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• W2764032922 abstract "ABSTRACT Introduction. The number of patients with face trauma is increasing rapidly because of spreading of aggressions and other forms of violence in urban setting. The objective of our work is to describe the epidemiological considerations and the management of the isolated trauma of the face in Conakry. Methodology. This was a prospective, descriptive, 12-month study that covered all patients admitted to the Ignace Deen National Hospital for facial trauma during this period. We were interested in sociodemographic data, aetiologies, clinical findings, type of lesions and management procedures. Results. Among 2824 patients received during our study period, 139 had isolated facial trauma (of 4.92%). The age group 21-30 years was the most affected (n = 62 -44.6%) and the mean age was 28.6 years ± 4.5 years (extremes: 1 – 63). Men accounted for 78.4% of cases. Brawls and aggressions were the most frequent etiologies (n = 66, 47.5%) and facial tumefaction was the overwhelming reason for consultation (n = 132 - 94.9%). Deep wounds on the face (n = 93 - 66.90%) and nasal bone fractures (n = 50 - 35.97%) were the most frequent lesions. These lesions were confirmed by standard radiography in 89.93% of the cases. Treatment was orthopaedic 82 cases (58.99%). Results were satisfactory in for 94 patients (67.6%). Conclusion. Isolated trauma of the face is a relatively frequent occurrence in our practice. Its management is essentially orthopaedic and the results of treatment are improved by multidisciplinary collaboration. RESUME Introduction. L’incidence des traumatismes de la face dans les services des urgences est en nette progression dans les pays en developpement du fait de l’augmentation du nombre d’agressions et des autres autres formes violences notamment dans les zones urbaines. L’objectif de notre travail etait de decrire les considerations epidemiologiques et la prise en charge des traumatismes isoles de la face a Conakry. Methodologie. Il s’agit d’une etude prospective, de type descriptif, de 12 mois qui a porte sur l’ensemble des patients admis a l’Hopital National Ignace Deen pour traumatisme isole de la face, durant cette periode. Les variables analysees etaient sociodemographiques, etiologiques, cliniques, radiologiques et therapeutiques. Resultats. Sur 2824 patients recus durant notre periode d’etude, 139 avaient un traumatisme facial isole soit une frequence de 4,92 %. La tranche d’âge de 21-30 ans etait la plus touchee soit 44,6% (n=62) des cas et l’âge moyen etait de 28,6 ans ± 4,5 ans avec des extremes un et 63 ans. Les hommes representaient 78,4 % des cas. Les rixes et agressions ont ete les principales etiologies soit 47,5% (n=66) des cas et la tumefaction du visage a ete le motif de consultation dominant soit 94,9% (n=132) des cas. Les plaies profondes de la face et les fractures des os du nez etaient les lesions les plus frequentes avec respectivement 66,90% (n=93) et 35,97% (n=50) des cas. Ces lesions ont ete confirmees par la radiographie standard dans 89,93% des cas. Le traitement a ete orthopedique chez 58,99% (n=82) des patients avec un bon resultat dans 67,6% (n=94) des cas. Conclusion. Le traumatisme isole de la face est un accident relativement frequent dans notre pratique. Sa prise en charge, essentiellement orthopedique, est amelioree par la collaboration pluridisciplinaire." @default.
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• W2764032922 date "2017-10-02" @default.
• W2764032922 modified "2023-09-26" @default.
• W2764032922 title "Traumatismes Isolés de la Face à Conakry : Considérations Épidémiologiques et Prise en Charge" @default.
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