Scoring Models For The Severity Of Combined Craniofacial Trauma (A Review)

Abstract

Background. Severe combined trauma is a pressing issue in modern medicine. Victims with a severe combined trauma receive constant monitoring for the severity of their condition. There is no commonly adopted uniform model for assessing the severity of injuries.Objectives. To review existing scoring methods for assessing the severity of combined craniofacial trauma.Мethods. A search of Russian and foreign publications in the PubMed and Elibrary databases at the depth of 10 years was conducted. The query terms were: injury severity, trauma severity [тяжесть травм], trauma severity score [шкалы оценки тяжести травм], cranio-facial trauma severity [тяжесть черепно-лицевой травмы]. The record selection was based on its scientifi c value in this research topic.Results. This systematic review covered 49 scientifi c papers reporting methods for assessing the severity of combined craniofacial trauma. Depending on the main applied principle, the severity scoring methods were classifi ed into 3 groups: anatomical, physiological and combined. Along with the history of creation, main advantages and disadvantages of the methods in terms of scoring performance in combined craniofacial trauma were outlined. Severity scoring models in isolated maxillofacial trauma were described in detail.Conclusion. There is no generally accepted best clinical practice for trauma severity scoring, including craniofacial trauma. The majority of scoring models are developed for survival chance estimation. At the same time, dynamic monitoring in hospitals most commonly relies on non-specifi c methods for the general severity estimation in trauma victims.