PATTERN AND MANAGEMENT OF MAXILLOFACIAL FIREARM INJURIES
DOI:
https://doi.org/10.33279/jkcd.v9i03.362Abstract
Objective: The objective of this study was to determine the pattern of maxillofacial fractures involved in patients reporting with firearm injuries and the management of such patients.
Materials & Methods: A total of 148 patients of maxillofacial fractures due to firearm injury reporting within 72 hours were included in the study. Firearm injuries treated previously, pathological fractures, and the fractures of upper third were excluded from the study. The pattern was divided into midface, mandible, and both, while treatments were classified into open/internal fixation and close/conservative. A detailed history followed by clinical and radiographic examination of the patient was performed. Data analysis was done using SPSS version 20.0.
Results: The male population (70.9%) was affected more than females (29.1%) by firearm injury with male to female ratio of 2.5:1. Mandible (60.8%) was involved in a higher number of patients than midface (25%). Closed treatment (75.7%) was the most common modality used for management of these cases. Young patients were managed with closed reduction, i.e. conservative treatment, while open reduction, i.e., internal fixation via osteosynthesis plates and screws was preferred in older age.
Conclusion: Maxillofacial fractures due to firearm injuries (FAI) occur commonly in young adult men. The mandible is the common site involved in these injuries, and close treatment is widely used and a practical approach to managing these cases.
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Copyright (c) 2019 Umer Ullah, Zainab Shah, Asmat Ullah, Tariq Sardar, Faisal Pasha, Shela Khatoon, Muslim Khan
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