, Okunski WJ, Wasser T. The influence of airbag and restraining devices on the patterns of facial trauma in motor vehicle collisions. Plast Reconstr Surg 2000; 105 (02) 516-520
  • 41 Kent RW, Crandall JR, Bolton JR, Duma SM. Driver and right-front passenger restraint system interaction, injury potential, and thoracic injury prediction. Annu Proc Assoc Adv Automot Med 2000; 44: 261-282
  • 42 Huff GF, Bagwell SP, Bachman D. Airbag injuries in infants and children: a case report and review of the literature. Pediatrics 1998; 102 (01) e2
  • 43 Charyk Stewart T, McClafferty K, Shkrum M, Comeau JL, Gilliland J, Fraser DD. A comparison of injuries, crashes, and outcomes for pediatric rear occupants in traffic motor vehicle collisions. J Trauma Acute Care Surg 2013; 74 (02) 628-633
  • 44 Dreyfus J, Flood A, Cutler G, Ortega H, Kreykes N, Kharbanda A. Comparison of pediatric motor vehicle collision injury outcomes at Level I trauma centers. J Pediatr Surg 2016; 51 (10) 1693-1699
  • 45 Findlay BL, Melucci A, Dombrovskiy V, Pierre J, Lee YH. Children after motor vehicle crashes: restraint utilization and injury severity. J Pediatr Surg 2019; 54 (07) 1411-1415
  • 46 Glerum KM, Zonfrillo MR, Fleisher L, McDonald CC. Systematic review of child restraint system interventions (2007-2018). Traffic Inj Prev 2019; 20 (08) 866-872
  • 47 Bulger EM, Kaufman R, Mock C. Childhood crash injury patterns associated with restraint misuse: implications for field triage. Prehosp Disaster Med 2008; 23 (01) 9-15
  • 48 Berg MD, Cook L, Corneli HM, Vernon DD, Dean JM. Effect of seating position and restraint use on injuries to children in motor vehicle crashes. Pediatrics 2000; 105 (4 Pt 1): 831-835
  • 49 Farrington T, Onambele-Pearson G, Taylor RL, Earl P, Winwood K. A review of facial protective equipment use in sport and the impact on injury incidence. Br J Oral Maxillofac Surg 2012; 50 (03) 233-238
  • 50 Hawn KL, Visser MF, Sexton PJ. Enforcement of mouthguard use and athlete compliance in National Collegiate Athletic Association men's collegiate ice hockey competition. J Athl Train 2002; 37 (02) 204-208
  • 51 Labella CR, Smith BW, Sigurdsson A. Effect of mouthguards on dental injuries and concussions in college basketball. Med Sci Sports Exerc 2002; 34 (01) 41-44
  • 52 Cohenca N, Roges RA, Roges R. The incidence and severity of dental trauma in intercollegiate athletes. J Am Dent Assoc 2007; 138 (08) 1121-1126
  • 53 Quarrie KL, Gianotti SM, Chalmers DJ, Hopkins WG. An evaluation of mouthguard requirements and dental injuries in New Zealand rugby union. Br J Sports Med 2005; 39 (09) 650-651
  • 54 Tanaka Y, Maeda Y, Yang TC, Ando T, Tauchi Y, Miyanaga H. Prevention of orofacial injury via the use of mouthguards among young male rugby players. Int J Sports Med 2015; 36 (03) 254-261
  • 55 Duarte-Pereira DMV, Del Rey-Santamaria M, Javierre-Garcés C. et al. Wearability and physiological effects of custom-fitted vs self-adapted mouthguards. Dent Traumatol 2008; 24 (04) 439-442
  • 56 Queiróz AFVR, de Brito Jr RB, Ramacciato JC, Motta RH, Flório FM. Influence of mouthguards on the physical performance of soccer players. Dent Traumatol 2013; 29 (06) 450-454
  • 57 Finch C, Braham R, McIntosh A, McCrory P, Wolfe R. Should football players wear custom fitted mouthguards? Results from a group randomised controlled trial. Inj Prev 2005; 11 (04) 242-246
  • 58 Danis RP, Hu K, Bell M. Acceptability of baseball face guards and reduction of oculofacial injury in receptive youth league players. Inj Prev 2000; 6 (03) 232-234
  • 59 Marshall SW, Mueller FO, Kirby DP, Yang J. Evaluation of safety balls and faceguards for prevention of injuries in youth baseball. JAMA 2003; 289 (05) 568-574
  • 60 Khan MI, Flynn T, O'Connell E, Stack J, Beatty S. The impact of new regulations on the incidence and severity of ocular injury sustained in hurling. Eye (Lond) 2008; 22 (04) 475-478
  • 61 Benson BW, Mohtadi NG, Rose MS, Meeuwisse WH. Head and neck injuries among ice hockey players wearing full face shields vs half face shields. JAMA 1999; 282 (24) 2328-2332
