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.