Pattern of maxilofacial trauma in patients reporting at Liaquat University Hospital Hyderabad

Objective: The aim of present study was to evaluate the pattern of maxillofacial trauma in patients reporting at Liaquat University Hospital Hyderabad

Study Design: Observational / descriptive / cross sectional study

Place and Duration of Study: This study was conducted at the Oral and Maxillofacial Surgery Outpatient Department of Liaquat University Hospital from 01-01-2014 to 31-12-2015

Materials and Methods: This study was to analyze the age, gender and site of facial fracture of patients due to road traffic accidents, assault, falls, gunshot and sports injuries. Data relating to 136 patients was collected. The diagnosis of the maxillofacial trauma was done on the basis of history, clinical features and appropriate radiographs. All the relevant information was recorded on proforma

Results: Most prevalent age of trauma was 21-30 years teenagers, male 104 [76%] outnumbered the female 32 [24%] with ratio of 4:1. The most common fractured bone of midface was zygomatic bone n=52 [38.3%] and the most common region of mandibular fracture was parasymphysis n=34[25.0%]

Conclusion: Trauma is a main cause of fracture of facial bones especially in the young male population of Pakistan. Zygomatic bone fracture and parasymphseal regions are most common fracture site

Prevalence of hepatitis b and c in oral and maxillofacial surgery reported at liaquat university hospital Hyderabad

To analyze the prevalence of hepatitis B virus [HBV] and hepatitis C virus [HCV] carriers in oral and maxillofacial patients. Experimental study. This study was carried out at Oral and Maxillofacial Surgery Department, Liaquat University Hospital Hyderabad from 1[st] September 2011 to 31[st] August 2013. Data of 520 patients who were hospitalized at Liaquat University Hospital for treatment of maxillofacial fractures. Study design was descriptive/cross sectional study. All patients were treated both under general anesthesia as well as local anesthesia, sedation. Our hospital is tertiary referral center for Sindh province. Patients who were hospitalized at Oral and Maxillofacial Surgery Department during the study period for any category of maxillofacial surgery were screened before managing. 60% were males and 40% were females with age from 15-80 years. HBV was positive 15% in patients and HCV was positive in 11% of patients. The high prevalence of HBV and HCV in maxillofacial surgical patients recommended a regular test for HBV and anti-HCV for every one patient, to prevent spread of HBV and HCV among staff, patient to patient and oral surgeon

Mandibular fracture fixation with miniplate and MMF for up to two weeks. a prospective study

This study was conducted to evaluate the complication rate of treatment of mandible fracture using 2.0-mm miniplate and MMF for up to two weeks. Descriptive study. This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh from May 2004 to April 2006. Fifty patients with single mandibular fracture were evaluated in this study at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh. Single miniplate was applied according to champy's principle of osteosynthesis and secured with four mono cortical screws and Maxillomandibular fixation was applied for up to two weeks. Follow up was done for at least eight weeks after surgery. The incidence of infection, malocclusion, delayed union, non union, nerve damage and TMJ dysfunction were evaluated. Bone union was achieved in all patients. No evidence of malocclusion, delayed union, nonunion, nerve damage and TMJ dysfunction observed. Two cases [4%] developed post operative infection and was healed with in 7 to 10 days after administration of antibiotics and local wound care. Single miniplate along with Maxillomandibular fixation for up to two weeks has proven to be the most effective treatment modality for mandible fracture

Histological types and common sites of oral cancer in patients presenting at liaquat university hospital Jamshoro/Hyderabad Sindh

To determine the frequency of histological types and comman sites of oral cancer in patients presenting at Liaquat University Hospital Jamshoro/Hyderabad Sindh. Descriptive Study. This study was conducted on patients presenting at Oral and Maxillofacial Surgery Department, Liaquat university hospital Jamshoro/ Hyderabad Sindh over a period of one year from January 2010 to December 2010. Patients of all age group and gender with biopsy proven oral cancer along with its Histopathological types were included in the study. Patients reported irradiated,metastatic,benign and inflammatory lesions were excluded from the study. Total number of patients was 100. There were 53 Males and 47 Females. Age range was 3 years to 85 years. means age was 44.2 years. Most comman site was cheeck mucosa. Histopathological analysis showed 75% patients having well diffrentiated squamous cell carcinoma, 13% patients having moderately diffrenciated squamous cell carcinoma, 2% patients having poorly diffrenciated anaplastic carcinoma, 7% patients having basel cell carcinoma.1% Patients having Melanoma, 1% patients having Mucoepidermoid Carcinoma and 1% patients having Rhabdomyosarcoma. This study gives a detailed account of the histopathological types of oral cancer along with their frequency and site. oral cancer occurred at a younger age with male prepondrance

Complications associated with different treatment modalities of mandibular fracture

