Management and complications of middle- and upper-third facial compound injuries: an Iranian experience

Surgery for 772 patients with middle- or upper-third facial injuries was carried out between 1984 and 1990 in two university hospitals in Tehran. The most common etiological factor was firearm injuries (69.04%; n = 533), followed by road traffic accidents (24.44%; n = 189). The most common associated nonfacial injuries were head injuries (36.97%; n = 285 followed by ocular injuries (23.18%; n = 179). Treatment of middle- or upper-third facial injuries ranged from minor repair to major surgery with autogenous or allogenous grafts. The complications associated with middle- or upper-third facial injuries were either postinjury complications or postoperative complications and ranged from minor infection to loss of vision.