Management of maxillofacial trauma in prisoners.

Br J Oral Maxillofac Surg

Salisbury District Hospital, Odstock Road, Salisbury, SP2 8BJ. Electronic address:

Published: May 2019

AI Article Synopsis

  • The incidence of injuries among prisoners is significantly higher than the general population, with maxillofacial trauma being particularly common.
  • Based on cases of 12 patients, eight management challenges have been identified, including inconsistent injury reports, complex fractures, delayed treatment, dental issues, medical complications, risk of post-release violence, and follow-up difficulties.
  • Addressing these challenges can enhance the quality of care provided to incarcerated individuals with maxillofacial injuries.

Article Abstract

The incidence of injuries among prisoners is much higher than in the general population, and in the UK the number of prisoners and the incidence of injuries are rising. Maxillofacial trauma is common. Based on the cases of 12 patients, we have identified eight challenges that are associated with the management of maxillofacial trauma in this group: patient-reported mechanisms of injury that are often inconsistent with the fracture pattern, complex fracture patterns, delayed presentation, high prevalence of dental disease and of smoking, complicating medical factors such as drug use and blood-borne viruses, increased risk of further violence after discharge, and problems with follow-up logistics. By actively addressing these challenges we can provide a better service to these patients.

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Source
http://dx.doi.org/10.1016/j.bjoms.2018.10.292DOI Listing

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