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Timothy A Mitchener - One of the best experts on this subject based on the ideXlab platform.
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Causes of Oral-Maxillofacial Injury of U.S. Military Personnel in Iraq and Afghanistan, 2001-2014.
Military medicine, 2017Co-Authors: Timothy A Mitchener, Noel E Dickens, John W. SimecekAbstract:Background Few studies have examined the causes or mechanisms of oral-Maxillofacial (OMF) Injury among deployed military populations. This study reports causes of OMF injuries to U.S. Department of Defense personnel deployed to Afghanistan in Operation Enduring Freedom (OEF) or to Iraq in Operation Iraqi Freedom (OIF) and Operation New Dawn (OND). This study provides follow-on analysis of a previous report of OMF Injury rates among U.S. military personnel in Iraq and Afghanistan from 2001 to 2014. Methods The populations studied were military personnel deployed to Afghanistan in OEF or Iraq in OIF and OND, who sought care at a level III military treatment facility for one or more OMF injuries. Injuries were identified in the Department of Defense Trauma Registry using diagnosis codes associated with OMF battle and non-battle injuries. Causes associated with these injuries were identified by evaluation of the data field "dominant Injury mechanism." All OMF injuries incurred from October 19, 2001, to June 30, 2014, were included. Findings/Results Approximately 89% of all OMF battle injuries in both OIF/OND and OEF were due to explosives or explosive devices. The three leading causes of OMF non-battle injuries for both OIF/OND and OEF were motor vehicle crashes/accidents (MVCs), falls, and "other blunt" trauma. MVCs as well as other blunt trauma accounted for a greater percentage of OMF non-battle injuries in OIF/OND than in OEF (p < 0.01). OMF non-battle injuries due to falls were more likely to occur in OEF (p = 0.05). Helicopter/plane crashes were responsible for a significantly higher percentage of OMF non-battle injuries in OEF compared with OIF/OND (p < 0.01). Discussion/Impact/Recommendations Across both theaters of war, Iraq and Afghanistan, the main causes of OMF battle and non-battle injuries were consistent. Battle injuries were primarily due to explosives or explosive devices and the three main causes of non-battle injuries were MVCs, falls, and other blunt trauma. However, the distribution of causes differed by war theater. Future studies should focus on potential reasons for cause distribution disparities in MVCs and helicopter/plane crashes as they can only be partially explained by topography and infrastructure differences between Iraq and Afghanistan. Further surveillance is needed to understand the scope of OMF injuries in military-armed conflicts and operations.
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oral Maxillofacial Injury surveillance of u s military personnel in iraq and afghanistan 2001 to 2014
Military Medicine, 2017Co-Authors: Timothy A Mitchener, Rodney K. Chan, John W. SimecekAbstract:ABSTRACT Background: Cranial and oral–Maxillofacial injuries accounted for 33% of military visits to in-theater (Level III) military treatment facilities for battle injuries during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Even after years of conflict, the size and scope of oral–Maxillofacial injuries in military armed conflict is still not fully understood. This study reports U.S. Department of Defense (DoD) rates of oral–Maxillofacial injuries that can be used for further surveillance and research. Methods: The populations studied were military personnel deployed to Afghanistan in OEF or Iraq in OIF and Operation New Dawn (OND), who sought care at a Level III military treatment facility for one or more oral–Maxillofacial injuries. Injuries were identified in the DoD Trauma Registry (DoDTR) using diagnosis codes associated with oral–Maxillofacial battle and nonbattle injuries. All oral–Maxillofacial injuries incurred from October 19, 2001, to June 30, 2014, were included. The De...
