Maxillofacial Trauma Cases Research Articles

Assessment of Maxillofacial Trauma Due to Road Traffic Accidents in an Insecure Environment at Sominé Dolo Hospital in Mopti (Mali) from 2019-2023

Introduction: Maxillofacial trauma represents a social issue that continues to grow. According to WHO, 1.2 million people lose their lives each year on the road, or more than 3,000 deaths per day. The aim of this study is to evaluate the epidemiological, clinical and therapeutic aspects of maxillofacial trauma related to road accidents at Sominé Dolo Hospital in Mopti. Patients and Method: From 2019 to 2023, we conducted a descriptive cross-sectional study with retrospective collection on cases of maxillofacial trauma due to road traffic accidents at Sominé Dolo hospital in Mopti. Results: The frequency was 85.59%, the age was 28.37 years and a sex ratio of 5. The Bandiagara region represented 34.6% and that of Mopti 49.76%. 2-wheeled vehicles accounted for 60%. Open fractures accounted for 67.8%, located at the mandibular level 40.10%. Contention associated with osteosynthesis was performed in 49.1%. Discussion: In our study, the hospital frequency of maxillofacial trauma following a road traffic accident is 85.60%. This high frequency in our country could be explained by the non-compliance with the highway code, the poor condition of the roads, the multiplication of means of transport and the security situation. Conclusion: The increasing frequency of maxillofacial trauma over the years is a reality in Mopti (Mali) and poses a public health problem. Only early appropriate treatment and peace can minimize the sometimes serious and difficult to correct after-effects.

An Observational Study on the Management of Medico-Legal Maxillofacial Trauma Cases by General Practitioners.

This study included 113 general practitioners from St. Spiridon Hospital in Iasi, Romania. Participants completed a self-administered structured questionnaire assessing the knowledge, attitudes, and practices of general practitioners regarding the handling of medico-legal cases. The scores obtained for the level of knowledge, attitudes, and practices indicate a good level of knowledge on the part of the responding doctors, with the average value being 38, in a range from 0 to 49 (min. value 28-max wave. 47). The score regarding the attitudes of doctors related to the management of medico-legal cases is modest, with the average value being 37 points out of a maximum of 60 points (min. 14-max. 51). The same situation is recorded in the case of practices regarding the management of medico-legal cases, with the average value being 68 out of a maximum value of 90 (min. 38-max. 84). This study's results revealed the absence of a well-defined protocol for the recognition and handling of medico-legal cases among general practitioners from Iasi and the need to improve the level of attitudes and practices regarding the management of medico-legal cases. The limitations of this study included the relatively small sample from a single hospital and the use of a methodology based on self-administered questionnaires, which may be subjective. Accordingly, future studies should involve larger and more diverse samples to monitor changes in knowledge and practices over time and qualitative methodologies to gain deeper physician-related insights into medical case management.

Acute hydrocephalus triggered by isolated traumatic subarachnoid hemorrhage in the posterior fossa following mandibular fracture in a toddler: a rare case report.

Facial bone fractures triggered by low-height falls are rare in toddlers, while severe intracranial injuries resulting from minor trauma are extremely rare. Herein, we report the case of a 2-year-old girl who fell from a baby chair, striking her chin, who rapidly developed impaired consciousness 3h later. The patient subsequently presented with a mandibular fracture and acute obstructive hydrocephalus due to a traumatic isolated subarachnoid hemorrhage in the posterior cranial fossa. She was successfully treated with ventricular drainage, which achieved a favorable outcome. Maxillofacial trauma and head injuries are closely associated. Even in minor cases of maxillofacial trauma, vigilant monitoring and prompt intervention are crucial to prevent fatal outcomes in toddlers.

ERRATUM (An erratum has been prepared for the following articles in the 33rd volume and 2nd issue of Current Research in Dental Sciences in 2023.)

