The pattern of maxillofacial fractures in Ministry of Health Hospitals Malaysia

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The pattern of maxillofacial fractures in Ministry of Health Hospitals Malaysia

WM Mustafa, Tay KK, Chelvanayagam IP, KA Mutalib, Y Najardin, A Rahman Razali, Ma BC, Yuen KM, Royan SJ, V Celestine, Vincent C, Rusdi AR: The pattern of maxillofacial fractures in Ministry of Health Hospitals Malaysia. Mal. J. Oral Maxillofac. Surg. 2009; 7: 1–7.

Abstract: OBJECTIVE: To determine the pattern of facial fractures at 23 Malaysian hospitals. PATIENTS AND METHOD: A one year prospective study was carried out. The data collected include age, gender, etiology, sites of fractures and treatment. RESULTS: 2101 fractures were found in 1862 patients. Most fractures occurred in the age range 20 to 29 years old (mean 29.2, 642 cases, 34.5%). Males outnumber females by a ratio of 6:1. Most fractures were caused by road traffic accidents (RTAs) (79.59%), assaults (7.62%) and falls (6.50%). The majority of RTAs cases involved motor cyclists. Most facial fractures occurred in Malays (1155, 62.1%), followed by Indians (268, 14.4%), Chinese (262, 14.1%) foreigners (109, 5.9%) and other indigenous groups 63 (3.4%). The ethnicity was unknown in three cases. The commonest bones involved were the mandible (1075, 51.2%), followed by zygoma (495, 23.6%), maxilla (415, 19.8%), isolated orbital (82, 3.9%), nasoethmoidal (19, or 0.9%) and frontal bone fractures (15, 0.7%). The commonest method of treatment used was conservative treatment (33.2%), followed by ORIF (31.5%), and Closed reduction (29.6%). 4.7% of the patients refused treatment. CONCLUSION: Maxillofacial fractures as a result of RTAs are still very high and are usually associated with the male motorcycle riders and pillion riders. Current preventive measures have little impact on motorcyclists in Malaysia.