Published in:
01-01-2012 | Editorial
Clinical relevance of blast-related traumatic brain injury
Authors:
Geoffrey Appelboom, James Han, Sam Bruce, Caroline Szpalski, E. Sander Connolly Jr.
Published in:
Acta Neurochirurgica
|
Issue 1/2012
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Excerpt
The global war against terrorism has created new challenges for neurosurgeons, craniofacial surgeons and maxillofacial surgeons; United States military operations in Iraq and Afghanistan have resulted in the greatest incidence of head trauma since the Vietnam conflict. The more frequent use of improvised explosive devices (IED), in conjunction with increased survival from improved body armor and battlefield medicine, has contributed to the increasing number of craniomaxillofacial injuries and consequent head trauma [
28]. IEDs usually contain an explosive that, during detonation, is converted into a gas that rapidly expands and forms a high-pressure wave [
4]. This blast overpressure wave travels at supersonic speeds and causes primary blast injury. The subsequent blast wind that follows the initial blast wave can propel objects, leading to further harm [
7,
29]. …