Challenge and management outcome of panfacial fractures in Sohag University hospital, Egypt

Abstract

Background: panfacial fractures resembles a therapeutic challenge to maxillofacial surgeons This study was carried out to determine the etiology, injury characteristics and management outcome of pan facial fractures at Sohag university hospital.Methods: A retrospective hospital based study of panfacial fractures patients was carried out at Sohag university hospital from January 2010 to December 2016. Data was collected and analyzed using SPPS.Results: 200 Panfacial Trauma Patients were analysed. Males to females by a ratio of 24:1. Their ages ranged from 13 to 63 years with a mean of 30±12 years Most injuries were due to road traffic accidents (78%), and by falling from height in 12%. Mandibular fractures were the most common type of injuries. Open reduction and internal fixation by using plates and screws was the commonest surgical technique, used in 97.8% of cases. The most common complications were limited mouth opening, malocclusion. The mean duration of hospital stay was 11.13±2.23 days.Conclusions: Road traffic accident (RTC) was the most common cause of panfacial injuries in our locality and the young adult males were the most commonly affected victims. The majority of maxillofacial fractures were treated by open reduction and internal fixation.

Assessment of clinical outcome of surgically managed panfacial fractures with or without ancillary procedures. A 10-year retrospective study

“…Maxilla, the crumble zone of the face, fractured the most with 76%, followed by nasal bone (63%) and mandible (59%). The results were congruent with the study published by Abdelrahman et al 18 …”

Motorcycle Accidents are the Strongest Risk Factor for Panfacial Fractures Among Pediatric Patients

“…Generalized panfacial fractures (including both pediatric and non-pediatric populations) are predominantly caused by MVAs, lending credibility to the results of this study. [18][19][20] Motorcycle accidents were over three times more likely (P < .01) to result in panfacial fractures, which was greater than the risk imposed by car accidents. This can be reasoned by understanding that motorcyclists are particularly vulnerable, due to the lack of a protective barrier and being at the mercy of blind spots.…”

Sequencing of Fixation in Panfacial Fracture: A Systematic Review

“…It has to be related to the complexity, number of bones fractures and soft tissue damaged in the panfacial fracture. The most common complication includes CSF leakage, dish face deformity, enopthalmos, traumatic telecanthus, malocclusion, limited mouth opening, paresthesia, facial nerve injury, infection and soft tissue scarring [4,50].…”

“…It is challenging for the surgeon to establish facial frame in all dimensions because panfacial fracture results in lack of reliable bony and soft tissue landmarks [3]. Failure to achieve proper reduction results in post-traumatic facial deformity [4]. Sequencing serves as a guide for stepwise management and assists in achieving facial symmetry [5].…”