Munir Abukhder, Dima Mobarak, Ojas Pujji, Keith Webster
Aetiological factors and demographics of the patient may play a role in determining the frequency and patterns of maxillofacial fractures. At times, a multidisciplinary approach is required. Aim: Evaluate the importance of aetiological factors in determining the patterns of maxillofacial fractures in Birmingham and West Midlands region.
Records and imaging reports for 532 patients treated for maxillofacial fractures were reviewed between the dates of 01/01/2016 to 31/12/2016. Age, gender, mechanism of injury, number of fractures, site of fracture/s, input from other specialties, first diagnostic modality utilised, management plan and post-operative complications were recorded on an excel spreadsheet.
935 maxillofacial fractures were recorded. Male:female ratio was 5.67:1 (male n=448, 84.2%). 26-50 years age group recorded the highest number of admissions (n=276, 51.8%). Of all admissions, 59% were from assaults, 22% from falls and 9% were from road traffic accidents. Assaults were the leading cause of facial fractures in males and age groups under 50 years. Falls were the leading cause in females and age groups over 50 years. Of all fractures, 40% were mandibular, 16% orbital wall and 27% were zygomatic. Referrals were made to ophthalmology (n=58) trauma and orthopaedics (n=47), neurosurgery (n=43) and neurology (n=35). Neurological and neurosurgical input was most common in frontal bone, frontal and maxillary sinuses, supraorbital rim, lateral and superior orbital walls. Diagnosis was made solely through an X-ray or CT in 51% and 41.4% of all admission, respectively. 249 (46.8%) patients were treated surgically.
Aetiological factors play a role in determining the pattern of maxillofacial fractures. Preventative measures should be directed in reducing violence in the male and young cohorts and also reducing falls in the female and elderly cohorts. Additional information with regards to indices of deprivation and data between the dates 01/01/2017-30/06/2017 will be added to the final presentation.