A study on faciomaxillary trauma in a tertiary care hospital: a prospective study

T. Chenthil Sivamuthu


Background: Faciomaxillary injuries are increasing in incidence in Tirunelveli district due to the increasing number of vehicles on the street which are inadequate and due to assault. The common denominator in both these situations is alcohol abuse. This study aims to assess the incidence, causative factors and management options of Faciomaxillary trauma.

Methods: Around 50 case of faciomaxillary injuries admitted in the Department of Plastic surgery, TVMCH were taken up for study. The cases were studied for age, sex, personal habits, mode of injury, associated injuries, involved bones and type of fracture, clinical features, treatment modalities, and complications.

Results: Road Traffic Accident (RTA) was the most common cause. Males aged 20-30 were the most commonly involved. Alcohol abuse and Intoxication was the most common antecedent event. Associated head, limbs and chest injuries were common. Mandible was the commonest bone to be fractured followed by zygoma, maxilla and nasal bones. ORIF and IMF was the common surgery performed.

Conclusions: Alcohol abuse is the leading cause of faciomaxillary injuries. Educating the public about the traffic rules and the ill effects of drunken driving will go a long way to prevent these injuries.


Alcohol, Faciomaxillary fractures, Soft tissue injuries

Full Text:



MacKenzie EJ. Epidemiology of injuries: Current trends and future challenges. Epidemiol Rev. 2000;22:112-9.

Wulkan M, Parreira JG, Jr, Botter DA. Epidemiology of facial trauma. Rev Assoc Med Bras. 2005;51:290-5.

David DJ, Simpson DA. Craniomaxillofacial trauma. London: Churchill Livingstone; 1995:233-49.

Singaram M, G SV, Udhayakumar RK. Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: a retrospective study. J Korean Assoc Oral Maxillofac Surg. 2016;42(4):174-81.

David, D. Maxillofacial trauma: principles of management, priorities and basic techniques. Trauma. 1999;1(3):215-26.

Al Ahmed HE, Jaber MA, Abu Fanas SH, Karas M. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: A review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:166-70.

Chandra Shekar BR, Reddy C. A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city. Indian J Dent Res. 2008;19:304-8.

Gali R, Devireddy SK, Kishore Kumar RV, Kanubaddy SR, Nemaly C, Akheel M. Faciomaxillary fractures in a semi-urban south Indian teaching hospital: a retrospective analysis of 638 cases. Contempary Clin Dentistry. 2015;6(4):539-43.

Veeresha KL, Shankararadhya MR. Analysis of fractured mandible and fractured middle third of the face in road traffic accidents. J Indian Dent Assoc. 1987;59:150-3.

Gomes PP, Passeri LA, Barbosa JR. A 5-year retrospective study of zygomatico-orbital complex and zygomatic arch fractures in Sao Paulo State, Brazil. J Oral Maxillofac Surg. 2006;64:63-7.

Montovani JC, de Campos LM, Gomes MA, de Moraes VR, Ferreira FD, Noguelra EA. Etiology and Incidence facial fractures in children and adults. Bras J Otorhinolaryngol. 2006;72:235-41.

Subashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: A study of 2748 cases. Br J Oral Maxillofac Surg. 2007;45:637-9.

Ravikumar G, Manoharan, Sugapradha GR. A study on faciomaxillary injuries in a tertiary care hospital. Int Surg J 2017;4:2450-4.

Motamedi MH. An assessment of maxillofacial fractures: A 5-year study of 237 patients. J Oral Maxillofac Surg. 2003;61:61-4.

Singh V, Malkunje L, Mohammad S, Singh N, Dhasmana S, Das SK. The maxillofacial injuries: A study. Natl J Maxillofac Surg. 2012;3(2):166-71.

Ajmal S, Khan MA, Jadoon H, Malik SA. Management protocol of mandibular fractures at Pakistan Institute of Medical Sciences, Islamabad, Pakistan. J Ayub Med Coll Abbottabad. 2007;19:51-5.