Maxillofacial Injuries Related to the Syrian War in the Civilian Population

Publication date: Available online 18 January 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Hany Bahouth, Yasmine Ghantous, Adi Rachmiel, Omri Amodi, Imad Abu-Elnaaj
PurposeInjured Syrian patients are commonly transferred to local hospitals and fields clinics immediately after being injured. Since Feb. 2011, more than 2000 Syrian injured patients were transferred and treated in Israeli medical centers at the north of the country. The aim of the present study was to evaluate of the epidemiology and the general nature of injuries, giving special attention to maxilloFacial (MF) injuries.Patients and methodsThe medical files of all Syrian injured patients who were treated in two major medical centers, in northern Israel between December 2012 and December 2015, were reviewed. Computerized data were collected and analyzed based on the etiology of the injury, anatomical location, injury severity score at admission, hospitalization duration, and intensive care hospitalization (ICU) duration.ResultsThe study cohort included 227 patients, 204 males (90%), and 23 females (10%), with a mean age of 24.5±11 years. The median calculated ISS was 20.6±13.9.The mean time interval between the injury and the recorded admission time, measured in hours was 86.37. A total of 50 patients had maxillofacial injuries (22%). Of these, 45 were adults (male/female: 44/6). The age of patients ranged from 16 to 27.3 years. The mean time interval between the occurrence of injury and time of admission was 24 hours, the mean ISS score on admission was 24.5±12.7, which was significantly higher than the overall ISS score (median 24.5 versus 16, P = .005).ConclusionSeveral features were observed in the current study, which had a direct effect on the treatment quality and success. Those features included the time delay from injury to hospital admission, the lack of body armor protection including helmets, which explain the high prevalence of MF injuries, and the multiple sites of injuries.



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