MANAGEMENT OF FACIAL FRACTURES, ITS DEMOGRAPHY AND CLINICAL OUTCOME

Abstract

A retrospective study was performed on maxillofacial fractures among patients presented to our emergency department and treated at McGann Hospital, Shivamogga Institute of Medical Sciences, Shivamogga from May 2017 to June 2023. Aim:The aim of this study was to give an insight into the retrospective analysis of number of maxillofacial trauma cases reported to our institute and research centre and to understand the clinical aspects of facial fractures with treatment modality. Materials And Methods: The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at McGann Hospital, Shimoga Institute of Medical Sciences, Shimoga from May 2017 to June 2023. The data included age, gender, etiology, pattern of fracture type of treatment modalities and the type of anaesthesia given were recorded. Results:The analysis involved a total of 158 patients treated at our institute from May2017 to June 2023. It was found that, the mandible was the most commonly fractured bone with parasymphysis as the most frequent site, followed by the zygomatic arch complex in the facial skeleton.Facial fractures were primarily among men in the age group of 21-30 years of age. Road traffic accidents were the main etiological factor associated. This study showed that patients were maximally treated by Open reduction and internal fixation [ORIF], some by intermaxillary fixation [IMF] and few by closed reduction. Conclusion:It was concluded that road traffic accidents were reported as the leading cause of maxillofacial fractures followed by assault, falls, and familial dispute. Open reduction and internal fixation remains the gold standard treatment modality.