en عمومى General مقالات اصيل Original Article <p style="margin: 0px; text-align: justify; font-size: 12px; line-height: normal; font-family: 'Times New Roman'; color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; -webkit-text-stroke-color: rgb(0, 0, 0);">BACKGROUND<br> Poly-trauma patients often sustain complex head/neck injuries requiring prolonged hospitalizations and multiple operations. Few studies have evaluated the associated injury patterns and risk factors for poor clinical outcomes.<br> METHODS<br> Consecutive poly-trauma patients with operative maxillofacial fractures treated at a level 1 trauma medical center between 1995 and 2013 were evaluated. Concomitant head/neck injuries to identify potential injury patterns were numerated. Lastly, a multivariate analysis was performed to determine independent risk factors for complications during the acute hospitalization period.<br> RESULTS<br> Totally, 232 poly-trauma patients presented with operative maxillofacial fractures, while 38.8% of patients had a secondary maxillofacial fracture, 16.4% had intracranial hemorrhage, 23.7% had skull fractures, and 12.1% had spinal fractures. The rate of complication during admission was 28.3%. Multivariate analysis revealed advanced patient age and increased number of operations to predict the rate of complication. Patients requiring more than one operation had a 1.8-fold increase in complication rate (p<0.01) and older patients had a 4.5% increase in complication rate (p<0.05) for every year of increased age.&nbsp;<br> CONCLUSION<br> Poly-trauma patients have a high incidence of secondary maxillofacial fractures, concomitant head/neck injury, and inpatient complication rate. Knowledge of associated injury patterns can help increased awareness and can guide physician decision-making to avoid missed/delayed injuries.&nbsp;&nbsp;</p> <p style="margin: 0px; text-align: justify; font-size: 12px; line-height: normal; font-family: 'Times New Roman'; color: rgb(0, 0, 0); -webkit-text-stroke-width: initial; -webkit-text-stroke-color: rgb(0, 0, 0);"></p><div></div> Poly-trauma, Facial fracture, Complication 307 313 http://wjps.ir/browse.php?a_code=A-10-326-1&slc_lang=en&sid=1 Shadi Lalezari lalezars@uci.edu 10031947532846005843 10031947532846005843 No Department of Plastic Surgery; University of California, Irvine; Orange, CA, USA Christine Lee cjlee3@uci.edu 10031947532846005844 10031947532846005844 No Department of Plastic Surgery; University of California, Irvine; Orange, CA, USA Keyianoosh Z. Paydar kpaydar@uci.edu 10031947532846005845 10031947532846005845 No Department of Plastic Surgery; University of California, Irvine; Orange, CA, USA Ashkaun Shaterian ashateri@uci.edu 10031947532846005846 10031947532846005846 Yes Department of Plastic Surgery; University of California, Irvine; Orange, CA, USA