Erratum An erratum has been prepared for the following articles in the 33rd volume and 2nd issue of Current Research in Dental Sciences in 2023. - In the article titled "Özyurt E, Kurt A. Effect of Different Teas on Surface Roughness of Conventional and Bulk-Fill Composite Resins Beverage Effect on Composite Resins. Curr Res Dent Sci. 2023; 33(2): 84-89", a patient consent draft was added inadvertently, even though there was no participant. - In the article titled "Keleş ZH, Ozan G. Effect of preheating on the microhard- ness and depth of cure of two composite resins with and without BIS-GMA. Curr Res Dent Sci. 2023; 33(2): 79-83", a patient consent draft was added inadvertently, even though there was no participant. - In the article titled “Yamalı AY, Turhan Bal B. Properties and clinical applications of lithium disilicate ceramics. Curr Res Dent Sci. 2023; 33(2): 122-130” although the article titled is a compilation, a patient consent draft was mistakenly included. - In the article titled "Eriş Derkuş F, Yılmaz UN. Demographic Analysis, Diagnosis, and Treatment Methods of Maxillofacial Trauma Cases in the Southeastern Anatolia Region of Turkey: Retrospective and Comparative Analysis. Curr Res Dent Sci. 2023; 33(2): 103-107", it was forgotten to write Dicle University in the sections left as XXX in the Methods section for the sake of article blindness. - Since the study titled “Yıldızer Keriş E. Comparison of Articular Eminence Steepness in Patients With Temporomandibular Joint Disc Disorders. Curr Res Dent Sci. 2023; 33(2): 117-121” was retrospective, patient consent could not be obtained and this information was forgotten to be added. - In the article titled “Şener E, Baksı Şen G. 3D Modelling and virtual planning technologies in dentistry. Curr Res Dent Sci. 2023; 33(2): 131-134” although the article titled is a compilation, a patient consent draft was mistakenly included.

Injury to Anatomic Structures Due to Fixation Device in Management of Mandibular Fracture.

ORIF is the gold standard for the management of mandibular fractures. The chances of postoperative complications are due to infection, damage of the inferior alveolar nerve canal, or tooth root during the fixation of the fracture fragments. Fixation hardware placed in the vicinity of the vital structures may encroach on the anatomic structures, leading to postoperative complications. The aim of this study is to evaluate the injury to the anatomic structures in the proximity of the fracture line due to the fixation device. This retrospective study was conducted in a tertiary care teaching hospital from July 2021 to June 2023. The cases of maxillofacial trauma reported and referred from peripheral centers were considered duly, applying the inclusion and exclusion criteria. Patients having mandibular fractures from one mandibular foramen to another with or without associated other facial fractures were treated by ORIF under general anesthesia. The patient was followed up at 1 week, 1 month, 3 months, and 6 months. The cases of postoperative complications were further investigated by CBCT. There were 67 patients (56 males and 11 females) with 86 fracture lines in the age group of 18-55 years with an average age of 35.2 years. Postoperatively 7 patients presented with unilateral paresthesia of the lower lip and chin region. CBCT revealed that the mean distance of the screw from the inferior alveolar nerve canal was 3.02mm. None of these cases had injury to the nerve canal or roots of teeth. All the patients recovered from paresthesia within 6 months. Complications like injury to the inferior alveolar nerve (IAN) with sensory disturbances to the lower lip and chin, as well as tooth/tooth root fractures, may occur due to mandibular fracture, surgical manipulation, and fixation devices. The anatomic structures in the vicinity of the fracture line can be damaged during the fixation of the fracture fragments by the bone plates and screws. In the present study, it was found that 7 out of 67 patients presented with unilateral paresthesia of the lower lip and chin. CBCT analysis showed a considerable distance of 3.02mm from the inferior alveolar nerve canal to the screws. There was no evidence of hardware encroachment on the IAN or tooth roots. Selection and placement of appropriate fixation devices, particularly the length of the bone screws, are crucial to avoid injury to the anatomic structures.

Efficacy of Pre-emptive Infiltration of Dexmedetomidine with a Local Anaesthetic on Postoperative Pain in Maxillofacial Trauma Management under General Anaesthesia: A Prospective Study.

