Retrospective analysis on the incidence and pattern of facial bone fractures in a major trauma center of Eastern Uttar Pradesh
Nitesh Mishra1, Akhilesh Kumar Singh2, T Janani2, Naresh Kumar Sharma2, Aditi Priya3
1 Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh; epartment of Dentistry, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India
2 Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
3 Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
Kalpana Chawla Government Medical College and Hospital, Karnal - 132 001, Haryana
Source of Support: None, Conflict of Interest: None
Background: Maxillofacial trauma is one of the growing concerns in the field of health sector around the world. Fractures of the maxillofacial region often lead to considerable morbidity of esthetics and function. Aim: This study aims to establish the incidence and pattern of facial bone fractures as well as to present their etiology, frequency, and distribution among the cases reporting in the major trauma center of eastern Uttar Pradesh. Materials and Methods: The total number of patients included in this study was 575. The data were obtained from previous documented records. Proportions and relations of data are compared with the help of the Chi-square test. P < 0.05 suggests results are significant. Results: Of 575 patients, 376 patients had isolated fractures and 199 patients had mixed fractures. The mandible is the most commonly affected bone. The most commonly involved anatomical site was parasymphysis of the mandible (25.6% [202/790]), followed by zygomatic complex 14.9% (118/790). The mean age of patients was 28.92 years with a male predilection. The mean age for males and females was 29.44 years and 24.29 years, respectively. The most common age group involved in maxillofacial injury was 21–30. The correlation of anatomical sites of maxillofacial fractures according to age group was inferred to be statistically insignificant as P > 0.05. The most common mode of injury was inferred to be road traffic accidents (85.7% [493/575]). The correlation between anatomical site and mode of injuries was found to be statistically significant (P < 0.05). Conclusion: This study concludes that road traffic accident is the most common mode of injury and the most common bone involved is the mandible, with parasymphysis being the most affected anatomical site. The current study also demonstrates a significant correlation between the anatomical site of injury and the mode of injury.