Clinical and Demoghraphical Characteristics of Patients with Maxillofacial Trauma in the Emergency Department

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DOI: 10.4236/ojem.2019.72004    1,237 Downloads   2,587 Views  Citations

ABSTRACT

Objective: We aimed to investigate the clinical and demographical characteristics of patients admitted to the Emergency Department (ED) due to maxillofacial trauma (MFT). Methods: This sectional and retrospective study was conducted in Ankara Numune Education and Research Hospital ED between 1st March 2010 and 31st March 2017. Into the study, patients with MFT older than 15 years of age were included. Characteristics of patients were recorded. Patients’ characteristics were compared according to presence of fractures. Results: Mean age of the patients was 41.1 ± 18.0 years and a statistically significant relationship was determined between age and presence of fracture (p > 0.05). Of the patients, 74.5% was male and fracture presence was significantly more in males than females (p < 0.05). The most common reason for MFT was assaults (36.5%) followed by motor vehicle accidents (29.1%) and fall from height (26.9%). Of the patients, 48.7% had soft tissue injury, 31.4% had maxilla fracture, 23.8% had nasal fracture. Also, blow-out fracture in 6.6%, Le Fort in 4.2% and blow-in in 0.3% were determined. 36% of the patients were hospitalized and the most common wards were plastic surgery (32%) and neurosurgery (23.5%). The mortality rate in our study was found to be 1.6% and there was not a relationship between the presence of MFT and mortality (p > 0.05). Conclusion: The MFT is a pathology that either leads to its own, or can lead to life-threatening consequences as a result of additional organ injuries. The physician evaluating the patient should determine the MFT and additional pathologies and ensure that the interventions start as soon as possible.

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Komut, S. , Sönmez, B. , Erenler, A. and Komut, E. (2019) Clinical and Demoghraphical Characteristics of Patients with Maxillofacial Trauma in the Emergency Department. Open Journal of Emergency Medicine, 7, 28-39. doi: 10.4236/ojem.2019.72004.

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