Pre-emptive analgesia aims to reduce post-operative pain and the need for analgesics. Dexmedetomidine (DEX) is an alpha-2 adrenergic agonist with sedative and analgesic properties. The aim of this study was to compare the effectiveness of pre-emptive infiltration of DEX combined with local anaesthetic (2% lignocaine with adrenaline) in managing post-operative pain in maxillofacial trauma patients undergoing open reduction and internal fixation procedures, as compared to pre-emptive infiltration of placebo (saline) with the same local anaesthetic. Forty-two participants of maxillofacial trauma with a Visual Analogue Scale (VAS) score of more than 4 were included in this double-blinded randomised controlled trial. Group DL (Dexmedetomidine with local anaesthetic) received dexmedetomidine (DEX) with local anaesthesia while group PL (placebo with local anaesthetic) received placebo with local anaesthesia. Participants were evaluated for the time taken for the first rescue analgesic, total doses of fentanyl taken by the patient in the first 24 h, post-operative pain (VAS) at 6, 12, 16 and 24 h, post-operative side effects and analysed. The DL group had a significantly longer time to first rescue analgesic compared to the PL group. Surgeons in the DL group reported higher satisfaction and better surgical field visibility. Post-operative VAS scores were lower in the DL group at 6 and 12 h, with a median score of 1 at 16 and 24 h. Pre-emptive DEX infiltration is effective in reducing post-operative pain and opioid consumption in maxillofacial trauma cases undergoing open reduction and internal fixation. This approach can enhance patient comfort and improve surgical outcomes without significant risks.

The Role of Large Language Models (LLMs) in Providing Triage for Maxillofacial Trauma Cases: A Preliminary Study.

In the evolving field of maxillofacial surgery, integrating advanced technologies like Large Language Models (LLMs) into medical practices, especially for trauma triage, presents a promising yet largely unexplored potential. This study aimed to evaluate the feasibility of using LLMs for triaging complex maxillofacial trauma cases by comparing their performance against the expertise of a tertiary referral center. Utilizing a comprehensive review of patient records in a tertiary referral center over a year-long period, standardized prompts detailing patient demographics, injury characteristics, and medical histories were created. These prompts were used to assess the triage suggestions of ChatGPT 4.0 and Google GEMINI against the center's recommendations, supplemented by evaluating the AI's performance using the QAMAI and AIPI questionnaires. The results in 10 cases of major maxillofacial trauma indicated moderate agreement rates between LLM recommendations and the referral center, with some variances in the suggestion of appropriate examinations (70% ChatGPT and 50% GEMINI) and treatment plans (60% ChatGPT and 45% GEMINI). Notably, the study found no statistically significant differences in several areas of the questionnaires, except in the diagnosis accuracy (GEMINI: 3.30, ChatGPT: 2.30; p = 0.032) and relevance of the recommendations (GEMINI: 2.90, ChatGPT: 3.50; p = 0.021). A Spearman correlation analysis highlighted significant correlations within the two questionnaires, specifically between the QAMAI total score and AIPI treatment scores (rho = 0.767, p = 0.010). This exploratory investigation underscores the potential of LLMs in enhancing clinical decision making for maxillofacial trauma cases, indicating a need for further research to refine their application in healthcare settings.

Epidemiological profile of cases of oral and maxillofacial trauma in patients assisted in a hospital in the north of Piauí: a 5-year retrospective study

Epidemiological profile of cases of oral and maxillofacial trauma in patients assisted in a hospital in the north of Piauí: a 5-year retrospective study

The profile of patients with maxillofacial trauma due to interpersonal violence treated in a hospital emergency room.

This study evaluated records of patients with maxillofacial trauma due to interpersonal violence (IPV) being treated in the emergency room of a level I trauma center hospital in São Paulo, Brazil. Data of patients with maxillofacial trauma due to IPV recorded between January 2019 and December 2019 were retrospectively examined. Personal data, days on which they experienced IPV, and the type of maxillofacial trauma sustained were extracted and statistically analyzed (p < .050). During the analysis, 1034 patients with maxillofacial trauma were identified; of these patients, 292 (28.2%) who experienced trauma due to IPV were included in this study. There was a mean age of 32.6 years and the most common type of trauma was soft tissue injuries (38.7%). Mandible and nose fractures were more prevalent in males and females, respectively. Our data, when compared with other studies on maxillofacial trauma due to IPV, showed a lower prevalence and male-to-female ratio, and a higher presence of dentoalveolar trauma. Additionally, our data when compared with studies on maxillofacial trauma due to other causes showed lower mean age and male-to-female ratios, and a higher occurrence of nose fractures differing from the predominance of mandibular fractures. Oral and maxillofacial surgeons must be able to suspect and identify cases due to IPV among their patients with trauma. With our results, although each case has its individuality, we can suggest that cases of maxillofacial trauma in young, female, and nasal fracture patients may be suspicious for IPV.

