Pattern Of Maxillofacial Fractures In Combined Military Hospital, Peshawar


  • Faisal Nawaz Khan Department of Dentistry, Armed Forces Hospital Wadi Al Dawasir, Kingdom Of Saudi Arabia
  • Zainab Akbar Department of Oral Medicine, Rehman College of Dentistry Peshawar Pakistan
  • Sanya Javaid Department of Oral Medicine, Rehman College of Dentistry Peshawar Pakistan
  • Muhammad Afzal Department of Dentistry, 30-Military Dental Center, Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Ramzan Adeel Department of Dentistry, 30-Military Dental Center, Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
  • Sabeen Saeed Department of Dentistry, Khyber Medical University, Peshawar Pakistan



Accidental Injuries, Maxillofacial Injuries, Traffic Accidents, Non-penetrating wounds, Mandible


Objectives: To determine the various patterns of maxillofacial fractures in patients presenting at CMH, Peshawar

Study Design: Cross-sectional study

Place and Duration of Study: 30-Military Dental Center, CMH, Peshawar Pakistan, from Sep 2021 to Mar 2022.

Methodology: A total of 207 patients from all age groups, both genders, presenting with any features of maxillofacial fracture due to accidental injuries were included. A thorough history and clinical and radiographic examination were carried out, along with a diagnosis of suspected facial fractures per clinical presentation and radiographic assessment.

Results: The different accidental injuries found in this study were as follows; 127(61.35%) road traffic accidents, 45(21.74%)
falls, 13(6.28%) assaults, 16(7.73%) sports injuries and 6(2.90%) gunshot wounds. The different bones involved were 38(18.36%) injuries of the frontal bone, 48(23.19%) in the maxilla, 42(20.29%) in nasal, (14.01%) in NOE, 110(53.14%) in zygoma and 122(58.94%) injuries included mandible bone.

Conclusion: Roadside accidents are the most common aetiology of maxillofacial fracture, and the mandible is the most
commonly involved bone in such fracture.


Download data is not yet available.


Metrics Loading ...


Khan TU, Rahat S, Khan ZA, Shahid L, Banouri SS, Muhammad

N. Etiology and pattern of maxillofacial trauma. PLoS One 2022;

(9): e0275515.

Al-Qahtani F, Bishawi K, Jaber M, Thomas S. Maxillofacial

trauma in the gulf countries: a systematic review. Eur J Trauma

Emerg 2021; 47: 397-406.

Park HC, Kim SG, Oh JS, You JS, Kim WG. Mini-plate removal

in maxillofacial trauma patients during a five-year retrospective

study. J Korean Assoc Oral Maxillofac Surg 2016; 42(4): 182-186.

Joachim M, Tuizer M, Araidy S, Abu El‐Naaj I. Pediatric

maxillofacial trauma: Epidemiologic study between the years

and 2015 in an Israeli medical center. Dent Traumatol 2018;

(4): 221-228.

Shaheen A, Shaikh AH, Punjabi SK, Ahmed S. pattern of

maxillofacial injuries-a study. Pak Oral Dent J 2016; 36(2): 24-29.

Roccia F, Iocca O, Sobrero F, Rae E, Laverick S, Carlaw K et al.

World Oral and Maxillofacial Trauma (WORMAT) project: A

multicenter prospective analysis of epidemiology and patterns

of maxillofacial trauma around the world. J. Stomatol. Oral

Maxillofac. Surg 2022; 123(6): e849-857.

Vujcich N, Gebauer D. Current and evolving trends in the

management of facial fractures. Aust Dent J 2018; 63: S35-47.

Hasnat A, Hoque AE, Azam MSU, Kamrujjaman M, Akhtar M.

Pattern of Maxillofacial Trauma among Patients with Head

Injuries. Dent Update 2017; 7(1): 14-20.

Porto DE, Cavalcanti YW, Forte FD. Maxillofacial trauma due to

traffic accidents and falls: an exploratory study of associated

factors. Med Oral Patol Oral Cir 2021; 26(3): e349.

Barbosa KG, de Macedo-Bernardino Í, d’Avila S, Ferreira EF,

Ferreira RC. Systematic review and meta-analysis to determine

the proportion of maxillofacial trauma resulting from different

etiologies among children and adolescents. J Oral Maxillofac

Surg 2017; 21: 131-145.

Wusiman P, Maimaitituerxun B, Saimaiti A, Moming A.

Epidemiology and pattern of oral and maxillofacial trauma. J

Craniofac Surg 2020; 31(5): e517-520.

Kanala S, Gudipalli S, Perumalla P, Jagalanki K, Polamarasetty

PV, Guntaka S, et al. Aetiology, prevalence, fracture site and

management of maxillofacial trauma. Ann R Coll Surg Engl

; 103(1): 18-22.

Abhinav RP, Selvarasu K, Maheswari GU, Taltia AA. The

patterns and etiology of maxillofacial trauma in South India.

Ann Maxillofac Surg 2019; 9(1): 114.

Rezaei M, Jamshidi S, Jalilian T, Falahi N. Epidemiology of

maxillofacial trauma in a university hospital of Kermanshah,

Iran. J Oral Maxillofac Pathol 2017; 29(2): 110-

Al-Hassani A, Ahmad K, El-Menyar A, Abutaka A, Mekkodathil

A, Peralta R et al. Prevalence and patterns of maxillofacial

trauma: a retrospective descriptive study. Eur J Trauma Emerg

Surg 2022; 48(4): 2513-2519.


Emodi O, Wolff A, Srouji H, Bahouth H, Noy D, El Naaj IA et al.

Trend and demographic characteristics of maxillofacial fractures

in level I trauma center. J Craniofac Surg. 2018; 29(2): 471-475.

Namis SM, Al-Iryani GM, Makarami AM, Ali FM, Hakami E,

Almasrahi MY. The etiology and patterns of maxillofacial

trauma in Jazan Province, Saudi Arabia. Afr J Trauma 2017; 6:


Roccia F, Sotong J, Savoini M, Ramieri G, Zavattero E.

Maxillofacial injuries due to traffic accidents. J Craniofac Surg

; 30(4): e288-293.

Sinha V, Chaudhary N, Jha SG, Chaudhari NP, Rathva KR.

Management of maxillofacial trauma in road traffic accident

(RTA) at tertiary care center. Indian J Otolaryngol Head Neck

Surg 2022 ; 74(Suppl 2): 1246-1252.




How to Cite

Khan, F. N., Akbar, Z., Javaid, S., Afzal, M., Adeel, M. R., & Saeed, S. (2024). Pattern Of Maxillofacial Fractures In Combined Military Hospital, Peshawar. Pakistan Armed Forces Medical Journal, 74(1), 197–201.



Original Articles

Most read articles by the same author(s)

1 2 3 4 > >>