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JPDA-Journal of the Pakistan Dental Association. 2006; 15 (1): 35-38
em Inglês | IMEMR | ID: emr-78466

RESUMO

Find out the role of advanced CT-Scan information at early stage for optimal care and early recovery of polytrauma patients and to compare causes and pattern of maxillofacial injuries to similar studies. A retrospective study was carried out at King Abdul Aziz Specialist Hospital-Taif, Kingdom of Saudi Arabia by reviewing files, radiographs and CT- scans of 78 patients treated during two years [Jan.2003- Jan.2005]. Data regarding age, cause of fracture, anatomic site, treatment modalities and clinical results were reviewed Male to female ratio was 77% and 23% respectively and age group of 21y to 30y [69%] were predominantly involved in maxillofacial injuries. Cause of trauma in all patients was road traffic accidents and no one was alcoholic. Majority of patients [66.6%] were drivers and 61% had polytrauma with severe facial injuries. Surgical interventions were needed in 97.5% of patients and were managed by open reduction and internal fixation [ORIF] with plates and screws. Mean delay between admission to hospital and surgery was 6 days. There were 14% complications in total, 6.4% as plate removal, 5% enophthalmoses and 2.5% Malocclusion.. Severely injured patients had more complications. Causes and incidence of maxillofacial injuries vary from one country to another. ORIF by screws and plates is a standard of care for maxillofacial fractures. Advanced CT-scan and 3-D information at early stage facilitate team work by neurosurgeons, plastic surgeons and maxillofacial surgeons and play an important role in optimal care and early recovery of poly trauma patients


Assuntos
Humanos , Masculino , Feminino , Traumatismos Maxilofaciais/cirurgia , Tomografia Computadorizada por Raios X , Fixação Interna de Fraturas , Placas Ósseas , Traumatismo Múltiplo , Acidentes de Trânsito
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