Epidemiological Aspects of Lefort II Fractures Treated at Nianankoro Fomba Hospital in Segou: About 17 Cases

The Lefort II fracture (pyramidal fracture) or high transfacial is a solution of bone continuity of the middle stage of the face whose fracture line concerns the glabella, the ethmoid massif, the two maxillary sinuses and the pterygoids causing more or less important the mobility of the middle stage of the face. Objectives: of this study were to study the frequency of Lefort II fractures at Nianankoro FOMBA Hospital in Segou; to study the target population of Lefort II fractures at the Nianankoro FOMBA hospital in Segou; evaluate the treatment option for this pathology; to study the fate of treated patients. This was a prospective study, carried out in the stomatology and maxillofacial surgery department of Nianankoro FOMBA Hospital in Ségou over a period of 3 years, i.e. 36 months from October 1, 2016 to October 1, 2019. It covered all cases of Lefort II fractures admitted to this department for their care. During our study we recorded 225 cases of maxillofacial trauma including 17 cases of Lefort II fractures or 7.55% of all traumatic injuries admitted to the service. Lefort II fractures are a social and public health problem affecting mainly young male subjects in the 20 to 29 age group most often following accidents on public roads. Their diagnosis is made by clinical examination associated with paraclinical examination (computed tomography) which makes it possible to locate the fracture foci.

MANAGEMENT OF FACIAL FRACTURES, ITS DEMOGRAPHY AND CLINICAL OUTCOME

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.

Pediatric maxillofacial and oral traumatological emergencies in the department of stomatology, maxillofacial and plastic surgery of the university hospital of cocody (republic of IVORY COAST)

IntroductionMaxillofacial and oral trauma in children are a frequent reason for consultation in stomatology and maxillofacial surgery. Patients and methodsRetrospective study with a descriptive aim, carried out on the basis of an analysis of the physical medical files of cases of maxillofacial and oral trauma admitted to the stomatological emergencies of the university hospital center of cocody over a period of 04 years (January 2016 to December 2019). ResultsThe average age of the patients was 7.56±2.1 years with extremes of 05 days of life and 15 years. The sex ratio was 1.56. The age group between 05 and 09 years old was the most affected with 43.12% (n = 113/262). Road accidents were the main cause of these injuries with a prevalence of 65.65% (n = 172/262). In 68.32% of the cases (n = 179/262), the soft tissues were affected, while the bones and dental injuries represented respectively 18.32% (n = 48/262) and13.36% (n = 35/262). ConclusionKnow and master the specificities of maxillofacial and oral trauma in children anatomy helps to avoid a preventable delay to the diagnostic, and to reduce long-term complications.

An Extraordinary Case of Maxillofacial Trauma: Injury by Harpoon Shot

An Extraordinary Case of Maxillofacial Trauma: Injury by Harpoon Shot

Demographic Analysis, Diagnosis, and Treatment Methods of Maxillofacial Trauma Cases in the Southeastern Anatolia Region of Turkey: Retrospective and Comparative Analysis

Demographic Analysis, Diagnosis, and Treatment Methods of Maxillofacial Trauma Cases in the Southeastern Anatolia Region of Turkey: Retrospective and Comparative Analysis

AB094. SOH23ABS_067. Revisiting the role of submental intubation in maxillofacial trauma cases

Background: Airway management in maxillofacial trauma cases can prove particularly challenging as often the conventional methods of intubation are unsuitable. Standard orotracheal intubation may be a hinderance to the surgeon who may need to perform intra-operative maxillomandibular fixation. Nasotracheal intubation, a commonly used alternative is often not appropriate either particularly if there is a nasal fracture or base of skull fracture present. Clear communication between the anaesthetist and surgeon is paramount for successful intubation as both parties are forced to share the same working space. In these types of trauma cases Submental Intubation provides an excellent choice for airway securement. The Submental Intubation technique as an alternative method of airway management was first described in 1986 by Hernandez Altemir. It is a safe and effective method of intubation with a low risk of morbidity. It provides access to maxillofacial fractures without interference from an anaesthetic tube enabling maxillomandibular fixation and access to naso-orbito-ethmoid fractures. It avoids the need for tracheostomy which has many reported complications including post-op bleeding, surgical emphysema, tracheostomy site infections, nerve injury, tracheal stenosis, poor scar aesthetics, tracheoarterial fistula and death. Submental intubation has no associated major complications when compared to tracheostomy.

