Patterns of Fracture Site and Management of Maxillofacial Trauma Cases in The Department of Trauma and Acute Care Surgery in Sanglah General Hospital

Aaga Anom Arie Wiradana,I Ketut Wiargitha

doi:10.24843/jbn.2019.v03.i02.p05

Aaga Anom Arie Wiradana, I Ketut Wiargitha

Open Access

https://doi.org/10.24843/jbn.2019.v03.i02.p05

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Abstract

Aim: To know the patterns of fracture site and management of maxillofacial cases in the Department of Trauma and Acute Care Surgery in Sanglah General Hospital Denpasar Bali. Methods: this is a retrospective study, based on medical record were concluded, samples taken in Sanglah General Hospital from January 2012 to December 2018. All of maxillofacial trauma medical records were taken. The data of age, gender, patterns of fractures site and management were taken and described. Results: There were total of 257 cases of maxillofacial trauma managed in the Department of Trauma and Acute Care Surgery in Sanglah General Hospital. Two-hundred and forty-one medical records of maxillofacial trauma were included in this study. About 16 medical records were excluded due to incomplete medical records and could not be contacted. Mostly cases found in male, aged 18-40 years old. The site of fractures majorly located in the mandible (60.12%). About 48% fractures were identified at symphysis or parasymphysis of mandible, followed by the body and angular of mandible. Open reduction and internal fixation (ORIF) were the gold standard of the treatment (83,73%) followed by Archbarr (16,27%). Conclusion: The most common site of maxillofacial fracture was mandible, specifically at symphysis or parasymphysis part. ORIF miniplate, together with Archbarr and interdental wiring fixation were the most common modality of management.

Highlights

In the United States, maxillofacial traumaEmergency and Trauma Acute Care was managed by plastic surgeon, Surgery has been established since 2001 at maxillofacial surgeon, and otolaryngologyBali where various trauma cases are expected surgeon
Maxillofacial injury can condition that maxillofacial trauma that poses be divided into the upper part injury, the middle surgeon should be able to manage the airway part injury, and the lower part Treatment with osteosynthesis was the injury.[1] most preferred treatment option as it offers a
Maxillofacial injury subjects admitted to the Road traffic accident (92%) was Department of Trauma and Acute Care dominated as the cause for maxillofacial

Summary

INTRODUCTION

Emergency and Trauma Acute Care was managed by plastic surgeon, Surgery has been established since 2001 at maxillofacial surgeon, and otolaryngology. Bali where various trauma cases are expected surgeon. In Bali, maxillofacial cases were to be seen. Maxillofacial injury is one of the managed by either maxillofacial surgeon or major trauma, following the increased use of plastic surgeon.[3] in the emergency motorcycles in Bali. The etiology varies, either caused by stable and precise anatomical reduction of motor vehicle accident, automobile accident, fragments. This option was limited fall, and violence.[2] by cost in developing countries.

Ketut Wiargitha

Country Methods

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CONCLUSION