Abstract
Introduction: Maxillofacial injuries are one of the most common injuries seen in trauma patients. Road traffic accidents (RTA) are the most common cause of maxillofacial injuries all over the world. RTA are supposed to decrease due to lockdown which has become a usual phenomenon during the COVID- 19 pandemic. Changes in the etiology of maxillofacial injuries are supposed to dictate their pattern as well.
 Objectives: The objective of this study was to assess the pattern of maxillofacial injuries during the COVID-19 Pandemic at Birat Medical College and Teaching Hospital.
 Methodology: A cross-sectional study was conducted among the patients attending Birat Medical College and Teaching Hospital for the treatment of maxillofacial injuries from 1 May to 31 July 2020. Consecutive sampling was used to collect data from 52 study participants.
 Results: A total of 52 patients with maxillofacial injuries were studied. The age of patients ranged from 1 year to 73 years with a median age of 26 years. There were 69.2% (n=36) males with a male to female ratio of 2.25:1. The most common etiology was Road Traffic Accidents (50%, n=26). Laceration (70.7%, n=29) was the most common soft tissue injury. Parasymphysis fracture (23.8%, n=5) was the most common site of mandible fracture. The most common midface fracture was the zygomaticomaxillary complex (ZMC) fracture (40.9%, n=9).
 Conclusion: RTA still remains the most common etiology of maxillofacial injuries in spite of COVID-19 and the pattern of maxillofacial injuries has not changed much either.
Highlights
Maxillofacial injuries are one of the most common injuries seen in trauma pa ents
The age of pa ents ranged from 1 year to 73 years with a median age of 26 years
It may present as fractures of facial bones in the form of Lefort I, Lefort II, Lefort III fractures, zygoma comaxillary complex fracture (ZMC), zygoma c arch fracture, blow out fracture of orbit, naso-orbitoethmoidal (NOE) complex fracture, fracture of the mandible, etc
Summary
Maxillofacial injuries are one of the most common injuries seen in trauma pa ents. Maxillofacial injuries may present as so ssue injuries such as abrasion, contusion, lacera on, and avulsion. It may present as fractures of facial bones in the form of Lefort I, Lefort II, Lefort III fractures, zygoma comaxillary complex fracture (ZMC), zygoma c arch fracture, blow out fracture of orbit, naso-orbitoethmoidal (NOE) complex fracture, fracture of the mandible, etc. Maxillofacial injuries may present solely or maybe in combina on with injuries to other parts of the body as well. Maxillofacial injuries are emergencies that require extensive management based on their presenta on. Maxillofacial injuries are associated with several anatomic structures such as the eye, ear, nose, oral cavity. Injuries to the maxillofacial area have a serious effect on the quality of life.1Maxillofacial injuries are o en associated with severe morbidity, loss of func on, substan al financial cost and disfigurement.[2]
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