Ten Years of War: A Characterization of Craniomaxillofacial Injuries Incurred During Operations Enduring Freedom and Iraqi Freedom

Abstract

Improved armor and battlefield medicine have led to better survival in the wars in Iraq and Afghanistan than any previous ones. Increased frequency and severity of craniomaxillofacial injuries have been proposed. A comprehensive characterization of the injury pattern sustained during this 10-year period to the craniomaxillofacial region is needed to improve our understanding of these unique injuries, to optimize the treatment for these patients, and to potentially direct strategic development of protective equipment in the future. The Joint Theater Trauma Registry was queried from October 19, 2001, to March 27, 2011, covering operations Enduring Freedom and Iraqi Freedom for battle injuries to the craniomaxillofacial region, including patient demographics and mechanism of injury. Injuries were classified according to type (wounds, fractures, burns, vascular injuries, and nerve injuries) using DRG International Classification of Diseases 9th Rev. diagnosis codes. In this 10-year period, craniomaxillofacial battle injuries to the head and neck were found in 42.2% of patients evacuated out of theater. There is a high preponderance of multiple wounds and open fractures in this region. The primary mechanism of injury involved explosive devices, followed by ballistic trauma.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2012
Accession Number
ADA616140

Entities

People

  • Adam J. Verrett
  • Arlene Siller-jackson
  • Jesse Wu
  • Robert G Hale
  • Rodney K Chan

Organizations

  • United States Army Institute of Surgical Research

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Arteries
  • Body Regions
  • Burns
  • Combat Casualty Care
  • Combat Injuries
  • Debridement
  • Explosive Devices
  • Health Services
  • Iraqi-War
  • Military Operations
  • Vascular System Injuries
  • Warfare
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Trauma or Military Medicine