{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:22:04Z","timestamp":1792797724555,"version":"4.5.0"},"reference-count":52,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tomography"],"abstract":"<jats:p>Objectives: Facial fractures and associated traumatic brain injuries represent a worldwide public health concern. Therefore, we aimed to determine the pattern of brain injury accompanying facial fractures by comparing adult patients with and without facial fractures in terms of demographic, clinical, and imaging features. Methods: This single-center, retrospective study included 492 polytrauma patients presenting at our emergency department from January 2019 to July 2023, which were divided in two groups: with facial fractures (FF) and without facial fractures (non-FF). The following data were collected: age, sex, mechanism of trauma (road traffic accident, fall, and other causes), Glasgow Coma Scale (GCS), the evolution of the patient (admitted to a medical ward or intensive care unit, neurosurgery performed, death), and imaging features of the injury. Data were analyzed using descriptive tests, Chi-square tests, and regression analyses. A p-value less than 0.05 was considered statistically significant. Results: In the FF group, there were 79% (n = 102) men and 21% (n = 27) women, with a mean age of 45 \u00b1 17 years, while in the non-FF group, there were 70% (n = 253) men and 30% (n = 110) women, with a mean age 46 \u00b1 17 years. There was a significant association between brain injuries and facial fractures (p &lt; 0.001, AOR 1.7). The most frequent facial fracture affected the zygoma bone in 28.1% (n = 67) cases. The most frequent brain injury associated with FF was subdural hematoma 23.4% (n = 44), and in the non-FF group, the most common head injury was intraparenchymal hematoma 29% (n = 73); Conclusions: Both groups shared similarities regarding gender, age, cause of traumatic event, and outcome but had significant differences in association with brain injuries, ICU admission, and clinical status.<\/jats:p>","DOI":"10.3390\/tomography10100113","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T07:49:24Z","timestamp":1727423364000},"page":"1534-1546","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of Traumatic Brain Injury in Adult Patients with and without Facial Fractures"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1457-4948","authenticated-orcid":false,"given":"Iulia Tatiana","family":"Lupascu","sequence":"first","affiliation":[{"name":"Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania"},{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4130-9402","authenticated-orcid":false,"given":"Sorin","family":"Hostiuc","sequence":"additional","affiliation":[{"name":"Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9037-2494","authenticated-orcid":false,"given":"Costin Aurelian","family":"Minoiu","sequence":"additional","affiliation":[{"name":"Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania"},{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5639-6265","authenticated-orcid":false,"given":"Mihaela","family":"Hostiuc","sequence":"additional","affiliation":[{"name":"Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania"},{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5993-4761","authenticated-orcid":false,"given":"Bogdan Valeriu","family":"Popa","sequence":"additional","affiliation":[{"name":"Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania"},{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1016\/j.apmr.2010.05.017","article-title":"Demographics and Clinical Assessment Working Group of the Inter-national and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health, \u201cPosition statement: Definition of traumatic brain injury","volume":"91","author":"Menon","year":"2010","journal-title":"Arch. 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