Maxillofacial Fractures: Etiology, incidence, Pattern and Treatment of Maxillofacial Injuries in a Government Medical College of Central India
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 3
Abstract
Introduction: The incidence of maxillofacial fractures varies widely between various geographic locations. The large variability in reported etiology, incidence and patterns of fracture presentation are consistently influenced by geographic area, social, cultural and environmental factors. Aims and objectives: This descriptive study retrospectively assessed the etiology, incidence, pattern and the modalities of management of maxillofacial fractures in Netaji Subhash Chandra Bose Medical College (NSCBMC) Jabalpur, Madhya Pradesh (M. P.) for a period of one year from September 2016 till August 2017. Materials and methods: Design: A descriptive retrospective study. Place and duration of study: September 2016 to August 2017 at the department of dentistry, NSCBMC, Jabalpur (M. P.). Methodology: 104 consecutive patients sustaining soft and hard maxillofacial tissue injuries were included in the study. The medical records of all patients who sustained maxillofacial fractures including age, sex, etiology, influence of alcohol, pattern of facial bone fractures and the management modality were retrieved and reviewed. Results: As per medical records a total of 6574 patients attended the dental outpatient department (OPD). A total of 146 patients attending the dental OPD and casuality emergency room at NSCBMC, Jabalpur sustained maxillofacial injuries. Out of which, 104 patients suffered maxillofacial fractures during the period under review. Nearly 79% of the patients were men, and the most frequently affected age group was 31 to 40 years (38.46%) with males outnumbering females in all age groups. The most frequent bone fractured was mandible, accounting for 63 cases (60.57%). Road traffic accidents (RTAs) (49.03%) were the primary etiological factor followed by assault in 27.88% cases. The main stay of treatment was closed reduction with maxillo-mandibular fixation (MMF) in 58 patients. Conclusion: This series reflects trauma patterns at our referral centre and , as such, can provide a guide to the design of programme geared towards prevention and treatment.
Authors and Affiliations
Karuna Jindwani, H. S. Markam, Y. K. Paharia, Keshav Singh
Keywords
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