Aetiology and Management of Oral and Maxillofacial Trauma Cases in Hospital Sultanah Nora Ismail Batu Pahat

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Aetiology and Management of Oral and Maxillofacial Trauma Cases in Hospital Sultanah Nora Ismail Batu Pahat

Wong Pei Ling, A. Rozila Khairollah, Sathesh Balasundram: Aetiology and Management of Oral and Maxillofacial Trauma Cases in Hospital Sultanah Nora Ismail Batu Pahat. Mal. J. Oral Maxillofac. Surg. 2013; 11: 12–16.

Abstract: Aim: To report the aetiology and modalities of treatment of facial trauma cases in the Oral and Maxillofacial Surgery Unit, Sultanah Nora Ismail Batu Pahat Hospital.

Method: A cross sectional study involving all trauma cases attended to from April 2012 till March 2013 was carried out, the collected data analyzed.

Results: Clinical information of 416 patients was retrieved and analyzed. The most frequently involved age group was 10-19 years (30.3%) with a male preponderance (73.3%). The main cause of injury was road traffic accidents (78.1%) followed by falls (11.1%), assaults (5.8%) and sports injuries (2.4%). 80.8% of the patients were Malays, while the remaining 12.0% were Chinese, 1.4% Indians and 5.8% foreigners respectively. A total of 612 facial injuries was noted. The injuries sustained include soft tissue injury (46.4%), dentoalveolar injury (24.0%), mid face fractures (18.0%), mandible fractures (10.1%) and upper face fractures (1.5%). The types of treatment rendered include soft tissue management (43.2%), conservative treatment (28.6%), dentoalveolar management (13.6%), closed reduction (8.1%) and internal fixation (6.5%).

Conclusion: Our results may represent an important database in conducting further prospective longitudinal studies to explicate the prevalence and outcome of oral and maxillofacial trauma management in Malaysia. The increased incidence of maxillofacial trauma following road traffic accidents noted in this study reveals the need for formulating preventive measures and effectively implementing them to reduce the number of road traffic accidents in this district. Increasing facilities for the management of maxillofacial trauma at local district hospitals is of an overriding importance to address this concern.