English

Abstract

OBJECTIVES: To determine the, mode of injury, location, age and sex distribution involving the various bones of facio-maxillary region seen during the time period between October 2012 to October 2014 at Dr. Susheela Tiwari Memorial Hospital, Haldwani, Uttarakhand. MATERIALS AND METHODS: This is a descriptive study of the patients with alleged isolated maxillofacial injury presenting in the Emergency, ENT & HNS OPD and Dentistry OPD of Dr. Susheela Tiwari Memorial Hospital, Haldwani. RESULTS: Most patients were in the age group 11-20 and 21-30 years with 20 and 36 patients respectively as consistent with the other studies. This study also showed a male preponderance accounting for 80.77% of the case load. The most common mode of injury in patients presented to the Emergency Department with faciomaxillary trauma was road traffic accidents, comprising 79.49% of cases. Assault and fall from height were the other causes, comprising 11. 54% and 8.97% respectively. CONCLUSIONS: Reliable epidemiological information on facio maxillary trauma is essential for decision making in the emergency, for identifying factors that increase the risk of injury and for providing targets for preventive measures. Multi detector CT is the investigation of choice for evaluation of faciomaxillary trauma. 3D images are useful for complex fractures involving the face. As there is no additional scanning or risk of radiation involved, 3D Virtual Reality Images and Multi Planar Rendering (MPR) is a valuable tool for radiologists for reporting/interpretation of faciomaxillary trauma.