Hasan Tareq Bin Noor1, Parimol Kishore Dev2, Hrituraj Deb3, Abdul Latif4,
Ishtiaque Alam5, Md. Nahiyan Sabir6
1. Associate Professor, Maxillofacial Surgery Unit, Department of Otolaryngology and Head-Neck Surgery, Jalalabad Ragib-Rabeya Medical College, Sylhet.
2. Associate Professor, Department of Anesthesiology, Jalalabad Ragib-Rabeya Medical College, Sylhet
3. Associate Professor, Department of Otolaryngology and Head-Neck Surgery, Jalalabad Ragib-Rabeya Medical College, Sylhet.
4. Associate Professor, Department of Nephrology, Jalalabad Ragib-Rabeya Medical College, Sylhet.
5. Associate Professor, Department of Oncology, Jalalabad Ragib-Rabeya Medical College, Sylhet.
6. Assistant Registrar, Department of Otolaryngology and Head-Neck Surgery, Jalalabad Ragib-Rabeya Medical College, Sylhet.
Abstract
Maxillofacial fractures are involves most complex zone of human skeleton. It includes major portion of human skull mainly; which is associated with lots of contagious bone which demands very precise procedures to deal with these types of fractures. Incidence of maxillofacial fractures greatly increased in Sylhet division of Bangladesh due to increased vehicular density, domestic violence, interpersonal violence etc. This descriptive observational study, was conducted in the department of maxillofacial surgery unit, Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet during the period from January 2014 to December 2017 to evaluate the demographic and clinical pattern of maxillofacial fracture. A total of 87 patients with maxillofacial fracture irrespective of age and sex were included in the study. The results showed that, the most (47%) of the patients were in between 21-30 years of age range with male preponderance (82%). According to the mode of fracture, most (70%) of the patients were developed fracture by road traffic accident (RTA), followed by inter personal violence (11%), fall from height (10%), domestic violence (7%), sports related injury (1%) and pathological manner (1%). The highest number of fracture involving the site was mandible (32%) and followed by dento alveolar fracture (18%), zygomatic complex fracture (13%), lefort 1 (9%), pan facial fracture (8%), lefort 2 (7%), lefort 3 (3%) and hard palate fracture (3%). Most (72%) of the patients were treated by open reduction and internal fixation (ORIF). Most of the complications regarding fracture management were post operative neuropathy (34%) distributed with trigeminal and facial nerve branches, wound dehiscence (22%), seroma (17%), post operative malocclusion (17%), plate rejection (5%) and ptosis (5%). Proper public awareness, traffic control, development of maxillofacial centers in district level can diminish incidence of maxillofacial fractures.
Key Words: Maxillofacial injury, Road traffic accident, Interpersonal violence