ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Epidemiological characteristics of intracranial pathologies and their association with fracture patterns in maxillofacial trauma: a retrospective cohort study
Abstract
Aims: This study aimed to investigate the epidemiological characteristics of intracranial pathologies associated with maxillofacial trauma, and to examine their relationship with fracture types.
Methods: This retrospective cohort study included a total of 1,048 patients who presented to the Emergency Department of Haydarpaşa Training and Research Hospital between 2012 and 2014. Demographic data, trauma mechanisms, seasonal distribution and fracture localisations were evaluated. The presence of intracranial pathology was determined based on computed tomography (CT) findings.
Results: The mean age of the patients was 34.7 years, with a predominance of males. No significant association was found between age, sex and cerebral injury. Fractures of the maxilla, zygoma, frontal sinus and orbit were significantly associated with intracranial pathology (p <0.05). Cerebral injury was observed in 16.17% of cases of nasal fracture, 41.48% of cases of frontal sinus fracture, and 50.00% of cases of orbital roof fracture. Seasonal analysis revealed that cerebral injuries were most frequently observed during spring and autumn. Falls were the most common cause of trauma, followed by traffic accidents.
Conclusion: Maxillofacial fractures, particularly those involving the midface and frontal regions, are important risk factors for cerebral injury. The predominance of simple falls as the leading cause and the higher frequency of injuries in autumn emphasise the importance of considering regional epidemiological patterns in trauma management.

Keywords : Maxillofacial trauma, intracranial pathology, fracture patterns, epidemiology, emergency medicine

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Article available in :
Volume 3, Issue 4, 2025
Page : 68-72
https://doi.org/10.51271/ICJEM-0063
Article Information
Received : 26 Ağu 2025
Accepted : 08 Eyl 2025
Published : 26 Ara 2025
Corresponding Author :

Sezin Bozkurt: Department of Emergency Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye

[email protected]
Citation : Bozkurt S, Erdoğan MÖ, Yenal K. Epidemiological characteristics of intracranial pathologies and their association with fracture patterns in maxillofacial trauma: a retrospective cohort study. Intercont J Emerg Med. 2025;3(4):68-72.

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