Patowary, Md Hosain Shohid Shoraourddi
(2020)
The pattern of maxillo-facial fractures in Hospital Univerrsiti Sains Malaysia : a retrospective study of recent 5-years.
Masters thesis, Universiti Sains Malaysia.
Abstract
Patterns of maxillofacial fracture are found to be changing with the period of
time depending upon socio-economic condition, geographical position, education
and cultural status of a society. Therefore the periodic recent retrospective data
analysis is important to provide the information to the involved parties for taking the
necessary actions to reduce number and the fatality of maxillofacial fractures as well
as confer effective and fast management. The objectives of this study were to assess
the most common type of facial bone that prone to fracture, main etiological factor,
correlations between the fractured facial bones, association of age and gender with
the types of facial bone fractured and the treatment modalities provided by the
OMFS unit, hospital USM, Kelantan, Malaysia. This was a retrospective crosssectional,
descriptive analysis based on the medical records of the maxillo-facial
fracture patients that was treated in the OMFS unit, Hospital USM, Kelantan,
Malaysia, over a period of five years from 2012 to 2016. A pre-designed data
collection chart was used to collect data from patients’ medical record. The collected
data was analyzed by descriptive statistics and the Chi-square Test in SPSS 23.0
software. Total 209 cases of maxillo-facial fractures were included, out of those 167
males and 42 females; age range was 0-70 years and above. The most responsible
etiological factor for maxillofacial fracture was road traffic accident, 90.4% and
males of 21-above years age group were predominantly affected. The concomitant
zygomatic complex fracture was mainly affected site (86.1%) followed by fracture in
the orbital area (69.9%). There was a strong significant correlation in case of zygoma
with orbital fracture and maxilla with Le fort I and le fort II fracture in midface
whereas in lower face mandibular symphysis fracture had a significant moderate
correlation with condylar fracture. In general, there was no significant association of
maxillofacial fracture with the age and sex. 45.5% cases were treated surgically and
39.2% cases by conservative technique.
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