Pattern of midface trauma with associated concomitant injuries in a nigerian referral centre
Samuel Udeabor1, Victor I Akinmoladun2, Adeola Olusanya2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.
Aim:
The aim of this study was to determine the pattern of midface trauma with associated concomitant injuries seen in our environment.
Methodology:
This was a prospective analysis of trauma patients with midfacial injuries presenting at a referral center in South West Nigeria. In addition to socio-demographic data, the following information was also obtained: Mechanism of injuries, type of midfacial injuries, concomitant/associated injuries and treatment.
Results:
A total of 101 patients with midfacial injuries were involved. They were made up of 85 males and 16 females. The 20-29 year age group was mostly affected (44.6%) and the most common cause of midface injuries was road traffic accident (91.1%). The zygoma was fractured more than any other midfacial bone (46.0%). A total of 144 associated injuries were recorded among these patients, head and ocular injuries accounted for 49 (34%) and 35 (24.3%) respectively. The patients were mostly treated conservatively or by closed reduction.
Conclusion:
The rate of head and ocular injuries among patients with midfacial injury was high. Knowledge of these associated injuries provides useful strategies for patient care and prevention of further complications. A multidisciplinary approach is important for optimum management of these patients.
