An Assessment of Changing Incidence of Maxillofacial Fractures: A Retrospective Study of 1047 patients.

Dr Kundan Shah; Dr. Anand Mangalgi; Dr Saraswati F K; Dr Deepika Mallasure

Volume : VIII, Issue : II, February - 2019

An Assessment of Changing Incidence of Maxillofacial Fractures: A Retrospective Study of 1047 patients.

Dr Kundan Shah, Dr. Anand Mangalgi, Dr Saraswati F K, Dr Deepika Mallasure

Abstract :

Purpose : Maxillofacial injuries constitute an integral part of polytrauma, the incidence, cause and management of which may vary from region to region. The aim of the study is to assess the etiology, type, management of maxillofacial fractures along with a special emphasis on the changing trend in the incidence of mid–face fractures. Patients and method : A retrospective review done at our institution evaluated 1047 patients treated for maxillofacial fractures in last 10 years. Descriptive analysis of data was done through SPSS–16. Results : of all the facial fractures managed at our institution, during a period of 2005–14, mandibular fractures accounted for 52%, followed by mid–face fractures which was 38% and both fractures were 10%. Contrary to the previous findings, incidence of mid–face fractures increased significantly over the last 2 years (2013–14), accounting for 51% of the cases, followed by mandibular fractures which was 42% and both fractures were 7%. Road traffic accidents attributed for 92% of the cases. Surgical intervention was required in 66% of mid–face fractures and 81% of the mandibular fractures. Postoperative complications were present in 3% of the cases. Conclusion : According to this study, the most significant observation is the drastic change in the pattern of facial fractures with the incidence of mid–face fractures increasing over a period of 2 years. This observation is in contrast to several studies which state mandibular fractures as the most common fractures of maxillofacial region. Based on the findings herein, a forth coming change in the pattern of maxillofacial fractures is suggested and it varies from region to region.