FREQUENCY AND STRUCTURE OF TRAUMATIC DAMAGES OF BRAIN AND FACIAL PART OF SKULL
IN ROAD TRAFFIC ACCIDENT VICTIMS 

Lastovetskiy Al'bert Genrikhovich, Doctor of medical sciences, professor, senior staff scientist, Central research institute of organization and informatization of healthcare (Moscow) (11 Dobrolyubova street, Moscow, Russia), lastovetsky@mail.ru
Lebedev Marat Vladimirovich, Physician, maxillofacial surgeon, Penza regional clinical hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia); postgraduate student, Central research institute of organization and informatization of healthcare (Moscow) (11 Dobrolyubova street, Moscow, Russia), mrtlebedev@yandex.ru
Aver'yanova Diana Al'bertovna, Postgraduate student, Central research institute of organization and informatization of healthcare (Moscow) (11 Dobrolyubova street, Moscow, Russia), averyanova@mail.ru  

614.86

Background. The article examines the frequency and structure of brain injury and facial skull departments of road accident victims, as well as considers rehabilitation of patients with these injuries. Annual growth of road traffic injuries – one of the most important medical and social problems of our time – determines the relevance
of this study.
Materials and methods. A statistical analysis of data from the retrospective study of medical records of 5350 road accident victims is the basis of this study.
Results. The paper presents a statistical analysis of data on some health and social indicators: age and sex structure, social status of accident victims, categories of traffic public, usage of intoxicating substances, the structure of traumatic injuries, etc. The focus is on the concept of maxillofacial injuries, being a substantial part of the structure of road traffic injuries: the authors examined the structure of facial skeleton injuries; classified combined craniofacial traumas, depending on the severity, nature and location of the injuries; and considered the principles and essence of emergency aid to victims with these types of injuries. The researchers also characterized the types of specialized treatment of injuries of the maxillofacial region and determined a link between the timing of care and recovery processes after an accident with indication of features of current rehabilitation period in the event of welltimed or delayed surgery.
Conclusions. The analysis revealed the categories of people from the total number of road accident victims with pronounced prevalence of combined craniofacial traumas. The authors defined a direct correlation medical and psychological rehabilitation of patients after accidents on the quality, volume and timing of pre-hospital medical and specialized medical care rendering. The researchers determined feasibility and effectiveness of the complex examination and treatment of victims of road accidents. The obtained results are intended to be used in maxillofacial surgery, neurosurgery and traumatology. 

accident, injury brain and facial parts of skull, combined craniofacial injury, rehabilitation of patients. 

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