Abstract
AimsThe aim is to study the pattern of ocular injuries in midfacial trauma and to evaluate the overall incidence of ophthalmic injury of any severity following maxillofacial trauma.Methods and MaterialsThe maxillofacial surgeon conducted routine facial examination of patients with midfacial fractures, which also included a detailed ophthalmologic examination of patients, at the time of initial presentation. These patients were then further evaluated by an ophthalmologist for thorough examination of the eye.ResultsThe total number of recorded midface maxillofacial trauma cases was 181. Out of 181 patients, 161 had ocular injuries. Among 181 cases, 161 (88.95%) cases were due to road traffic accidents, which was the prime etiologic factor. Out of total 181 patients, 172 (95.03%) were males and 9 (4.97%) were females. The maximum number of cases were of zygomaticomaxillary complex fractures (44.75%) followed by nasal bone fractures (21.5%). Periorbital ecchymosis accounted for the maximum number of cases, amounting to 61.88%. Loss of vision or blindness was seen in eight (4.42%) patients.ConclusionsThe study stresses further on the importance of long-term and continuous data collection and record management of trauma patients, which may help health care providers with necessary information to develop treatment protocols and device measures for the prevention of complications.
Highlights
Maxillofacial fractures account for a substantial proportion in traumatology [1]
Among 181 cases, 161 (88.95%) cases were due to road traffic accidents, which was the prime etiologic factor
The maximum number of cases were of zygomaticomaxillary complex fractures (44.75%) followed by nasal bone fractures (21.5%)
Summary
Maxillofacial fractures account for a substantial proportion in traumatology [1]. The severity of injuries ranges from a simple abrasion on the skin to tissue loss and complex facial fractures leading to cosmetic and functional discrepancy. Maxillofacial injuries may have a great amount of emotional, psychological, and financial impact on the patient because of the eventual disability and disfigurement. The etiology of the trauma differs considerably according to the geographic location, culture, and socioeconomic status of the population. Road traffic accidents (RTAs) continue to be the leading cause, with assault coming close second. Recent studies indicated toward RTAs being the most frequent etiology in developing countries, whereas assault was the main cause in developed nations. Fall happens to be the most frequent cause of maxillofacial injuries in children and elderly individuals [1,2]
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