Maxillo-facial Fracture in Saraburi Hospital-การหักของกระดูกขากรรไกรและใบหน้า ในโรงพยาบาลสระบุรี

Abstract

            The purpose of this retrospective study was to determine the fracture of the mandible and facial bone.  The study was based on the records of 1,075 cases who were treated at the Dental Department, Saraburi hospital between May 1983 and December 1996.  The study group was 86 percent male and 44.8 percent of the patients were 20-29 years old. The majority of the patients (64.9%) were in motorcycle accidents and 14.9 percent were in sports accidents 10.1 percent.  There were 1,860 facial bone fractures in this study and 53.1 percent affected in the mandible and 20 percent  zygoma.  Of the total number of mandibular fracture 46.5 percent were at the symphysis.  Regarding mandibular fractures, 64 percent of them were caused by motorcycle accidents and 16.8 percent by assaults. Whereas 73.3 percent of the fractures of the middle face were caused by motorcycle accidents and 13.2 percent by car accidents.  From the beginning more than half (55.1%) of all the cases were treated by using open reduction,open reduction with wire 30.9 percent and open reduction with miniplate 16.4 percent.  The majority of the cases (34.1%) stayed at the hospital for 8-14 days.

Key words:  maxillofacial injury, maxillo - facial trauma, retrospective study