A PROSPECTIVE CLINICO-PATHOLOGICAL STUDY OF FACIAL FRACTURES IN SAIDU SHARIF SWAT

Abstract

Objective:

To analyze the maxillofacial fractures clinico-pathologically which presented over a 1 1/2-year period at the out-patient department and were then referred to the Oral and Maxillofacial surgery department of Saidu group of teaching hospitals and Saidu Medical College, Swat.

Materials & Methods:

This prospective study was conducted in Oral and Maxillofacial surgery Department of Saidu group of teaching hospitals and Saidu Medical College, Swat, from January 2017- June 2018. A total of 106 maxillofacial fractured cases were included in the study. Informed consent was obtained from the patients. The data collected included age, sex, aetiology, date of trauma, associated maxillofacial trauma, anatomic site of fracture, and treatment. Data were analysed using SPSS version 17. The analysis involved descriptive statistics and the Pearson's chi-square.

Results:

There were 106 maxillofacial fractures out of 228 patients. Males sustained more fractures than females. The 21-40 year age groups sustained maximum fractures. Road Traffic accidents were the major causes of trauma, followed by violence and falls. The mandible was found to be the most frequently fractured bone. A surgical approach was performed in most cases. The most frequently fractured sites in the mandible were the parasymphysis and the body.

Conclusion:

In our study there is no significant association between age and facial fractures, but there is significant association between etiology and types of mandibular fractures. The p value of cross tabulation between etiology and type of mandibular fractures is .04, whereas the p value of cross tabulation between mode of treatment and types of fracture is also highly significant .000.