A meta-analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents.

Children and adolescents who are affected by trauma may have complications that are more serious and dangerous. Herein, a meta-analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies according to the geographic regions of the world among children and adolescents was conducted. A comprehensive search was performed in four databases of PubMed/MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2006 until July 7, 2021. To evaluate the quality of included articles, an adapted version of the Newcastle-Ottawa scale was used. The prevalence of maxillofacial trauma was estimated by event rates and 95% confidence intervals in relation to etiology and geographic region of study population. Through search in the databases and the electronic sources, 3071 records were identified, and 58 studies were eligible for inclusion in the meta-analysis. A total of 264,433 maxillofacial trauma cases were reported by all included studies. Globally, the overall prevalence of maxillofacial trauma was highest due to Road Traffic Crashes (RTC) (33.8%) followed by falls (20.7%), violence (9.9%), and sports (8.1%) in children/adolescents. The highest prevalence of maxillofacial trauma were observed in African population (48.3%) while trauma due to falls was most prevalent in Asian population (44.1%). Maxillofacial trauma due to violence (27.6%) and sports (13.3%) were highest in North Americans. The findings demonstrate that RTC was the most prevalent etiology of maxillofacial trauma in the world. The prevalent causes of maxillofacial trauma differed between the regions of study population.

Precautions for Pneumo-Orbital in Cases of Maxillofacial Trauma: Data Mining for Artificial Inteligence of Air Localization on CT-Scan

&lt;span lang="EN-US"&gt;Along with rapid mobility, the incidence of traffic accidents is increasing. Maxillofacial trauma often accompanies traffic accidents. Facial bone fractures need serious concern, considering that the face contains several important organs and an important aesthetic aspect daily. Pneumo-orbital, in which air is found in the orbital cavity, is a threat to vision. The development of diagnostic modalities for maxillofacial trauma is developed continuously for determining the accuracy and improving rapid diagnosis. A radiologist is greatly facilitated by the presence of a CT scan that is able to detect certain abnormalities through artificial intelligence (AI) features. The data of this study are preliminary data showing the incidence of pneumo-orbital that was often missed in maxillofacial trauma cases. The maxillofacial trauma cases (classified as Le Fort fractures) were collected from January 2022 to July 2022 consecutively and determined into Le Fort fractures with pneumo-orbital and without pneumo-orbital. From 19 cases, 13 cases (68%) were accompanied by pneumo-orbital, while 6 cases (32%) were not. Multiple pneumo-orbitals with relatively visible sizes are detected easily on CT scan but a single and relatively small pneumo-orbital has potentially not to be seen on CT scan. It is concluded that CT scan nowadays is not only used to see anatomical abnormalities, but also equipped with AI-based features; such as the intracranial bleeding volume calculation and calcium score estimation on cardiac CT. It is possible that a CT scan can also detect the presence of air particles. Thus, the sensitivity of pneumo-orbital detection can be increased.&lt;/span&gt;

Intraoperative modifications done to continue performing traumatic maxillofacial surgery during COVID-19 times

Abstract Background: Operating on maxillofacial trauma cases in the severe acute respiratory syndrome coronavirus-2 disease 2019 (COVID-19) era comes with its own disadvantages to operating teams with the current standard operating protocol. Methods: We present the various modification in techniques we have devised in a step-wise manner to overcome these difficulties while operating in COVID-19 times. Twenty-eight cases of maxillofacial fracture were operated in a span of 1 COVID year, i.e., from March 2020 to February 2021. Intraoperative modifications were applied for the techniques of drilling, implants used associated with aerosol generation (AG). Results: Of the 28 cases that had undergone maxillofacial injury, 20 were mandible fractures, 6 are midface, 2 are upperface/midface and 1 upper face fracture, of the mandible fractures, 12 were single sites and 8 were fractures involving two sites. Conclusions: Using microplating with self-drilling screws appear to be the first choice for fixing mandible fractures in COVID times, reducing AG by decreasing the duration of drilling and containing the aerosol spread by an adequate protective barrier around the drill apparatus should be considered. Intraoperative stability of fracture fixation sites post-fixation with mini and microplate as individual and in combination was found to be helpful.