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Oral–Maxillofacial Injury Surveillance of U.S. Military Personnel in Iraq and Afghanistan, 2001 to 2014
Military medicine, 2017Co-Authors: Timothy A Mitchener, Rodney K. Chan, John W. SimecekAbstract:ABSTRACT Background: Cranial and oral–Maxillofacial injuries accounted for 33% of military visits to in-theater (Level III) military treatment facilities for battle injuries during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Even after years of conflict, the size and scope of oral–Maxillofacial injuries in military armed conflict is still not fully understood. This study reports U.S. Department of Defense (DoD) rates of oral–Maxillofacial injuries that can be used for further surveillance and research. Methods: The populations studied were military personnel deployed to Afghanistan in OEF or Iraq in OIF and Operation New Dawn (OND), who sought care at a Level III military treatment facility for one or more oral–Maxillofacial injuries. Injuries were identified in the DoD Trauma Registry (DoDTR) using diagnosis codes associated with oral–Maxillofacial battle and nonbattle injuries. All oral–Maxillofacial injuries incurred from October 19, 2001, to June 30, 2014, were included. The De...
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Oral-Maxillofacial Injury surveillance in the Department of Defense, 1996-2005.
American journal of preventive medicine, 2010Co-Authors: Timothy A Mitchener, Michelle Canham-chervakAbstract:Oral-Maxillofacial injuries can lead to deformity and malfunction, greatly diminishing quality of life and worker productivity. Data suggest that over 10% of civilian emergency room visits are due to craniofacial injuries. The size and scope of oral-Maxillofacial injuries in the military is not well understood. This study reports U.S. military rates of oral-Maxillofacial injuries, causes of oral-Maxillofacial hospitalizations, and recommends approaches to improving surveillance, research, and prevention. Active duty U.S. military personnel who sought inpatient or outpatient treatment for one or more oral-Maxillofacial injuries from 1996 to 2005 were identified in the Defense Medical Surveillance System using ICD-9-CM diagnosis codes associated with oral-Maxillofacial injuries. ICD-9-CM diagnosis codes were divided into two categories: oral-Maxillofacial wounds and oral-Maxillofacial fractures. The oral-Maxillofacial fracture rates for men were consistently 1.5 to 2 times higher than those for women, with 2000-2005 rates between 1.2 and 1.5/1000 person-years for men and between 0.7 and 1.0/1000 person-years for women. Wound rates for men were similar to those for women for all years examined (p<0.001), with 2000-2005 rates ranging from 11.0 to 14.6/1000 person-years for men and 12.2-14.8/1000 person-years for women. Compared to the over-40 age group, active duty personnel under age 25 had the highest rates of both oral-Maxillofacial fractures and wounds (p<0.001). Among those injuries with a cause recorded, fighting (13.5%) was the leading cause of oral-Maxillofacial Injury hospitalizations in 2005. Oral-Maxillofacial injuries can and should be monitored using military medical surveillance data. Surveillance efforts would be enhanced by the addition of dental care data. There is also a need for additional quality intervention studies on the strategies to prevent oral and craniofacial Injury. Published by Elsevier Inc.
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Oral-Maxillofacial Injury surveillance in the Department of Defense, 1996-2005.
American Journal of Preventive Medicine, 2010Co-Authors: Timothy A Mitchener, Michelle Canham-chervakAbstract:Introduction Oral–Maxillofacial injuries can lead to deformity and malfunction, greatly diminishing quality of life and worker productivity. Data suggest that over 10% of civilian emergency room visits are due to craniofacial injuries. The size and scope of oral–Maxillofacial injuries in the military is not well understood. This study reports U.S. military rates of oral–Maxillofacial injuries, causes of oral–Maxillofacial hospitalizations, and recommends approaches to improving surveillance, research, and prevention. Methods Active duty U.S. military personnel who sought inpatient or outpatient treatment for one or more oral–Maxillofacial injuries from 1996 to 2005 were identified in the Defense Medical Surveillance System using ICD-9-CM diagnosis codes associated with oral–Maxillofacial injuries. ICD-9-CM diagnosis codes were divided into two categories: oral–Maxillofacial wounds and oral–Maxillofacial fractures. Results The oral–Maxillofacial fracture rates for men were consistently 1.5 to 2 times higher than those for women, with 2000–2005 rates between 1.2 and 1.5/1000 person-years for men and between 0.7 and 1.0/1000 person-years for women. Wound rates for men were similar to those for women for all years examined ( p p Conclusions Oral–Maxillofacial injuries can and should be monitored using military medical surveillance data. Surveillance efforts would be enhanced by the addition of dental care data. There is also a need for additional quality intervention studies on the strategies to prevent oral and craniofacial Injury.
