Facial fracture management in Northwest Nigeria

Taiwo, Abdurrazaq Olanrewaju; Soyele, Olujide Oladele; Godwin, Ndubuizi Ugochukwu; Ibikunle, Adebayo Aremu

doi:10.4103/2006-8808.128723

Cited by 13 publications

(16 citation statements)

References 41 publications

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“…Mandibular fractures were more commonly encountered than any other maxillofacial fracture. This finding is comparable to other reports in the literature [ 3 , 14 , 25 ]. However, it is at variance with some other studies where nasal bone fractures were reported to be the most frequently encountered maxillofacial fracture [ 26 ].…”

Section: Discussionsupporting

confidence: 92%

“…Despite the availability of the necessary armamentarium and requisite expertise, patients often opted for closed reduction. Possible reasons for the adoption of closed reduction as reported by various authors range from financial incapacitation on the patients’ part to fear of general anesthesia [ 14 , 25 , 30 ]. Most patients in our climes make out-of-pocket payment for their treatments and this is often challenging [ 14 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

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A 5-year audit of major maxillofacial surgeries at Usmanu Danfodiyo university teaching hospital, Nigeria

Ibikunle

Taiwo

Braimah

2018

BMC Health Serv Res

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BackgroundThere is a paucity of data on the pattern of oral and maxillofacial surgeries done in Nigeria. Despite the rising prominence of oral and maxillofacial surgery as a specialty in our immediate environment, no published audit of the surgeries performed exist. This study aims to present the pattern and types of major surgeries done by oral and maxillofacial surgeons in our hospital as well as the indications for such surgeries. It is hoped that the findings will assist in formulating informed policies and improving healthcare delivery.MethodsA review of hospital records of all patients who had major oral and maxillofacial surgeries at Usmanu Danfodiyo University Teaching Hospital from January, 2013 to August, 2017 was done. Descriptive statistics such biodata, indication for surgery and type of surgery were recorded and analyzed using the IBM SPSS statistics for windows version 20 (Armonk, NY: IBM Corp) software.ResultsOne hundred and forty six individuals who underwent 158 major surgeries under general anaesthesia were included. There were 82 males and 64 females, giving a male/female ratio of 1.3: 1. The ages ranged from 3 months to 81 years [median of 33 years]. Tumours and tumour-like lesions were the major indications for surgery [85 (58.2%)]. The most commonly performed surgery was mandibulectomy [31 (19.6%)], followed by Open Reduction and Internal Fixation (ORIF) [29 (18.4%)].ConclusionMajor oral and maxillofacial surgeries are common in our environment. The frequencies of these surgeries can increase with better healthcare financing and universal availability of health insurance schemes. Efforts aimed at reducing the incidence of tumours should be instituted.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

A 5-year audit of major maxillofacial surgeries at Usmanu Danfodiyo university teaching hospital, Nigeria

Ibikunle

Taiwo

Braimah

2018

BMC Health Serv Res

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“…This study result is in agreement with findings reported by Igho et al, Taiwo et al, Kadkhodaie; Khanbhai and Lutomia, which observed the male gender had a higher predilection to this medical condition than the females [15,19,8,6]. These results could be the high predominance of males involved in manual activities (construction, driving of vehicles, motorcycle riding etc.)…”

Section: Resultssupporting

confidence: 93%

https://gsconlinepress.com/journals/gscarr/content/radiographic-survey-bone-fractures-celian-clinic-ughelli-delta-state-nigeria

Anibor¹,

Obaroefe²,

Shagamu³

2021

GSC Adv. Res. Rev.