Cases of Maxillofacial Trauma Treated at Hospitals in a Large City in Northeastern Brazil: Cross-Sectional Study

Maxillofacial trauma is associated with facial deformation, loss of function, emotional and social impacts, and high financial costs. This study investigated cases of maxillofacial trauma in a large Brazilian city through a cross-sectional study conducted at two public and two private hospitals. Primary data of 400 patients were collected through a questionnaire, clinical examination, and tomography. Statistical analysis at the 5% significance level was performed. Motorcycle accident was the major cause of trauma (41%); the most frequent trauma and treatment were mandibular fracture (24.3%) and surgery (71%), respectively. The female sex was more affected only regarding domestic accidents (p = 0.041) and falls (p < 0.001). Motorcycle accidents were more prevalent among 20 to 29 year-olds (p < 0.001), followed by physical aggression (p < 0.001) and sports accidents (p = 0.004). Falls were more frequent among 40 to 59 year-olds (p < 0.001). Mandibular fracture affected males and 20 to 29 year-olds more and was mainly associated with motorcycle accidents (48.2%) and physical aggression (22.7%) (p = 0.008). Nose fracture was more frequent in falls (29.6%), physical aggression (22.5%), and sports accidents (21.1%) (p < 0.001). Compound fracture was associated with motorcycle accidents (84.2%; p = 0.028). Maxillofacial trauma (mandibular, nasal, and zygomatic fractures) was associated with motorcycle accidents, physical aggression, and falls. Surgical treatment, hospital care, and public services were the most frequent.

A Five-Year Retrospective Study on Fractured Orbital Walls: A Spearman Correlation Analysis

Objective: The purpose of this study is to find propotion of fractured orbital walls in the maxillofacial trauma cases and its associated maxillofacial fracture treated in the Oral Maxillofacial Clinic Oral Maxillofacial ward and operation theatre of Hospital USM in Kelantan, Malaysia. Materials and methods: From July 2013 to June 2018, records of patients who sustained maxillofacial fractures and presented them to the Accident and Emergency Department, Oral Maxillofacial Clinic, Hospital USM were reviewed, recorded, and analyzed. There are 294 patients whose data has been collected because they met the inclusion criteria. Each patient with a complete medical record was reviewed. Data were collected under the variables: Zygomatic Complex, Zygomatic Arch, Nasal, Maxillary Sinus, Le Fort I, Le Fort II, Le Fort III, Orbital Wall, Alveolar Process, Symphysis of Mandible, Condyle of Mandible, Ramus of Mandible, Maxillary Bone and Mandibular Bone of maxillofacial fracture. The fractured orbital walls in these cases was reviewed. At the first stage, all the selected variables will be screened for their important clinical point of view. The SPSS software version 26.0 was used to determine all possible factors contributing to orbital wall fracture. Results: This was a retrospective cross-sectional analysis of the medical records of 294 patients with maxillofacial fracture treated in the Oral Maxillofacial Clinic and Oral Maxillofacial ward, Hospital USM. There were 228 (77.3%) men and 66 (22.4%) women included in this study. The most common age range is 11-20 years (39.8%), 21-30 years (26.2%). Maxillary Bone Fracture (0.371; p &lt;0.05), Maxillary Sinus Fracture (0.180; p &lt;0.05), Zygomatic Arch Fracture (0.127; p &lt;0.05) were found to be the most affected site, which had a positive correlation with an orbital fracture of the maxillofacial trauma cases. A path analysis based on the Spearman correlation was developed by taking into account significant correlations at the level of 0.05. Conclusion: Using the matrix spearman correlation, multiple response analysis (MRA), path analysis, we discovered a clear connection between orbital wall fracture and several other factors. This discovery will aid in the understanding of the most common fracture and the causes of orbital wall fracture in maxillofacial trauma. The Zygomatic Arch Fracture, Maxillary Sinus Fracture, and Maxillary Bone Fracture were found to have a significant relationship with the orbital wall when the significance level was set at 0.05. Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 744-750