Michelle Canham-chervak - One of the best experts on this subject based on the ideXlab platform.
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Oral-Maxillofacial Injury surveillance in the Department of Defense, 1996-2005.
American journal of preventive medicine, 2010Co-Authors: Timothy A Mitchener, Michelle Canham-chervakAbstract:Oral-Maxillofacial injuries can lead to deformity and malfunction, greatly diminishing quality of life and worker productivity. Data suggest that over 10% of civilian emergency room visits are due to craniofacial injuries. The size and scope of oral-Maxillofacial injuries in the military is not well understood. This study reports U.S. military rates of oral-Maxillofacial injuries, causes of oral-Maxillofacial hospitalizations, and recommends approaches to improving surveillance, research, and prevention. Active duty U.S. military personnel who sought inpatient or outpatient treatment for one or more oral-Maxillofacial injuries from 1996 to 2005 were identified in the Defense Medical Surveillance System using ICD-9-CM diagnosis codes associated with oral-Maxillofacial injuries. ICD-9-CM diagnosis codes were divided into two categories: oral-Maxillofacial wounds and oral-Maxillofacial fractures. The oral-Maxillofacial fracture rates for men were consistently 1.5 to 2 times higher than those for women, with 2000-2005 rates between 1.2 and 1.5/1000 person-years for men and between 0.7 and 1.0/1000 person-years for women. Wound rates for men were similar to those for women for all years examined (p<0.001), with 2000-2005 rates ranging from 11.0 to 14.6/1000 person-years for men and 12.2-14.8/1000 person-years for women. Compared to the over-40 age group, active duty personnel under age 25 had the highest rates of both oral-Maxillofacial fractures and wounds (p<0.001). Among those injuries with a cause recorded, fighting (13.5%) was the leading cause of oral-Maxillofacial Injury hospitalizations in 2005. Oral-Maxillofacial injuries can and should be monitored using military medical surveillance data. Surveillance efforts would be enhanced by the addition of dental care data. There is also a need for additional quality intervention studies on the strategies to prevent oral and craniofacial Injury. Published by Elsevier Inc.
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Oral-Maxillofacial Injury surveillance in the Department of Defense, 1996-2005.
American Journal of Preventive Medicine, 2010Co-Authors: Timothy A Mitchener, Michelle Canham-chervakAbstract:Introduction Oral–Maxillofacial injuries can lead to deformity and malfunction, greatly diminishing quality of life and worker productivity. Data suggest that over 10% of civilian emergency room visits are due to craniofacial injuries. The size and scope of oral–Maxillofacial injuries in the military is not well understood. This study reports U.S. military rates of oral–Maxillofacial injuries, causes of oral–Maxillofacial hospitalizations, and recommends approaches to improving surveillance, research, and prevention. Methods Active duty U.S. military personnel who sought inpatient or outpatient treatment for one or more oral–Maxillofacial injuries from 1996 to 2005 were identified in the Defense Medical Surveillance System using ICD-9-CM diagnosis codes associated with oral–Maxillofacial injuries. ICD-9-CM diagnosis codes were divided into two categories: oral–Maxillofacial wounds and oral–Maxillofacial fractures. Results The oral–Maxillofacial fracture rates for men were consistently 1.5 to 2 times higher than those for women, with 2000–2005 rates between 1.2 and 1.5/1000 person-years for men and between 0.7 and 1.0/1000 person-years for women. Wound rates for men were similar to those for women for all years examined ( p p Conclusions Oral–Maxillofacial injuries can and should be monitored using military medical surveillance data. Surveillance efforts would be enhanced by the addition of dental care data. There is also a need for additional quality intervention studies on the strategies to prevent oral and craniofacial Injury.