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Background: Fracture is a commonly associated medical condition with osteological structures. It is caused as a result of high stress or impact forces acting on bone. This study is aimed at evaluating the types and prevalence of bone fractures in Celian Clinic, Ughelli in Delta State, Nigeria. Materials and Methods: This survey is a one-year retrospective study which comprised 256 patients (160 males and 96 females) managed at Celian Clinic. Ethical Consent was obtained from the Research and Ethics Committee of Human Anatomy and Cell Biology Department, Delta State University, Abraka. Data were sourced from the Orthopaedic Department and patient’s information such as age, sex, cause and bones fractured. Data were analysed and chi-square test used in evaluating relationship between variables. Results: Findings showed males (62.5%) having a higher prevalence of facture than females (37.5%). It was also observed femur (19.9%) was the most prevalent bone fractured which was followed by tibia/fibula (16.0%). Findings also indicated individuals within the ages of 21-40years (37.9%) was the most affected followed by age group of 41-60years (29.3%). Results also showed road traffic accidents (62.5%) were the most predominant causes which was followed by fracture with unknown aetiology (19.9%) with the least causative factor being assault (2.0%). Significant association with a p-value of 0.004 was observed in a test of association between age and class of bone fracture. Conclusion: In conclusion it was observed that bone fractures had a higher predisposition to the male gender (62.5%) than the female (37.5%) with its commonest etiological factor being road traffic accident (62.5%).

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“…This could be explained by the tendency of riders and passengers of these "Okadas" to be males. This observation is similar to a study in Nigeria [5]. with the "Aboboyaa" motor tricycles.…”

Section: Discussionsupporting

confidence: 91%

“…Head and facial fractures are among the frequently affected parts of the body during road traffic accidents [1] to the extent that it has been reported that 20% -60% of all individuals involved in automobile accidents have some level of facial fractures [2] [3]. The face, being the most exposed part of the body, is particularly vulnerable to such injuries including injuries of victims of motorcycle accidents [3] [4] [5].…”

Section: Introductionmentioning

confidence: 99%

Motorcycle Related Oral and Maxillofacial Injuries Seen at Komfo Anokye Teaching Hospital, Kumasi-Ghana

Acheampong¹,

Newman-Nartey²,

Obiri‐Yeboah³

et al. 2019

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Background: Motorcycle related injuries have become a major public health problem because the increased use of motorcycles has been accompanied with a corresponding increase of road traffic accidents. Objective: The purpose of this study was to evaluate the occurrence of oral and maxillofacial injuries associated with motorcycles as seen at the second largest Teaching Hospital in Ghana, the Komfo Anokye Teaching Hospital (KATH). Method and Materials: The compiled data that were reviewed for this retrospective study were obtained from the Accident and Emergency unit of KATH. These comprised 135 successive maxillofacial trauma patient records entered from August 2017 to August 2018. Results: Total number of road traffic related injuries seen at OMFS was 135 during the study period. Out of this number, 66 were related to motorcycle injuries. This represented 48.7% of the Road Traffic Accidents seen at oral and maxillofacial surgery department (OMFS). The age range was from 3 to 64 years. The average age was 26.7 years. 62 (93.9%) were males and 4 (6.1%) were females. 16 (24.2%) of the motorcycle injuries were caused by the "Okada", 2 (3.0%) by "Pragia" and 48 (72.8%) by the "Aboboyaa". 46 (69.7%) of the motorcycles victims were themselves the riders, 12 (18.2%) were pedestrians and 8 (12.1%) were passengers. There were 8 deaths. 6 (75.0%) of the deaths were caused by the "Aboboyaa". "Okada" accounted for only 2 (15.0%) deaths. Concerning the riders and the passengers, only 8 (14.8%) of the victims were helmeted. The majority were unhelmeted (85.2%). Conclusion: Motorcycle transportation is the cause of many oral and maxillofacial injuries. Majority of the victims suffered multiple facial bone fractures. Males were more often affected than females and the majority were unhelmeted.

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Facial fracture management in Northwest Nigeria

Cited by 13 publications

References 41 publications

A 5-year audit of major maxillofacial surgeries at Usmanu Danfodiyo university teaching hospital, Nigeria

A 5-year audit of major maxillofacial surgeries at Usmanu Danfodiyo university teaching hospital, Nigeria

https://gsconlinepress.com/journals/gscarr/content/radiographic-survey-bone-fractures-celian-clinic-ughelli-delta-state-nigeria

Motorcycle Related Oral and Maxillofacial Injuries Seen at Komfo Anokye Teaching Hospital, Kumasi-Ghana

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