Maxillofacial Injuries in an Eastern Nepal Tertiary Hospital

  • Mehul R Jaisani Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Ashok Dongol Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Pradeep Acharya Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Anjani Kr Yadav Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Chandrakant Pasvan Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Siddhartha Rai Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal
  • Sean Laverick Department of Oral and Maxillofacial Surgery, Ninewells Hospital, Dundee, UK
DOI: https://doi.org/10.33314/jnhrc.v21i1.4270

Abstract

Background: Maxillofacial injury is a major health problem, and injury patterns vary in different societies. The purpose of the present study was to evaluate the pattern of maxillofacial injuries presenting to BPKIHS.
Methods: Patients with age >15 years presenting with maxillofacial injuries from May, 2019 to April, 2020 were included in this cross-sectional descriptive study. Demographic profile, etiology, delay in presentation, pattern of soft tissue/ bony/ dental injuries, treatment modality were recorded and analyzed using Microsoft excel.
Results: Within one year study period 190 patients with age group >15 years presented with facial injuries. There were 164 male (86.32%) and 26 female (13.68 %) patients (M:F=6.3: 1) with mean age of 34.96 years. Road Traffic Accident (RTA) (61.58%) was the most common etiology. Majority of the patients reported to hospital within 2-6 hrs of injury. Other associated injuries was present in 36.32 % of patients with orthopedic injury (60.87%) being common. Soft tissue injuries were seen in 80.53% patients, of which 49.02% were associated with facial fractures. Mandible fractures were seen in 56.19% of hard tissue injuries, of which 40.68% had multiple fractures followed by 28.81% with parasymphysis fracture. Within 37.14% patients with midface fractures, zygoma fracture (33.33%) was the commonest. Intervention was done in 80.95 % patients, with ORIF (72.38 %) being the commonest. Dentoalveolar injuries was seen in 22.63 % patients, of which 48.19% were associated with facial fractures.
Conclusions: Our observations show that motor vehicle accidents were the most frequent cause of maxillofacial injury.
Keywords: fracture; maxillofacial injuries; pattern

Published
2023-09-10
How to Cite
JaisaniM. R., DongolA., AcharyaP., YadavA. K., PasvanC., RaiS., & LaverickS. (2023). Maxillofacial Injuries in an Eastern Nepal Tertiary Hospital . Journal of Nepal Health Research Council, 21(1), 153-158. https://doi.org/10.33314/jnhrc.v21i1.4270
Issue
Vol. 21 No. 1 (2023): Issue 58 Jan-March, 2023
Section
Original Article

Copyright (c) 2023 Mehul R Jaisani, Ashok Dongol, Pradeep Acharya, Anjani Kr Yadav, Chandrakant Pasvan, Siddhartha Rai, Sean Laverick

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