Rex Lawrie - One of the best experts on this subject based on the ideXlab platform.
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prevention by organization the story of no 4 Maxillofacial surgical unit in north africa and italy during the second world war
Plastic and Reconstructive Surgery, 2008Co-Authors: James H W Clarkson, James J Kirkpatrick, Rex LawrieAbstract:Background: Written to commemorate the 60th anniversary of Victory in Europe, this article outlines the experience of No. 4 Maxillefacial Surgical Unit, stationed near Cassino, Italy, during the Alfred assault in 1944. Methods: Private archive material including the original data and case photography are used to illustrate the problems of severe Maxillofacial Injury and burns management in thethe theater of war. Trained by Harold Gillies, Patrick Clarkson was commanding medical officer of this small innovative unit. With his trainee Rex Lawrie, he overcame buge surgical challenges using the tool kit of wartime plastic surgery. Results: Between 1942 and 1945, they managed 5000 casualties, including 3000 Maxillofacial injuries and 1000 burns. To cope with such numbers, the Unit developed novel and aggressive strategies that opposed contemporary conservative practices. These included early primary closure of missile wounds to the face, which reduced union time for fractures and halved the number of late sequestrectomies. Early excision and skin grafting of large burns resulted in the successful management of burns of up to 72 percent body surface area, marking a shift toward the modern era of surgical bums excision. Cases presented include the first report of skin grafting to the calvarial diploe and a series of medullary bone grafts to restore frontal contour defects. Conclusions: The drive to return injured men to duty without evacuation put great evolutionary pressure on the development of plastic surgery, and much is strikingly recognizable in current practice 60 years later. Were these early surgical lessons forgotten?.
Mike T John - One of the best experts on this subject based on the ideXlab platform.
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individuals sustaining snowboarding and skiing accidents have different Maxillofacial Injury profiles
Journal of Evidence Based Dental Practice, 2010Co-Authors: Mike T JohnAbstract:Article Title and Bibliographic Information Facial trauma: how dangerous are skiing and snowboarding?. Tuli T, Haechl O, Berger N, Laimer K, Jank S, Kloss F, Brandstatter A, Gassner R. J Oral Maxillofac Surg 2010;68(2):293-9. Reviewer Name Mike T. John, DDS, MPH, PhD Purpose/Question To compare the prevalence of Maxillofacial Injury types in individuals who sustained snowboarding and skiing accidents. Source of Funding Information not available Type of Study/Design Retrospective case series Level of Evidence Level 2: Limited-quality, patient-oriented evidence Strength of Recommendation Grade Not applicable
Peng Yan-xi - One of the best experts on this subject based on the ideXlab platform.
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The Related Factors of Disability Evaluation of Maxillofacial Injury in Road Traffic Accidents
Journal of Kunming Medical University, 2015Co-Authors: Peng Yan-xiAbstract:Objective To investigate the related factors of disability evaluation of Maxillofacial Injury in road traffic accidents,and provide a scientific data and evidence for the improvement of the current disability evaluation.Methods 154 cases of Maxillofacial Injury caused by traffic accidents in Kunming from June 2013 to July 2014 were collected for systemic analysis study. Results In the disability evaluation 154 cases with Maxillofacial Injury, the handicapped higher level occurred in the driver and copilot. The greatest number of cases of disability evaluation were3-4 months after injuries. Scar type had statistical difference between the different disability grades. Scar location had statistical difference between the different disability grades. Conclusion Disability evaluation has certain correlation with different traffic patterns,the types of scar, and the scar location, etc.