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Revista argentina de cirugía
Print version ISSN 2250-639XOn-line version ISSN 2250-639X
Abstract
CHIACCHIO, María V.; SANTUCHO SARAVIA, Francisco A.; ALMADA, Tamara N. and ROSSI, Javier L.. Management of maxillofacial fractures and its complications. Rev. argent. cir. [online]. 2022, vol.114, n.3, pp.205-213. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v114.n3.1663.
Background:
Maxillofacial trauma corresponds to all traumatic injuries affecting the facial bones. Nowadays, it represents one of the main healthcare issues worldwide. The aim of this study is to analyze our experience in the interventions performed in hospitalized and their complications.
Material and methods:
We performed a retrospective and observational study of 205 patients with maxillofacial fractures from 2011 to 2019.
Results:
81.46% were men (n = 167) and 38.54% (n = 79) of the patients were between 21 and 30 years of age. Traffic collision was the most common mechanism of trauma (56,1%, n = 115). The types of facial fractures were panfacial (12.2%; n = 25), of the upper-third (1.43%; n = 3), of the middle-third (72.2%; n = 148) and of the lower third (14.15%; n = 29). In the upper third of the face frontal sinus fractures associated with the frontal bone were the most common (66.67%; n =2); in the middle-third combined fractures were most prevalent (54.73%; n = 81) while complex fractures were most frequent in the lower third (34,48%; n = 10). One-hundred and ninety-one patients were operated on (97.07%). Complications occurred in only 11.56% (n = 23) and were not serious.
Discusion:
In our series, most patients were young men, traffic collisions were the most common cause of trauma, and the middle third of the face was the most affected region. These results are similar to our publications. Surgical management, mostly by open reduction and fixation with titanium-based osteosynthesis material, is an effective, safe and reliable procedure, which allows the restoration of pre-trauma function, with very low rate of postoperative complications.
Keywords : Facial bone fractures; Middle third of face; Lower third of face; Traffic collision; Titanium; Osteosynthesis; Complications.