Pattern Of Maxillofacial Fractures In Combined Military Hospital, Peshawar
DOI:
https://doi.org/10.51253/pafmj.v74i1.10325Keywords:
Accidental Injuries, Maxillofacial Injuries, Traffic Accidents, Non-penetrating wounds, MandibleAbstract
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.
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References
Khan TU, Rahat S, Khan ZA, Shahid L, Banouri SS, Muhammad
N. Etiology and pattern of maxillofacial trauma. PLoS One 2022;
(9): e0275515. https://doi.org/10.1371/journal.pone.0275515
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.
https://doi.org/10.1007/s00068-020-01417-x
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.
https://doi.org/10.5125/jkaoms.2016.42.4.182
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. https://doi.org/10.1111/edt.12406
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.
https://doi.org/10.1016/j.jormas.2022.05.004
Vujcich N, Gebauer D. Current and evolving trends in the
management of facial fractures. Aust Dent J 2018; 63: S35-47.
https://doi.org/10.1111/adj.12589
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.
https://doi.org/10.4317/medoral.24229
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.
https://doi.org/10.1007/s10006-017-0610-9
Wusiman P, Maimaitituerxun B, Saimaiti A, Moming A.
Epidemiology and pattern of oral and maxillofacial trauma. J
Craniofac Surg 2020; 31(5): e517-520.
https://doi.org/10.1097/scs.0000000000006719
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. https://doi.org/10.1308/rcsann.2020.0171
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.
https://doi.org/10.4103/ams.ams_233_18
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-
https://doi.org/10.1016/j.ajoms.2016.09.008
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. https://doi.org/10.1007/s00068-
-01174-6
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.
https://doi.org/10.1097/scs.0000000000004128
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:
-36.
Roccia F, Sotong J, Savoini M, Ramieri G, Zavattero E.
Maxillofacial injuries due to traffic accidents. J Craniofac Surg
; 30(4): e288-293.
https://doi.org/10.1097/scs.0000000000005158
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.