Retrospective analysis of 3050 patients with maxillofacial trauma

To review the clinical data of 3050 patients with maxillofacial trauma in order to provide guidance for clinical diagnosis and treatment.

During January 2010 to December 2014, 3050 maxillofacial traumatic patients were selected in Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Traditional Chinese Medicine in this retrospective analysis regarding data of sex, age, causes of injury, occupation, geographic distribution, blood type, fracture site, multiple associated injuries, first admitted department, treatment result were reviewed.

The male and female ratio was 3.9∶1.1. 711 cases (56.1%) were between 20 to 40 years old. The traffic accident (1055 cases, 34.6%) was the first traumatic cause. The zygomatic complex (707 cases, 23.2%), naso-orbitalethmoid (650 cases, 21.3%), mandible (540 cases, 17.7%) were most vulnerable. Maxillofacial injury was often associaed with brain injury (1321 cases, 43.3%) and facial soft tissue contusion (1275 cases, 41.8%). For the 2632 maxillofacial fracture patients, the first admitted department included stomatology department (67.3%), orthopaedics (11.6%), brain surgery (8.4%), et al. The average score of AIS was 2.3 which was between moderate and severe. The treatment included operation treatment (1694 cases, 55.5%), and conservative treatment (1356 cases, 44.5%).

Male took the majority part of injury for the maxillofacial traumatic patients. The 20 to 40 year old people occupated the highest proportion. Traffic accident was the first cause of injury meanwhile the fall injury proportion rose. Zygomatic complex, naso - orbital - ethmoid, mandible fracture were the most vulnerable injuries. Maxillofacial injury often combined with brain, chest, abdomen and other important organs. The patients were adimtted to the appropriate department according to the injury. The overall treatment effect was satisfied.