Sandeep, Dawre (2013) A five year retrospective epidemiological analysis of patients diagnosed with maxillofacial fracture. Masters thesis, Christian Medical College, Vellore.
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Abstract
INTRODUCTION: The midface is composed of two maxilla, two zygomatic bones, two palatine bones, two zygomatic process of temporal bones, two nasal bones, two lacrimal bones, vomer ethmoid and its attached conchae, two inferior conchae, pterygoid plates of sphenoid. These bones are weak individually but are strong when they articulate together1, 2. They gain strength in groups for which Manson3 described their arrangement into vertical and horizontal struts that support facial skeleton. The horizontal struts are formed by supraorbital rim and nasal process of the frontal bone, infraorbital rim, nasal bridge, alveolar process of maxilla and the zygomatic arch. The vertical strut is formed medially by the piriform rims which continue as the frontal process of the maxilla superiorly. Secondly the zygomatic buttresses which continue with the lateral orbital rims form the lateral pillars and finally the most caudal pillars are formed by the pterygoid plates. OBJECTIVES: The objectives of the present study is to assess retrospectively the profile including the etiology, epidemiologic and demographic factors related to maxillofacial injuries among patient reported in our hospital . METHODS: Patients with maxillofacial fractures who presented in the casualty over 5 year period from Jan 2007 to December 2012 were included in the study. Data was recorded on age, race, gender, date and cause of injury, associated injuries and use of alcohol at the time of injury. The fractures were grouped into Le Fort, mandible fracture and other associated fractures. The descriptive statistic such as means, frequency and percentage will be calculated for each variable. The data will be represented graphically using pie chart and bar plot. The association between the variables, chi-square will be used; the comparison of mean values will be done using students t-test RESULT: The sample comprises of 280 patients: 255 (90.7%) males and 25(8.9%) females with range of 3- 80 years with mean of 34.85. Most common cause of maxillofacial fracture was road traffic accident 258(92.2%) followed by fall (4.6%) and assault (2.5%). Le Fort fracture was 176 (62.9%) as compared to mandible fracture 131(46.8%). These studies showed male were commonly involved in maxillofacial injuries due to road traffic accident. Lefort is more common that mandible fracture in maxillofacial trauma. CONCLUSION: The study done showed that the majority of patient with maxillofacial fractures were male as compared with females. The majority of this patient was injured maximum over the weekends and around the festival season ie diwali and dusherra. Road traffic accident due to motorcycle was the most common cause of maxillofacial fracture. The Lefort fracture was the most common observed facial fracture. All of patients presented with maxillofacial were not wearing helmet. The maxillofacial skeletons are prone for injury in road traffic accident. This study reveals the need of preventive measure. To avoid maxillofacial injuries due road traffic accidents necessitates strict traffic law. People are required to educate regarding alcohol abuse. Patients with maxillofacial inury should have accesses to local hospital and medical college to receive treatment from the trained doctors and paramedical personnel. Most of the victims are in the age group of 20-40 years, as these people are their prime life which affected and it is huge loss to the society and country. We in this study had tried to assess only some of parameters related to maxillofacial fractures. We suggest more detailed study to identify the cause and changing trends of maxillofacial fractures, to assess to impact of maxillofacial injuries in patients life, to assess to effectiveness of management and public education.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | maxillofacial fracture ; patients ; diagnosis ; five year retrospective epidemiological analysis. |
| Subjects: | MEDICAL > Plastic and Reconstructive Surgery |
| Depositing User: | Kambaraman B |
| Date Deposited: | 12 Oct 2017 01:39 |
| Last Modified: | 12 Oct 2017 01:39 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3602 |
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