Maxillofacial injuries in middle anatolia

ABSTRACT

During the period between January 1980 and January 1990 a total of 172 maxillofacial injuries were managed in this ENT Department. The data collected from the patients records, retrospectively. Our cases were up to 60 years of age. The highest incidence of maxillofacial injuries was in the age group of 11-40 years. The ratio between male and female was found to be 31. Traffic accidents were the most common cause of maxillofacial injuries in this study followed by fights, falls, industrial accidents, 14 cases [8.1%] had only soft tissue injury, 55 cases [32%] had only bone injury and the rest of the cases [59.9%] had both soft tissue and bone injuries. Of 158 patients [92%] that had fractures of facial bones, 57% had mandibular fractures, 15% had nasal fractures whereas 8% had Zygomatic fractures. Intraoral intermaxillary fixation with arch bar was performed in 94 cases [54.6%], open surgical reduction and internal fixation in 32 cases [18.6%], head cap and external stench in 32 cases [18.6%], external nasal fixation in 26 cases [15.1%], primary suture in 31 cases [18%], grafting and flap in 13 cases [7.6%] maxillar suspension in 6 cases [3.5%], Barrel-Barton bandage in 3 cases [1.8%] and facial nerve anastomoses in one case [0.5%] were also performed