The quality of life in the treatment of maxillofacial fractures using open reduction: A prospective study

Abstract

To assess the impact of open reduction on quality of life in patients with maxillofacial fractures. Methods: A prospective study of 15 patients admitted to a general hospital in Bandung for maxillofacial trauma from October 2017 through February 2018 was conducted. Trauma severity was assessed using facial injury severity scale (FISS) score, while the quality of life was assessed using Oral Health Impact Profile (OHIP) -14 questionnaires at one day before surgery (T 0 ) and 14 (T 1 ) and 60 days (T 2 ) after surgery. Results: Male (3.92±1.89) and younger patients (3.89±1.69) had a greater mean FISS score than their respective counterparts. The most common areas involved in maxillofacial fractures were mandible body (80%) and dentoalveolar (46.67%). The overall quality of life was worse in younger patients as indicated with a higher mean OHIP-14 score. There was a disparity in the domain of interest where younger patients (17-30 years) had more concern over psychological discomfort, whereas older patients (31-50 years) were more concerned about physical disability. Both qualitative and quantitative improvement in quality of life was observed in the follow-up period. Consistent and statistically significant improvement in mean OHIP-14 score before intervention (20.80±5.94), 14 days post-intervention (17.93±4.68), and 60 days post-intervention (14.67±3.42) was observed. Conclusion: Open surgery approach yielded a good outcome in quality of life improvement. Further study on demographic factors, timing, and quality of life domain affected in maxillofacial fractures is recommended.

Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study

“…In this study, there was no significant difference between the mean values of QoL at all the domains and gender as reported earlier by Anggayanti et al .,[ 31 ] but this contrasts with the outcome of other studies[ 18 21 ] where being a female is significantly associated with lower QoL and another study,[ 26 ] where being a male is a risk factor for poor QoL following maxillofacial trauma. [ 26 ] In the studies where females had lower QoL, the opinion was that the role of women as the main family carers in society could be limited following an injury.…”

The Characteristics of Mandibular Fracture In Rsup Dr. Hasan Sadikin General Hospital Bandung, Indonesia

“…17 Mandibular fracture patients due to traffic accidents on motorcyclists are caused by the use of helmets that do not meet standards, inadequate transportation routes or infrastructure, the influence of alcohol while driving, obtaining a driving license without strict tests, and bad traffic etiquette from motorcyclists. 17,18,19 Besides that, driving speed is another cause of motorcyclists' traffic accidents. 18 The result of this study shows that the most common location for mandibular fracture is the parasymphisis region, with 94 cases (28.74%).…”

“…17,18,19 Besides that, driving speed is another cause of motorcyclists' traffic accidents. 18 The result of this study shows that the most common location for mandibular fracture is the parasymphisis region, with 94 cases (28.74%). This result is in accordance with the statement of Sultana et al, who stated that the prominent position of the mandible in the facial region is prone to trauma, especially in the parasymphysis region.…”

“…6,9,11 The data of this study stated that the most mandibular fracture treatment at RSUP Dr. Hasan Sadikin Hospital during the study period was the open reduction, as many as 197 patients (82.03%). Anggayanti et al (2020) stated that maxillofacial trauma treatment with open reduction could improve the patient's quality of life. 17…”

Automated Detection of Craniomaxillofacial Fractures From 3D CT Images Using Ensemble Deep Learning-Based Segmentation Models

“…C LINICALLY known as craniomaxillofacial (CMF) fractures, facial fractures are commonly caused by traffic accidents, bicycle accidents, industrial accidents, assaults, domestic violence and sports injuries. Airway obstruction is one of the serious complications, where this is exacerbated by the risk of aspiration and vomiting [1]. Additionally, CMF fractures resulting from a significant impact to the head can have a negative effect on the patient's prognosis because they can cause intracranial hematomas and infections [2].…”