  • 62 National Operating Committee on Standards for Athletic Equipment. Standard Method of Impact Test and Performance Requirements for Football Faceguards. Overland Park, KS: National Operating Committee on Standards for Athletic Equipment; 2015
  • 63 American Society for Testing and Materials. Standard Specification for Head and face Protective Equipment for Ice Hockey Goaltenders ASTM F1587. West Conshohocken, PA: American Society for Testing and Materials; 2012
  • 64 National Operating Committee on Standards for Athletic Equipment. Standard Performance Specification for Newly Manufactured Baseball/Softball Batter's Helmet Mounted Face Protector. Overland Park, KS: National Operating Committee on Standards for Athletic Equipment; 2013
  • 65 National Operating Committee on Standards for Athletic Equipment. Standard Performance Specification for Newly Manufactured Lacrosse Helmets with Faceguard. Overland Park, KS: National Operating Committee on Standards for Athletic Equipment; 2012
  • 66 LaPrade RF, Burnett QM, Zarzour R, Moss R. The effect of the mandatory use of face masks on facial lacerations and head and neck injuries in ice hockey. A prospective study. Am J Sports Med 1995; 23 (06) 773-775
  • 67 Stuart MJ, Smith AM, Malo-Ortiguera SA, Fischer TL, Larson DR. A comparison of facial protection and the incidence of head, neck, and facial injuries in Junior A hockey players. A function of individual playing time. Am J Sports Med 2002; 30 (01) 39-44
  • 68 Stevens ST, Lassonde M, de Beaumont L, Keenan JP. The effect of visors on head and facial injury in National Hockey League players. J Sci Med Sport 2006; 9 (03) 238-242
  • 69 Jones SJ, Lyons RA, Evans R. et al. Effectiveness of rugby headgear in preventing soft tissue injuries to the head: a case-control and video cohort study. Br J Sports Med 2004; 38 (02) 159-162
  • 70 Zazryn TR, McCrory PR, Cameron PA. Injury rates and risk factors in competitive professional boxing. Clin J Sport Med 2009; 19 (01) 20-25
  • 71 Delaney JS, Al-Kashmiri A, Drummond R, Correa JA. The effect of protective headgear on head injuries and concussions in adolescent football (soccer) players. Br J Sports Med 2008; 42 (02) 110-115 , discussion 115
  • 72 Saraiya H. Use of a window handle for postreduction protection of a fractured zygoma. Plast Reconstr Surg 2006; 117 (01) 331-332
  • 73 Hindin DI, Muetterties CE, Mehta C, Boukovalas S, Lee JC, Bradley JP. Treatment of isolated zygomatic arch fracture: improved outcomes with external splinting. Plast Reconstr Surg 2017; 139 (05) 1162e-1171e
  • 74 Marti-Flich L, Schlund M, Raoul G. et al. Twenty-four years of experience in management of complex mandibular fractures with low cost, custom-made mandibular external fixation: a 65-patient series. J Stomatol Oral Maxillofac Surg 2020; 121 (03) 242-247
  • 75 Jayakumar NK, Rathnaprabhu V, Ramesh S, Parameswaran A. Polyvinyl siloxane: novel material for external nasal splinting. Int J Oral Maxillofac Surg 2016; 45 (01) 57-59
  • 76 Kochar HS. An innovative approach to external fixation of severe nasal bone fractures with orthopedic plates. Ear Nose Throat J 2011; 90 (03) 102-104
  • 77 Nezam S, Kumar A, Shukla JN, Khan SA. Management of mandibular fracture in pediatric patient. Natl J Maxillofac Surg 2018; 9 (01) 106-109
  • 78 Kato A, Morishima H, Nagashima G. Unexpected complications immediately after cranioplasty. Acute Med Surg 2017; 4 (03) 316-321
  • 79 Krishnan R, Izadi S, Morton CE, Marsh IB. Use of Frost sutures in an orbital trauma patient with extensive conjunctival oedema and pseudoproptosis. Int J Oral Maxillofac Surg 2007; 36 (07) 649-651
  • 80 Dursun E, Ilarslan YD, Ozgul O, Donmez G. Prevalence of dental trauma and mouthguard awareness among weekend warrior soccer players. J Oral Sci 2015; 57 (03) 191-194
  • 81 Ellis TH. Sports protective equipment. Prim Care 1991; 18 (04) 889-921
  • 82 Breeze J, Allanson-Bailey LC, Hepper AE, Lewis EA. Novel method for comparing coverage by future methods of ballistic facial protection. Br J Oral Maxillofac Surg 2015; 53 (01) 3-7
  • 83 Kurt M, Laksari K, Kuo C, Grant GA, Camarillo DB. Modeling and optimization of airbag helmets for preventing head injuries in bicycling. Ann Biomed Eng 2017; 45 (04) 1148-1160