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Master Thesis

Enquête nationale sur les modalités de prise en charge des fractures de la face

Abstract : Maxillofacial trauma is still very common in France and mainly affects young men, with possible involvement of all face bones. Ambulatory surgery is an axis strongly put forward by the public authorities in front of the current means restrictions of the public hospital which pose a problem of programming of these traumatic surgeries. The aim of this study is to provide a snapshot of current practices in France in the management of facial fractures and to study their outpatient management and development. Material and Methods: A closed and semi-open-ended questionnaire was sent to French hospitals treating facial fractures in order to study current and possible future practices in terms of outpatient and perioperative management. Data extracted from the PMSI thanks to the ATIH were also studied to obtain proportions of outpatient care by department. Results: Currently only nasal fractures and zygomatic arch fractures requiring simple reduction without osteosynthesis are performed on an outpatient basis. Mandibular fractures could be performed as an outpatient procedure. Discussion: Access to the operating theatre and organisational problems specific to each centre are factors that hinder the development of outpatient management of these facial fractures. Some incompressible parameters such as the monitoring required following the management of these fractures as well as the patients' comorbidities must be taken into account.
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Master Thesis
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Submitted on : Thursday, October 28, 2021 - 3:55:54 PM
Last modification on : Saturday, December 4, 2021 - 3:48:54 AM
Long-term archiving on: : Saturday, January 29, 2022 - 7:45:10 PM


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  • HAL Id : dumas-03407698, version 1


Fanny Karm. Enquête nationale sur les modalités de prise en charge des fractures de la face. Médecine humaine et pathologie. 2021. ⟨dumas-03407698⟩



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