A Retrospective Study Of 1246 Patients Of Maxillofacial Fractures

Purpose:The study purpose was to assess the sex,age,aetiology,month in which injury occurred,anatomical site and treatment of fractures.The study was prepared for the establishment of the maxillofacial trauma database system.Materials and Methods:A total of 1246 patients with 2112 facial fractures treated between 1983 and 2002,were retrospectively analysed.there were 1011 male patients(81%) and 235(19%) female patients.The average number of fractures for each patient was 1.69.The patients ranged in age from 0.5 to 83 years.The mean age was 28.1 years.Date were collected on gender,age,etiologic factor,month in which injury occurred,anatomical site and treatment of fractures.Results: The ratio of male to female was 4.3:l.The patients in the 21-to 40-year age group accounted for 60%.Traffic accidents were the major cause of fractures followed by falls.There were 1477 (70%) mandibular,340 (16%) zygomatic and zygomatic arch's,274 (13%) maxillary,and 21 (1%) nasal and cranial injuries.Regarding distuibution of mandibular fractures,40.0% were seen in the condylar region,22.4% in the body,21.5% in the mental symphysis region, 14.1% in the angle region,and 2.0% in the other region.The distuibution of maxillary fractures was Le Fort IIin 92(51%),Le Fort I in 47(26%),Le Fort III in 33(18%) and others in 10(5%).Conclusion:The male was prone to being attacked with the maxillofacial fractures.The ratio of male to female has discreasedA significant increase will be found in future in patients older than 61 years.Traffic accidents were the most common etiologic factor of maxillofacial fractures.There is a need to enforce seat belt use,speed limit,and drink driving laws to reduce maxillofacial injuries caused by traffic accidents. Rigid internal fixation was the mainest treatment.