Retrospective Study of Facial Fractures

Sameer Kaura, Paramjot Kaur, Rashi Bahl, Sumit Bansal, Prineet Sangha, Sameer Kaura, Paramjot Kaur, Rashi Bahl, Sumit Bansal, Prineet Sangha

Abstract

Aim: The aim of this study was to give an insight into the retrospective analysis of a number of maxillofacial trauma cases reported to our institute and research center.

Materials and methods: The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at the Oral and Maxillofacial Surgery Department from 2010 to 2016. Etiology, age, gender, pattern of fracture, and surgical treatment modalities undertaken in these patients were recorded.

Results: A total of 353 maxillofacial trauma patients with mean age of 40 years, treated at our institute were evaluated from 2010 to 2016. Mandible was the most commonly fractured bone with parasymphysis as the most frequent site. Majority of victims were males (male:female ratio of 4:1) and also in the third decade of life. This study showed that 73% patients were treated by open reduction and internal fixation (ORIF), 25.8% by intermaxillary fixation (IMF) and Stabilization of fracture mandible with acrylic splint and circummandibular wiring was done in 0.8% pediatric patients.

Conclusion: It was concluded that road traffic accidents were reported as the leading cause of maxillofacial fractures followed by assault, falls, and familial dispute. Maxillofacial surgeons as health care providers must continue their 'face it' campaign to decrease the incidence of road traffic accidents. Open reduction and internal fixation remains the gold standard treatment modality.

Keywords: Dental institute; mandibular fractures; maxillofacial trauma; retrospective study; road traffic accidents.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Etiology of trauma
Figure 2
Figure 2
Gender distribution
Figure 3
Figure 3
Age distribution
Figure 4
Figure 4
Pattern of maxillofacial fractures
Figure 5
Figure 5
Surgical procedures performed

References

    1. Ramdas S, Lingam PP, Sateesh S. Review of maxillofacial fractures in a tertiary care center in Puduchery, South East India. Ann Trop Med Public health. 2014;7:100–4.
    1. Dube A, Rao G, Tanwar A. Pattern of Maxillofacial Injury Associated With Head Injury at a Neuro Surgical Centre: An Analysis of 250 Cases. Int J Dent Med Spec. 2014;1:2–6.
    1. Malara P, Malara B, Drugacz J. Characteristics of maxillofacial injuries resulting from road traffic accidents – A 5 year review of the case records from department of maxillofacial surgery in Katowice, Poland. Head Face Med. 2006;2:27.
    1. Gupta R, Suryanarayanan S, Sharma A, Pandya V, Sathaye S. Traumatic mandibular fractures. A pendulum towards closed reduction. World Artic Ear Nose Throat. 2010;3:1–3.
    1. Hashim H, Iqbal S. Motorcycle accident is the main cause of maxillofacial injuries in the Penang Mainland, Malaysia. Dent Traumatol. 2011;27:19–22.
    1. Obuekwe ON, Ojo MA, Akpata O, Etetafia M. Maxillofacial trauma due to road traffic accidents in Benin City, Nigeria. A prospective study. Ann Afr Med. 2004;2:58–63.
    1. Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: A review of the literature. Head Face Med. 2005;1:7.
    1. Bali R, Sharma P, Garg A, Dhillon G. A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India. J Inj Violence Res. 2013;5:108–16.
    1. Gandhi S, Ranganathan LK, Solanki M, Mathew GC, Singh I, Bither S. Pattern of maxillofacial fractures at a tertiary hospital in Northern India: A 4-year retrospective study of 718 patients. Dent Traumatol. 2011;27:257–62.
    1. Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: A 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:28–34.
    1. Agnihotri A, Galfat D, Agnihotri D. Incidence and pattern of maxillofacial trauma due to road traffic accidents: A prospective study. J Maxillofac Oral Surg. 2014;13:184–8.
    1. Singh V, Malkunje L, Mohammad S, Singh N, Dhasmana S, Das SK. The maxillofacial injuries: A study. Natl J Maxillofac Surg. 2012;3:166–71.
    1. Özkaya O, Turgut G, Kayali MU, Ugurlu K, Kuran I, Bas L. A retrospective study on the epidemiology and treatment of maxillofacial fractures. Turk J Trauma Emerg Surg. 2009;15:262–6.
    1. Sandhu S, Gauba ML, Kapila BK. A study of facial fractures. JIDA. 1981;53:267–9.
    1. Motamedi MH. An assessment of maxillofacial fractures: A 5-year study of 237 patients. J Oral Maxillofac Surg. 2003;61:61–4.
    1. Kaur R, Lehl G. Retrospective analysis of maxillofacial injuries in the dental department of a medical college. Indian J Dent Sci. 2012;4:30–2.
    1. Shah A, Nautiyal V, Gupta A, Ramola V. Trends of maxillofacial fractures in the Garhwal Himalayas at government medical college, Srinagar, Uttarakhand. Natl J Maxillofac Surg. 2016;7:80–5.
    1. Manson PN, Hoopes JE, Su CT. Structural pillars of the facial skeleton: An approach to the management of le fort fractures. Plast Reconstr Surg. 1980;66:54–62.
    1. Kaur P. A review on bioresorbable materials: Application in oral and maxillofacial surgery. Int J Dent Health Sci. 2016;3:1138–56.
    1. Bell RB, Kindsfater CS. The use of biodegradable plates and screws to stabilize facial fractures. J Oral Maxillofac Surg. 2006;64:31–9.
    1. Samieirad S, khajehahmadi S, Tohidi E, Pakravan M. A conservative method for treating severely displaced pediatric mandibular fractures: An effective alternative technique. J Dent Mater Tech. 2016;5:53–8.
    1. Bayat M, Parvin M, Meybodi AA. Mandibular subcondylar fractures: A Review on treatment strategies. Electron Physician. 2016;8:3144–9.
    1. [Last accessed on 2017 Oct 19]. Available from: .
    1. [Last accessed on 2017 Oct 19]. Available from: .

Source: PubMed

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