Advanced trauma life support (ATLS) principles must be applied for the initial assessment of all MF injury victims as
in any trauma signaling pathway patient. The most important sequence of ATLS is maintenance of airway patency in these patients. Airway compromise should occur due to tongue falling back, hemorrhage to oropharyngeal region, foreign bodies, mid facial fractures themselves. If possible endotracheal intubation is the preferred method to ARRY-438162 mw establish airway patency as no chance to intubate, crichothyroidotomy can be performed particularly in comatose patients . In this study we assessed the epidemiology of MF injuries in emergency department as first contact of injured patients and analyzed 754 patients with facial injuries caused by various mechanisms. According to the Turkish Statistical Institute’s data in 2013, Ankara has a population of 4.965.552 and is the second SB202190 in vivo largest city in Turkey. Our Research and Training hospital is one of the historical hospitals in Ankara with a level-1 trauma center and gets referrals from Ankara and other neighboring cities. Our population and trauma mechanisms are distinct from other studies executed in Middle East countries. There were 556 (%73.7) male
and 198 (%26.3) female and the male-to-female ratio was 2.8:1 and assaults are seen as primary cause of trauma mechanism. In our neighboring Middle East countries male to female ratios varies from 4.5:1 to 11:1 [9, 11–13]. Segregation of women from social life in these countries may be the cause of disproportionate gender distribution. Our gender distribution is more likely to urbanized European countries particularly since woman rights are relatively well established in Turkey [5, 6]. Most common age group encountering MF trauma is 19–30 age group and that seems to be correlated with the other studies and as exposed by the other studies higher age is more correlated to falls and younger age is more inclined to assaults and road traffic accidents [5, 8]. In our investigation falls are the primary cause of injury in females accounting for 42,9% of the samples whereas assaults lead in males
(%47, 1). Our trauma mechanism analyses are also characteristic for Turkey’s unique sociocultural background. L-gulonolactone oxidase Studies mentioned above from eastern countries reveal that most common trauma mechanism is road traffic accidents. We believe lack of traffic regulations in these countries may be the cause of high ratio of RTA’s. In our study most common trauma mechanisms are assaults followed by falls. But our populations’ assault rate is not as high as our western neighbor Bulgaria . Another study in Ankara, conducted in our hospitals plastic surgery department by Aksoy et all at late 1990’s revealed notable differences with our study that trauma pattern shifted from road traffic accidents to assaults in our hospital .