IJAR.2018.292
Type of Article: Original Research
Volume 6; Issue 3.3 (Septmber 2018)
Page No.: 5613-5620
DOI: https://dx.doi.org/10.16965/ijar.2018.292
RETROSPECTIVE ANALYSIS OF TYPES AND PREVALENCE OF MAXILLOFACIAL INJURIES : A CROSS-SECTIONAL COMPUTED TOMOGRAPHIC STUDY
Lalatendu Swain *1, Prabhat Nalini Rautray 2, Mamata Singh 3.
*1 Associate Professor, Dept of Anatomy, GMC&H, Balasore, Odisha, India.
2 Assistant Professor, Dept of Radiodiagnosis , GMC&H, Balasore, Odisha, India.
3 Assistant Professor, Dept of Radiodiagnosis , SCB MC&H, Cuttack, Odisha, India.
Corresponding Author: Dr Lalatendu Swain, Flat no – 104, Metro Manorama Complex, Kathagola Street, Mangalabag, Cuttack, Odisha, India-753001 Contact no – 9861142747 E-Mail: lalatenduswain1975@gmail.com
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.
Key words: Maxillofacial Injury, Road Traffic Accident, Three Dimentional CT Scan.
REFERENCES
- Lee JH, Cho BK, Park WJ: A 4-year retrospective study of facial fractures on Jeju, Korea. J Craniomaxillofac Surg 2010;38(3):192–196.
- Mohajerani SH, Asghari S: Pattern of mid-facial fractures in Tehran, Iran. Dent Traumatol 2011;27(2):131–134.
- Down KE, Boot DA, Gorman DF. Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Maxillofac Surg. 1995;24:409–12.
- Nakhgevany KB, LiBassi M, Esposito B. Facial trauma in motor vehicle accidents: etiological factors. Am J Emerg Med. 1994;12:160–3.
- Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope. 2003;113:102–6.
- Vibha Singh, Laxman Malkunje, Shadab Mohammad, Nimisha Singh, Satish Dhasmana, and Sanjib Kumar Das. The maxillofacial injuries: A study. Natl J Maxillofac Surg. 2012 Jul-Dec;3(2):166–171.
- Max J. Scheyerer, Robert Döring, Nina Fuchs, Philipp Metzler, Kai Sprengel, Clement M. L. Werner, Hans-Peter Simmen, Klaus Grätz and Guido A. Wanner. Maxillofacial injuries in severely injured patients. Journal of Trauma Management & Outcomes 2015;9:4
- E. Udeabor, B. O. Akinbami, K. S. Yarhere, and A. E. Obiechina. Maxillofacial Fractures: Etiology, Pattern of Presentation, and Treatment in University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. Hindawi Publishing Corporation Journal of Dental Surgery Volume 2014, Article ID 850814, 5 page.
- Engin D Arslan, Alper G Solakoglu, Erdal Komut, Cemil Kavalci, Fevzi Yilmaz, Evvah Karakilic, Tamer Durdu and Muge Sonmez. Assessment of maxillofacial trauma in emergency Department. World Journal of Emergency Surgery 2014, 9:13.
- Sunita Malik, Gurdarshan Singh, Gagandeep Kaur, Sunil Yadav, Hitesh C. Mittal Orofacial trauma in rural India: A clinical study. Chinese Journal of Traumatology 2017;20:216e221.
- Vishal Garg, Harinder Singh, K Vij. Trends of Maxillofacial Trauma at Tertiary Care Hospital in Rural Area of Southern Punjab. J Indian Acad Forensic Med. Jan- March 2012;34(1).
- Down KE, Boot DA, Gorman DF. Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Maxillofac Surg. 1995;24:409–12.
- Cannell H, Paterson A, Loukota R. Maxillofacial injuries in multiply injured patients. Br J Oral Maxillofac Surg. 1996;34:303–8.
- Elahi MM, Brar MS, Ahmed N, et al. Cervical spine injury in association with craniomaxillofacial fractures. Plast Reconstr Surg. 2008;121:201–8.
- Follmar KE, Debruijn M, Baccarani A, et al. Concomitant injuries in patients with panfacial fractures. J Trauma. 2007;63:831–5.