The aim of this study was to compare the complications of various techniques used to treat mandible fractures. This clinical study was carried out on 150 patients of mandibular fracture at Liaquat University of Medical and Health Sciences Hospital Jamshoro, Sindh from May 2004 to April 2006. Inclusion criteria were patients having single mandibular fracture, were medically fit for surgery, and had sufficient dentition were selected for maxillomandibular fixation. Patients with bone pathology, immnocompromised, comminuted and infected fracture were excluded. They were distributed in three groups and were treated with three standard techniques. Miniplates, MMF [maxillomandibular fixation] and Miniplates + MMF for 15 days. Age ranged from 12-60 years, mean age was 26.5 years. There were 135[90%] males and 15[100%] females. Most common site was parasymphysis [489%]. Post operative complications were recorded as infection, malocclusion, delayed union, nonunion, nerve damage and TMJ Dysfunction. 21 complications were encountered in 21 patients among all three groups. In MMF group number of complications were 11 [22%]. In Plating group were 8[16%]. In plating + MMF group were 2[4%]. The use of miniplate secured with four 2.0mm wide and 7.0mm long monocortical screws and maxillomandibular fixation for two weeks has proven to be the most effective treatment modality for mandible fracture

Reasons of tooth extraction at L.U.M.H.S civil hospital Hyderabad Sindh

Most oral diseases lead to loss of tooth. Periodontal diseases and the tooth decay are the commonest causes of tooth extraction. Tooth loss restricted the social life and because of decreased masticatory functions it may exaggerate the chances of systemic problems so over all general health is also affected. His study designed to know reasons of tooth extraction in L.U.M.H.S civil hospital Hyderabad SINDH. Cross Sectional/ Descriptive Study. This study was conducted at O.P.D of oral surgery department L.U.M.H.S Civil Hospital Hyderabad. Duration of research was 6 months from April 2012 to September 2012. Data collected from hospital records included, gender of patient . Clinical and radiological features and patients chief complains about the tooth to be extracted was noted with the help of these. We determine and note the reasons of extraction. We also graded the patients of extraction according to their socio-economical status i.e. poor, middle and good. Both genders and all ages 10 to 70 year of patient those undergoes extraction were included in this study while patient not indicated for extraction were excluded from this studies. 569 patient, 333 were female patients and 236 were male patients. The female and male percentage is 58.5% and 41.5%. Caries tooth with peri-apical periodontitis 35.22%. Periodontitis was the second leading reason of tooth extraction as 28.5%. More reasons of tooth extraction was Socio-economical status 20.6%, endodontic failure 8.33%, trauma/fracture 3.15%, orthodontic 2.45% and others. Socio-economical status as Poor 49%, Middle 30% and Good 21%. Awarness of oral hygiene in society through electronic media and print media proper community based education to all over Pakistan begin to minimize teeth loss in our society

Public awareness assessment: regarding qualified and unqualified dental practitioners. what difference does it make in treatment outcome

An increasing number of unqualified dental practitioners in Pakistan are risking public, who say that so called doctors, are playing with patients heath and lives. Unqualified practitioners not only fail to provide relief to patients but also contributes to spread of diseases e.g. Hepatitis C because of the use of infected syringes and delay in reaching appropriate diagnosis with generating misconceptions in public regarding health issues. There is need to create public awareness about health risks incurred when people visits unqualified dental practitioners. Descriptive type of study survey. This study was conducted at Dental OPDs at LUMHS Jamshoro /Hyderabad and different private clinics at Jamshoro/Hyderabad during the months of October to December, 2012. We did assessment on the awareness level in people of Jamshoro/Hyderabad, regarding qualified and unqualified dental practitioner and what difference does it makes in treatment outcome. To a sample comprising of 3087 individuals, an assessment questionnaire comprising twelve items related to the objectives was developed and administered for survey. Data is analyzed using SPSS 17 application software. The questionnaire was responded by 3059 individuals. Response rate was 99.09%, among respondents 53% males and 47% females. Only 68.7% patients reported that they were aware of difference in qualified and unqualified dental practitioners, 56% individuals reported that they ask about qualification of dental of practitioner before treatment whether he is qualified or unqualified, 43% individuals reported that qualified dental practitioner's treatment is better outcome, 29% individuals reported treatment outcome more or less similar whether it qualified or unqualified, 24% individuals reported that unqualified dental practitioner's treatment is better outcome. 66% individuals reported that they like to visit unqualified dental practitioner because of socio-economic reasons, 23.6% individuals reported that they like to visit unqualified dental practitioner because they feel more comfortable, 10.4% individuals reported that they like to visit unqualified dental practitioner because of unavailability of qualified dental practitioners in their areas. Especial awareness campaigns should be launch to ensure that the masses refrain from going to unqualified dental practitioners. We can help out concerned authorities to play their role to curb the practices of unqualified dental practitioners

Pattern of mandibular fractures reported at Liaquat university hospital Hyderabad

The study was conducted to analyze the frequency, gender distribution, age groups, mechanism of accident and site involvement of mandibular fractures reported at liaquat university hospital Hyderabad. Retrospective study. The study was conducted in Department of Oral and Maxillofacial Surgery Liaquat University Hospital Hyderabad from March 2012 to March 2013. A data of 228 of patients who had been diagnosed with a mandibular fracture between March 2012 and March 2013 at the Liaquat University Hospital of Hyderabad, Oral and Maxillofacial Surgery Department was retrospectively reviewed. Patients data including gender, age, mechanism of accident, fracture sites were analysed. 166 [72%] male patients and 62 [27%] female patients were reported with mandibular fracture. Most common age group was between 30-40 years. Most common mechanism of accident was RTA in 153 [67%]cases followed by fall from height 42 [18%] cases. Most common site involved was Parasymphysis in 112 [49%] cases followed by angle in 51 [22%] cases. The result of this study shows that road traffic accident is most common cause of mandibular fractures in this region