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. 2023 Jun;16(2):112-120.
doi: 10.1177/19433875221084172. Epub 2022 Apr 19.

Patterns and Trends of Facial Fractures at a Tertiary Care Trauma Center in India - A 13 years Retrospective Study

Debraj Shome  1 , Monika Surana  2 , Shiva Ram Male  3 , Vaibhav Kumar  4 , Supriya S Vyavahare  5 , Arundha Abrol  6 , Rinky Kapoor  7
Affiliations

Patterns and Trends of Facial Fractures at a Tertiary Care Trauma Center in India - A 13 years Retrospective Study

Debraj Shome et al. Craniomaxillofac Trauma Reconstr. 2023 Jun.

Abstract

Study design: Retrospective study.

Objective: The purpose of this study was to retrospectively analyze the prevalence, pattern, diagnosis, and treatment of the facial fractures falling under ambit of facial plastic surgery in a multi-specialty hospital at India from the year 2006-2019.

Methods: This retrospective study analyzed 1508 patients, having orbital fractures (from 2006 to 2019) for demographic data, cause of trauma, type of fracture, and the treatment given. The data were compiled in excel and analyzed by using SPSS version 21.0.

Results: Out of these 1508 patient (1127 (74.73%)-males and 381 (25.27%)-females), the etiology of injuries was Road traffic accident (RTA) (49.20%), assault (26.52%), and sports injuries (11.47%). The most common fracture pattern was Isolated Orbit and/or Orbital Floor fracture in 451 patients (32.08%), followed by Mid-facial fractures (21.93%). Also, 105 patients (6.96%) experienced ocular/retinal trauma along with other fractures.

Conclusions: Orbit, peri-ocular, and mid-face trauma comprised a large position of this study. It requires a great deal of expertise to treat such complex trauma, which is not covered in one specialty alone. Hence, a holistic approach of craniofacial fracture management, rather than limiting these skills to water-tight craniofacial compartments becomes necessary. The study highlights the critical need of multidisciplinary approach for predictable and successful management of such complex cases.

Keywords: facial fracture; facial plastic surgery; craniofacial trauma; oculoplastic surgery.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Distribution of patients about gender.
Figure 2.
Figure 2.
A: pre-operative photograph of a patient with complex facial fracture due to Road traffic accident, involving fractures of the bi-cortical frontal bone, lateral and posterior orbital wall, orbital floor, the anterior wall of the maxillary sinus, and damaging the eyeball. B: 3D reconstruction of CT-Scan of a patient with complex facial fracture due to Road traffic accident, involving fractures of the bi-cortical frontal bone, lateral and posterior orbital wall, orbital floor, and the anterior wall of the maxillary sinus. C: Postoperative photograph of a patient after enucleation, with a false eye prosthesis.
See this image and copyright information in PMC

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