MAXILLOFACIAL TRAUMA SPECTRUM AT CIVIL HOSPITAL KARACHI: A REPORT FROM LARGEST TERTIARY CARE PUBLIC SECTOR TEACHING HOSPITAL IN SINDH PROVINCE
DOI:
https://doi.org/10.33279/jkcd.v5i02.235Keywords:
Oral and Maxillofacial trauma, General Anesthesia, Fire arm injuries, Gunshot traumaAbstract
Objective: The objective of this study is to document pattern and management of maxillofacial trauma cases seen at Department of Oral and Maxillofacial Surgery, Civil Hospital Karachi.
Materials and Methods: This retrospective study was carried out among admitted patients sustaining facial trauma at the Department of Oral and Maxillofacial Surgery, Civil Hospital Karachi. Demographic details related
to: gender, age, fracture diagnosis, maxillofacial surgical treatment and mode of Anesthesia used for intubation were obtained from Patient’s Post Operative Surgical records. Study period ranged from August 2008 till December 2010. Patient’s data was subsequently analyzed using SPSS version 17 with Statistical analysis done for descriptive variables.
Results: From total 54 maxillofacial trauma cases, there were 10 (19%) females and 44 (81%) males. Regarding age distribution, 13(20%) belonged to age groups: 11-20 and 21-30 respectively, followed by patients from age group 1 to 10 (18%). Diagnosis of facial bone fracture showed that fracture mandible was the most common bone fracture is isolation 12(22%). Regarding treatment, 12(22%) cases were treated with Maxillomandibular fixation in different combinations followed by 10(19%) cases treated by open reduction and internal fixation. General anesthesia was used for intubation in 78% cases, whereas only 22% cases were managed under local anesthesia and intravenous sedation.
Conclusions: Maxillofacial trauma is more prevalent in males and in young age group. Fire arm related Oral and Maxillofacial trauma in Karachi as compared to other reported national studies in Pakistan reflect the poor law and order situation.
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Copyright (c) 2015 Shahjahan Katpar, Muslim Khan, Syed Amjad Shah, Fozia Rajput

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