SOFT TISSUE INVOLVEMENT IN MAXILLOFACIAL TRAUMA AND ITS FINANCIAL IMPACT ON HEALTH RESOURCES
DOI:
https://doi.org/10.33279/jkcd.v4i2.265Keywords:
Soft tissue injuries, Maxillofacial trauma, Cost effectiveness, Health resourcesAbstract
Objective: The purpose of this study is to find out the frequency and pattern of soft tissue injuries in maxillofacial trauma and to document its financial impact on health resources.
Methodology: A total of 765 patients with maxillofacial soft tissue injuries were recruited in this study from December 1st, 2011 to June 30th, 2014, in the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry Peshawar. An approval of the institution ethical research committee and informed consent from each study subject was obtained prior to collection of data. Necessary information were recorded using specially designed Performa. Using the basic concept of Gustilo and Anderson classification of soft tissue injuries, a modified classification system was designed so that injuries were classified into 4 types and further subtypes. Total time spent by a surgeon in repairing soft tissue wounds as well as cost involved was collected. All the variables were analyzed using SPSS version 17.
Results: Out of 765 patients, 73.07% were male and 26.93% were female. Majority were in age group 21-30 years (25.10%) followed by 31-40 years (21.05%). Most of them were Labor class (26.01%) with poor socioeconomic status (55.82%). Road traffic related injuries (63.92%) were reported to be the most common injuries. Out of total, 410(53.59%) patients sustained soft tissue injuries. Among these, majority were Type 3c (26.09%) followed by Type 3b (21.95%). In majority of cases (54.88%) wounds were closed primarily and by advancements and rotations (27.32%). The most frequent time duration for repair was up to two hours (n=128, 31.22%) with an expenses range of Rs. 4000-6000 (40-60 US $) in the majority of cases (26.83%).
Conclusions: Male in their 3rd decade with poor socioeconomic status was predominant in this study. Road traffic related accident was reported to be the most common cause of soft tissue injuries. Type 3c injuries were common and were closed either primarily or by advancements and rotations in majority of patients. The most frequent time duration for repair was up to two hours with an expenses range of Rs. 4000-6000 (40-60 US $).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Basheer Rehman, Qiam ud Din, Shuja Riaz Ansari
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
