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Midface fracture pattern in a tertiary care hospital - A prospective study
Satyapriya Shivakotee1, Suresh Menon2, M E Sham2
1Department of Oral and Maxillofacial Surgery, Kantipur Dental College, Kathmandu, Nepal.
National Journal of Maxillofacial Surgery
|September 2, 2022
Summary
Zygomatic complex fractures are the most common midface injury, primarily caused by road traffic accidents (RTAs). This study analyzed midface fracture patterns to improve diagnosis and treatment planning for these frequent injuries.
Area of Science:
- Trauma surgery
- Orthopedics
- Facial reconstructive surgery
Background:
- Midface fractures are common, with high-speed vehicle accidents leading to severe injury patterns.
- Classic LeFort fractures are less common; severe forms are now prevalent.
- Understanding current midface fracture patterns is crucial for effective diagnosis and treatment.
Purpose of the Study:
- To determine the prevalent patterns of midface fractures.
- To analyze the etiological factors contributing to midface trauma.
- To aid in developing better treatment strategies for midface injuries.
Main Methods:
- Prospective study of 114 patients with suspected midface fractures over 4 years.
- Fracture patterns assessed via clinical examination and imaging (radiographs, CT).
- Etiology categorized into road traffic accidents (RTAs), falls, assaults, and sports injuries.
Main Results:
- Zygomatic complex fractures were the most frequent (52%).
- Road traffic accidents (RTAs) were the leading cause (79.2%).
- Males constituted the majority of patients (102/114).
Conclusions:
- Zygomatic complex fractures are the most common midface injury.
- RTAs are the primary cause of midface fractures, linked to vehicle speed and traffic rule violations.
- Males are more susceptible due to higher incidence of two-wheeler use.
