Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt
DOI:
https://doi.org/10.18203/2349-2902.isj20175881Keywords:
Open reduction and fixation, Panfacial fracture, Submental intubationAbstract
Background: panfacial fractures resembles a therapeutic challenge to maxillofacial surgeons This study was carried out to determine the etiology, injury characteristics and management outcome of pan facial fractures at Sohag university hospital.
Methods: A retrospective hospital based study of panfacial fractures patients was carried out at Sohag university hospital from January 2010 to December 2016. Data was collected and analyzed using SPPS.
Results: 200 Panfacial Trauma Patients were analysed. Males to females by a ratio of 24:1. Their ages ranged from 13 to 63 years with a mean of 30±12 years Most injuries were due to road traffic accidents (78%), and by falling from height in 12%. Mandibular fractures were the most common type of injuries. Open reduction and internal fixation by using plates and screws was the commonest surgical technique, used in 97.8% of cases. The most common complications were limited mouth opening, malocclusion. The mean duration of hospital stay was 11.13±2.23 days.
Conclusions: Road traffic accident (RTC) was the most common cause of panfacial injuries in our locality and the young adult males were the most commonly affected victims. The majority of maxillofacial fractures were treated by open reduction and internal fixation.
Metrics
References
Asnani, U. Panfacial Trauma a Case Report. International J Dent Clin. 2010;22:123-7.
He D, Zhang Y, Ellis E. Panfacial fractures: analysis of 33 cases treated late. J Oral Maxillofacial Surg. 2007;65;2459-65.
Grover R, Antonyshyn O. Care of maxillofacial injuries in multiple trauma. Cur Orthopaed. 2003;17:274-86.
Borgna S. Maxillofacial trauma presentations to the Royal Brisbane Hospital. Internet data. 2011.
Cripps R, Carman J. Falls by the elderly in Australia. Clin Geriat Med. 1985;63:501-12.
Davidoff G. The spectrum of closed-head injuries in facial trauma victims: incidence and impact. Ann Emerg Med. 1988;17(1):6-9.
Vashishta A. Submental intubation: a useful adjunct in panfacial trauma. Nat J maxillofacial Surg. 2010;1:74-5.
Tullio A, Sesenna E. Role of surgical reduction of condylar fractures in the management of panfacial fractures. Br J Oral Maxillofacial Surg. 2000;38:472-6.
Jarrahy R. Diagnostic accuracy of maxillofacial trauma two-dimensional and three-dimensional computed tomographic scans: comparison of oral surgeons, head and neck surgeons, plastic surgeons, and neuroradiologists. Plastic and reconstructive Surg. 2011;127:2432-40.
Fleisher GR, Ludwig S. Textbook of pediatric emergency medicine. Lippincott Williams and Wilkins; 2010:607-629.
Allsop D, Kennett K. Skull and facial bone trauma, in Accidental Injury. Springer. 2002;254-76.
Sood J. Maxillofacial and upper airway injuries anaesthetic impact. Ind J Anaesth. 2008;52:688-98.
Khader R. Secondary reconstruction of panfacial fractures. Oral Max Surg. 2014;18:99-109.
Banks P, Killey HC. Killey's fractures of the mandible. John Wright.1991.
McGowan R. Killey's fractures of the middle third of the facial skeleton. Br J Oral Max Surg. 1989;27(3):262-4.
Leles JLR. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample. J App Oral Sci. 2010;18(1):23-9.
Shah AA. Salam, Maxillofacial fractures: analysis of demographic distribution in 320 patients. Pak Oral Dent J. 2006;26:235-7.
Kamulegeya A, Lakor F, Kabenge K. Oral maxillofacial fractures seen at a Ugandan tertiary hospital: a six-month prospective study. Clinics. 2009;64:843-8.
KHITAB U. Occurrence and characteristics of maxillofacial injuries-A study. Pak Oral Dent J. 2010;30:124-8.
Al-Ahmed HE. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Med Pathol Radiol Endodontol. 2004;98(2):166-70.
Lee KH. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg. 2007;77:695-8.
Sirimaharaj W. Pyungtanasup K. The epidemiology of mandibular fractures treated at Chiang Mai University Hospital: a review of 198 cases. J Med Ass Thailand. 2011;91:868.70.
Erol B, Tanrikulu R, Görgün B. Maxillofacial Fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Cranio-Maxillofacial Surg. 2004;32:308-13.
Qiam D. Analysis of 362 cases of maxillofacial injuries in northern region of Pakistan. Pak Oral Dent J. 1991; 11: 35-43.
25. Shekar, B.C. and C. Reddy, A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city. Ind J Dent Res. 2008;19:304-8.
Hussain SS. Maxillofacial trauma: current practice in management at Pakistan Institute of Medical Sciences. Orbit; 2003;12:5-7.
Telfer M. Jones G, Shepherd JP. Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977–1987). Br J Oral Max Surg. 1991;29(4):250-5.
Schön R, Roveda S, Carter B. Mandibular fractures in Townsville, Australia: incidence, aetiology and treatment using the 2.0 AO/ASIF miniplate system. Br J Oral Max Surg. 2001;39(2):145-8.
Adi M, Ogden G, Chisholm D. An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985). Br J Oral Max Surg.1990; 28(3): 194-199.
Deogratius BK, Isaac MM, Farrid S. Epidemiology and management of maxillofacial fractures treated at Muhimbili National Hospital in Dares Salaam, Tanzania, 1998–2003. Int dent J. 2006;56:131-4.
Shahim F, Cameron P, McNeil J. Maxillofacial trauma in major trauma patients. Australian Dent J. 2006;51(3):225-30.
Dimitroulis G, Eyre J. A 7-year review of maxillofacial trauma in a central London hospital. Br Dent J. 1991;170(8):300-2.
Chalya P. Missed Injuries in Multiple Trauma Patients: A Tertiary Care Experience in Tanzania. East Cent Af J Surg. 2010;15:39-46.
Chan R, Ainscow D, Sikorski J. Diagnostic failures in the multiple injured. J Trauma Acute Care Surg. 1980;20(8):684-7.
Down K, Boot D, Gorman D. Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey. Int J Oral Max Surg. 1995;24(6):409-12.
Ceallaigh PÓ. Diagnosis and management of common maxillofacial injuries in the emergency department. Part 1: Advanced trauma life support. Emerg Med J. 2006;23:796-7.
Teenier TJ, Smith BR. Management of complications associated with mandible fracture treatment. Atlas J Oral Max Surg Clini North Am. 1997;5:181-209.
Martins JC, Keim FS, Helena ETS, Epidemiological characteristics of trauma patients maxillofacial surgery at the Hospital Geral de Blumenau SC from 2004 to 2009. Arquivos Internacionais de Otorrinolaringologia. 2010;14:192-8.