Abstract

Background: The incidence and epidemiological causes of maxillofacial trauma and facial fractures varies widely in different regions of the world. To reduce morbidity and mortality, early recognition of severe head trauma and concomitant injuries remains an important part of the initial assessment and treatment plan of severely injured patients. Purpose of the study: To find out the demographic trends, etiology, pattern of trauma, site and severity of fractures and coexisting injuries in patients presented with maxillofacial injury. Materials and Methods: The study was conducted on 88 patients during the period from may 2017 to april 2018 on patients presented with facio-maxillary injury at S.C.B Medical College & Ashwini Hospital, Cuttack, Govt. Medical College & Hosppital, Balasore, Odisha, India. Results: In this study maxillofacial injuries are more in compare to female (7.8:1). Majority of the cases are observesd in tha age group 21-30 yr followed by 31 – 40 yr and no cases in more than 70 yr age group. Most common cause is road traffic accident (82.9%) followed by assult (6.8%). Maximum number of patients have fracture of mandible (46.6%) followed by maxilla (31.8%). Mandibular fractures occurred most commonly in the parasymphyseal region (35.2%), followed by body (23.8%). Fracture of maxilla bone was present commonly at body in 15 (53.6%) cases followed by blow out fracture (21.5%). Most of the faciomaxillary trauma patients have associated injuries like head injury (52.3%) followed by Extremities injury (36.4%). Conclusion: Maxillofacial injuries commonly due to road traffic accidents are more frequent in male. The routine use of a head as well as full-body CT scan for all severely injured patients is recommended to ensure that no concomitant injury is overlooked.

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