Main Article Content

Abstract

Background


Facial Trauma is considered as one of the leading causes of death among people who are aged under 40 years. Patients with facial fractures may be associated with a variety of injuries of other regions of the body that worsen the prognosis resulting in functional disability or even death. The aim of this present study is to identify the characteristics of pan facial fractures and the occurrence, types, and severity of associated injuries outside the facial region.


Materials and Methods


A retrospective study was carried out between January 2015 to September 2016 on patients admitted with facial injuries in plastic surgery departments of the network hospitals empanelled under Dr. NTR Vaidya Seva Trust. The medical records of patients were studied to gather data regarding the patient’s age and sex, aetiology, type of associated injuries, Type of fracture and treatment received were collected and analysed.


Result


A total of n=145 case records were analysed in this study. The most common associated injury was Cranial trauma (7.6 %). The incidence peak of the trauma was observed among patients aged 26 to 45 years (51.7%). Higher incidence was observed in male population (93.1%). Majority of the patients utilized private facilities for treatment (84.8%). Road traffic accidents were by far the leading aetiology (82.8%). The maxilla was most commonly involved in combined facial fractures.


Conclusion


Road traffic accidents (RTA) are the leading cause for facial fractures and associated injuries. Preventive measures, such as the obligatory wearing of a crash helmet and seat belts should be strictly followed, besides strict enforcement of the law regarding "drinking and driving". Useful strategies for patient care and prevention of further complications should be planned considering the associated injuries.

Keywords

-

Article Details

How to Cite
Sumita Shankar, Manaswitha Boyanagari, Vamsi Krishna Boyanagari, Mehul Shankar, & Ravi Shankar Ayyanar. (2021). Epidemiology and Management of Panfacial Fractures and the Associated Injuries in Andhra Pradesh. International Journal of Research in Pharmacology & Pharmacotherapeutics, 5(4), 368-372. https://doi.org/10.61096/ijrpp.v5.iss4.2016.368-372

References

  1. [1]. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg. 31(1), 2003, 51–61. 2.
  2. [2]. MacKenzie EJ. Epidemiology of Injuries: Current Trends and Future Challenges. Epidemiol Rev. 22(1), 2000, 112–9.
  3. [3]. Sharma S. Surgical Approaches and Management of Panfacial Trauma: A Case Report. J Clin Diagnostic Res. 9(8), 2015, 13–4.
  4. [4]. Kim J. Panfacial Bone Fracture and Medial to Lateral Approach. 17(4), 2016, 181–5.
  5. [5]. Scherbaum Eidt JM, De Conto F, De Bortoli MM, Engelmann JL, Rocha FD. Associated injuries in patients with maxillofacial trauma at the hospital são vicente de paulo, passo fundo, Brazil. J oral Maxillofac Res. 4(3), 2013, e1.
  6. [6]. Béogo R, Dakouré P, Savadogo LB, Coulibaly AT, Ouoba K. Associated injuries in patients with facial fractures: a review of 604 patients. Pan Afr Med J. 16, 2013, 119.
  7. [7]. Akama MK, Chindia ML, Macigo FG, Guthua SW. Pattern of maxillofacial and associated injuries in road traffic accidents. East Afr Med J [Internet]. 84(6), 2007, 287–95.
  8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18254472
  9. [8]. Motamedi MHK. An assessment of maxillofacial fractures: A 5-year study of 237 patients. J Oral Maxillofac Surg. 61(1), 2003, 61–4.
  10. [9]. Kapoor P, Kalra N. A retrospective analysis of maxillofacial injuries in patients reporting to a tertiary care hospital in East Delhi. Int J Crit Illn Inj Sci. 2(1), 2012, 6.
  11. Available from: http://www.ijciis.org/text.asp?2012/2/1/6/94872
  12. [10]. Sawhney CP, Ahuja RB. Faciomaxillary fractures in north India. A statistical analysis and review of management. Br J Oral Maxillofac Surg. 26, 1988, 430–4.
  13. [11]. Santos SE, Marchiori ÉC, Soares AJ, Asprino L, De Souza Filho FJ, De Moraes M, et al. A 9-year retrospective study of dental trauma in Piracicaba and neighboring regions in the state of São Paulo, Brazil. J Oral Maxillofac Surg. 68(8), 2010, 1826–32.
  14. [12]. Chandra Shekar BR, Reddy C, B. CS. A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city. Indian J Dent Res. 19(4), 2008, 304–8.
  15. [13]. Naveen Shankar A, Naveen Shankar V, Hegde N, Sharma, Prasad R. The pattern of the maxillofacial fractures -A multicentre retrospective study. J Cranio-Maxillofacial Surg. 40(8), 2012, 675–9.