Demographic Analysis, Diagnosis, and Treatment Methods of Maxillofacial Trauma Cases in the Southeastern Anatolia Region of Turkey: Retrospective and Comparative Analysis

Yıl 2023, Cilt: 33 Sayı: 2 - 2023, 33:2, 103 - 107, 14.07.2023

Fatma Erış Derkuş Utku Nezih Yılmaz

https://doi.org/10.5152/CRDS.2023.222752

Cited By: 1

Öz

ABSTRACT
Objective: The aim of this study was to make a retrospective analysis of cases treated with a diagnosis of maxillofacial fracture in southeast Turkey and to compare the frequency and etiology of maxillofacial fractures and evaluate them in the light of current literature.
Methods: Distribution of maxillofacial fractures according to etiology, gender and age, fracture localization, distribution of isolated mandible fractures according to mandible parts, treatment methods, and anesthesia type were evaluated in clinical records.
Results: A total of 488 patients diagnosed with maxillofacial fracture were included in the study. Of these patients, 74% are male and 26% are female. Regardless of age and gender, the most common cause of trauma is motor vehi- cle accidents with 29.3%. In fractures resulting from maxillofacial traumas, isolated mandible fractures take the first place with 79.1%. Condyle (24%) and angle (23%) fractures are the most common fractures of the mandible. About 75.61% of the patients were treated with closed reduction and 84% were operated under local anesthesia.
Conclusion: The most common etiological cause of maxillofacial fractures is motor vehicle accidents. Most fractures can be treated with closed reduction without complications, but there are cases where open reduc- tion internal fixation methods are also absolutely necessary.
Keywords mandible fractures, maxillofacial fractures, maxillofacial trauma
ÖZ
Amaç: Türkiye’nin güneydoğusunda maksillofasiyal fraktür teşhisiyle tedavileri yapılmış hastaların retrospektif analizlerinin yapılması ve maksillofasiyal kırıkların etiyolojisi ve sıklığını karşılaştırarak güncel literatürler ışığın- da değerlendirmektir.
Yöntem: Maksillofasiyal fraktürlerin yaş ve cinsiyete göre dağılımları, etiyolojisi, fraktür lokalizasyonu, izole man- dibula fraktürlerinin mandibula bölümlerine göre dağılımları, tedavi yöntemleri ve anestezi türü değerlendirildi.
Bulgular: Maksillofasiyal fraktür tanısı alan 488 hastanın %74’ü erkek %26’sı kadındır. Yaş ve cinsiyetten bağım- sız olarak en sık travma nedeni %29.3 ile motorlu taşıt kazalarıdır. Maksillofasiyal travmalarda dağılım yönün- den ilk sırayı %79.1 ile izole mandibula fraktürleri almaktadır. Mandibula fraktürleri arasında en sık %24 ile kondil,
%23 ile angulus kırıkları görülmektedir. Hastaların %75.61’i kapalı redüksiyon ile tedavi edilmiş olup %84’ü lokal anestezi altında opere edilmiştir.
Sonuç: Maksillofasiyal fraktürlerin en sık görülen etiyolojik nedeni motorlu taşıt kazalarıdır. Çoğu fraktür kapalı redüksiyon ile komplikasyonsuz tedavi edilebilir ancak açık redüksiyon ve internal fiksasyon yöntemlerinin de mutlaka gerekli olduğu durumlar vardır.
Anahtar Kelimeler: Maksillofasiyal travma, maksillofasiyal fraktürler, mandibula fraktürleri

Anahtar Kelimeler

mandible fractures, maxillofacial fractures, maxillofacial trauma

Kaynakça

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