Maxillofacial Injuries in Srinagarind Hospital

Abstract

A retrospective analysis of 64 patients who had sustained maxillofacial fractures and were treated in Srinagarind Hospital , Khon Kaen University from August 1984 to July 1987 was undertaken. Male to female ratio was 7:1 The ages ranged from 4 to 60 years with the mean of 28.5 years. Most patients (59.38%) were admited to the hospital within 1 day following the injuries. The average hospital stay was 9.51 days. Motorcycle accidents accounted for the largest number of fractures (62.62%). There were 34 patients who lost consciousness immediately after the accidents and 13 patients had the history of alcohol consumption just before the accidents.Major and minor associated injuries occurred in 18.75% and 20.3% respectively. Types of facial fractures were mandible 49% , zygoma 26% , maxilla 15% , nasal bone 6% and orbit 4% , Most of the operative interventions were intermaxillary fixation and interosseous wiring. There were 24 morbidities and 2 mortalites in the series. One patient died from intraabdominal hemorrhage and another developed diabetes insipidus after head injury and finally died from respiratory failure.