Maxillofacial Injuries in an Eastern Nepal Tertiary Hospital.


Journal

Journal of Nepal Health Research Council
ISSN: 1999-6217
Titre abrégé: J Nepal Health Res Counc
Pays: Nepal
ID NLM: 101292936

Informations de publication

Date de publication:
10 Sep 2023
Historique:
received: 12 05 2022
accepted: 10 09 2023
medline: 25 9 2023
pubmed: 24 9 2023
entrez: 24 9 2023
Statut: epublish

Résumé

Maxillofacial injury is a major health problem, and injury patterns vary in different societies. The purpose of the present study was to evaluate the pattern of maxillofacial injuries presenting to BPKIHS. Patients with age >15 years presenting with maxillofacial injuries from May, 2019 to April, 2020 were included in this cross-sectional descriptive study. Demographic profile, etiology, delay in presentation, pattern of soft tissue/ bony/ dental injuries, treatment modality were recorded and analyzed using Microsoft excel. Within one year study period 190 patients with age group >15 years presented with facial injuries. There were 164 male (86.32%) and 26 female (13.68 %) patients (M:F=6.3: 1) with mean age of 34.96 years. Road Traffic Accident (RTA) (61.58%) was the most common etiology. Majority of the patients reported to hospital within 2-6 hrs of injury. Other associated injuries was present in 36.32 % of patients with orthopedic injury (60.87%) being common. Soft tissue injuries were seen in 80.53% patients, of which 49.02% were associated with facial fractures. Mandible fractures were seen in 56.19% of hard tissue injuries, of which 40.68% had multiple fractures followed by 28.81% with parasymphysis fracture. Within 37.14% patients with midface fractures, zygoma fracture (33.33%) was the commonest. Intervention was done in 80.95 % patients, with ORIF (72.38 %) being the commonest. Dentoalveolar injuries was seen in 22.63 % patients, of which 48.19% were associated with facial fractures. Our observations show that motor vehicle accidents were the most frequent cause of maxillofacial injury.

Sections du résumé

BACKGROUND BACKGROUND
Maxillofacial injury is a major health problem, and injury patterns vary in different societies. The purpose of the present study was to evaluate the pattern of maxillofacial injuries presenting to BPKIHS.
METHODS METHODS
Patients with age >15 years presenting with maxillofacial injuries from May, 2019 to April, 2020 were included in this cross-sectional descriptive study. Demographic profile, etiology, delay in presentation, pattern of soft tissue/ bony/ dental injuries, treatment modality were recorded and analyzed using Microsoft excel.
RESULTS RESULTS
Within one year study period 190 patients with age group >15 years presented with facial injuries. There were 164 male (86.32%) and 26 female (13.68 %) patients (M:F=6.3: 1) with mean age of 34.96 years. Road Traffic Accident (RTA) (61.58%) was the most common etiology. Majority of the patients reported to hospital within 2-6 hrs of injury. Other associated injuries was present in 36.32 % of patients with orthopedic injury (60.87%) being common. Soft tissue injuries were seen in 80.53% patients, of which 49.02% were associated with facial fractures. Mandible fractures were seen in 56.19% of hard tissue injuries, of which 40.68% had multiple fractures followed by 28.81% with parasymphysis fracture. Within 37.14% patients with midface fractures, zygoma fracture (33.33%) was the commonest. Intervention was done in 80.95 % patients, with ORIF (72.38 %) being the commonest. Dentoalveolar injuries was seen in 22.63 % patients, of which 48.19% were associated with facial fractures.
CONCLUSIONS CONCLUSIONS
Our observations show that motor vehicle accidents were the most frequent cause of maxillofacial injury.

Identifiants

pubmed: 37742165
doi: 10.33314/jnhrc.v21i1.4270
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

153-158

Auteurs

Mehul R Jaisani (MR)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Ashok Dongol (A)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Pradeep Acharya (P)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Anjani Kr Yadav (AK)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Chandrakant Pasvan (C)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Siddhartha Rai (S)

Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Sean Laverick (S)

Department of Oral and Maxillofacial Surgery, Ninewells Hospital, Dundee, UK.

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