Clarissa Hjalmarsson, Ahmed Abdelrehem, Mohamed Aamer

Introduction and Aims

Following the Lancet Commission on Global Surgery (2015), there has been increased interest in embedding surgery within the global health agenda. The global burden of disease amenable to surgical intervention, such as trauma, is substantial and growing. We carried out a pilot study in Alexandria to explore the facial trauma profile that required operative intervention. The aim was to gather data to assess the feasibility of a global health partnership with a UK hospital trust. The data will also feed into a local service provision project. Alexandria is the second largest city in Egypt, located on the Mediterranean coast in the north of the country. Healthcare provision in Egypt is by a combination of private and state services. Alexandria University Hospital is the largest state hospital in the region, and a tertiary referral centre for around 20 million people from the city and surrounding provinces.

Methods

Data was collected from surgical records between 2013-5. These were translated from Arabic where necessary.

Results

The records showed a total of 614 recorded injuries in 389 patients, of which the most common presentations were parasymphaseal fractures (33%), symphaseal fractures (20%), angle fractures (14%), and subcondylar fractures (10%). The vast majority of cases occurred in males (13% female, 87% male). Patient age ranged from 1 to 94 years, with an average recorded age of 23.29. Other data will be presented and factors contributing to this trauma profile will be discussed at the presentation.

Conclusions

Facial trauma is a significant burden of disease in Alexandria. The impetus now lies with the global surgical community to create innovative solutions to provide quality surgical care for all. Our global health partnership model will be presented in which we believe both UK and global maxillofacial departments can mutually benefit.

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