Yaremenko A.I., Karpishchenko E.S., Kvitko A.A., Razumova A.Y. Features of wounds in patients with mine-blast trauma of the maxillofacial region. Head and Neck. Russian Journal. 2026;14(3):59–64
DOI: https://doi.org/10.25792/HN.2026.14.3.59-64
Objective. To study the features of maxillofacial injuries in patients with mine-explosive wounds.
Material and methods. The study included 200 patients, men aged 19 to 50, with mine-explosive injuries who were treated at the Pavlov First Saint Petersburg State Medical University Center for Combined Trauma. The patients were recruited using a randomization method. The study analyzed the patients’ medical histories, CT scans, and surgical protocols.
Results. Among the 200 clinical cases studied, 98 (49%) patients had injuries to the maxillofacial region. The localization of the injuries was as follows: the upper zone of the face was the most vulnerable, with 64 (65.3%) patients, the middle zone was injured in 44 (44.9%) patients, and the lower zone was injured in 36 (36.7%) patients. A detailed examination of the anatomical structures revealed that the most common injuries were to the jaws, which were observed in 40 (40.8%) of the 98 patients. Among these injuries, isolated fractures of the mandible were the most common, with 28 (28.6%) patients, significantly outnumbering isolated injuries to the upper jaw, with 7 (7.1%) patients. Injuries to the maxillary sinus were the second most common, with 33 (33.7%) patients. Injuries to the nose were less common, with 17 (17.3%) patients, and injuries to the zygomatic bone were even less common, with 10 (10.2%) patients.
Conclusion. The results of the study demonstrate that the maxillofacial region is one of the most vulnerable areas in mine-explosive injuries. There is a clear gradient of decreasing frequency of head injuries from top to bottom, with the upper face being the most frequently injured area. An important feature is the high frequency of injuries within the maxillofacial region, with multiple areas and anatomical structures often being injured in the same patient.
Keywords: mine-blast injury, maxillofacial region, maxillofacial injuries, facial wounds, combined trauma, jaw injuries, military trauma
Conflict of interest. The authors declare no conflict of interest.
Financing. The work was completed without sponsorship.