[Maxillofacial XXXX by defenestration: 64 cases].

@entity1 @entity3510 @entity9574 @entity308 @entity174 @entity75 @entity341 @entity3511 @entity764 @entity161 @entity204 @entity130
OBJECTIVE: There has been little work reported in the literature concerning @entity130 resulting from high level falls and almost none devoted to maxillofacial @entity130 following defenestration. The purpose of this work was to report the first series of defenestration victims who incurred maxillofacial @entity130 . METHOD: This retrospective series included all @entity1 treated at the Piti  - @entity9574  tri  re hospital between July 1994 and July 1999, all units included: surgery intensive care, @entity341 , orthopedic surgery or maxillofacial surgery. RESULTS: Female gender predominated in comparison with studies concerning high level falls (SR=0.5) with no difference concerning age (mu=31.5, sigma2=9.1). Fifty percent of the @entity1 had a maxillofacial involvement. @entity204 ensued in 17.2% (11/64 @entity1 ). The height of the fall among survivors ranged from one floor to eight floors; third-floor falls accounted for 31%. Defenestration was intentional in 70.3% of the cases, accidental in 17.1% and undetermined in 12.6%. The suicide attempts involved 13 @entity1 with maniac @entity308 , 11 with @entity308 , 6 with @entity161 , 2 with undetermined familial problems, and 12 with no specific history. Four @entity1 were drug abusers and 3 were alcoholics. Fifty percent of the victims were living in precarious social and economical conditions. The maxillofacial injuries included: 20 mandibular @entity174 , 15 @entity174 (I, II, III or combined), 2 blow out @entity174 , 7 @entity174 of the orbital roof, 15 @entity174 of the malar bone, 7 @entity174 of the nose bones, and 11 @entity174 of the naso-ethmo  do-maxillo-fronto-orbital complex. On the average, @entity1 lost 6 dental elements. The mean Glasgow index was 7.9. Extrafacial injuries included limb @entity174 (89%), @entity764 (73.4%), @entity75 (67%), @entity3510 (40.6%), and @entity3511 (26.5%). CONCLUSION: The psychic and social vulnerability of the defenestration @entity1 aggravated by the @entity130 is a fundamental dimension which must be taken into consideration during the initial management of these @entity1 .
