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Updated: Mar 18, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Fractures in the Maxillofacial Region: A Four Year Retrospective Study
M G Venugopal1, R Sinha2, P S Menon3
1Resident, AFMC, Pune 411 040.
Maxillofacial fractures are increasing, with road traffic accidents being the primary cause. Open reduction and internal fixation (ORIF) effectively manages these injuries with minimal complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Maxillofacial injuries show a rising incidence, driven by motor vehicle accidents and increased violence.
- Understanding the epidemiology and fracture patterns is crucial for effective trauma management.
Purpose of the Study:
- To determine the incidence, etiology, and fracture patterns of maxillofacial injuries.
- To evaluate the management of these fractures using open reduction and internal fixation (ORIF).
- To assess the complication rates associated with ORIF for maxillofacial trauma.
Main Methods:
- A retrospective analysis of 621 fractures in 361 patients treated with ORIF over four years.
- Data collected included patient demographics, injury etiology, fracture type, and treatment outcomes.
Main Results:
- The most affected age group was 20-25 years, with a male predominance (21.2:1 ratio).
- Mandibular fractures were most common (52.2%), followed by zygomatic complex (23.5%) and maxillary fractures (11.5%).
- ORIF achieved successful outcomes with a 6.8% complication rate, including reactive implants and infection.
Conclusions:
- A significant annual increase in maxillofacial trauma cases was observed.
- Road traffic accidents (RTA) are the leading cause of maxillofacial injuries.
- ORIF offers advantages like anatomical reduction, early functional recovery, and low complication rates for maxillofacial fractures.
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