Aim: The aim of the present study was to assess the prevalence, common age, gender, causes, types, treatment modality, and complication of the maxillofacial fractures for the patients admitted to King Fahad Central Hospital in Gizan City, Saudi Arabia. Materials and methods: The medical records of all cases admitted to the Department of Oral and Maxillofacial Surgery (OMFS) ward at King Fahad Central Hospital (KFCH) in Gizan City, Saudi Arabia, were reviewed for presence of maxillofacial fractures. The statistical analysis was done using IBM SPSS version 20. Results: A total of 166 patients with maxillofacial fractures were included in this study. There were 140 males and 26 females. The most affected age-group was 21–30 with a mean age of (30.69 ± 14.65 standard deviation, SD) and the male–female ratio was 5.4:1. Road traffic accidents (RTAs) were found to be the most common cause of maxillofacial fractures (52.4%). The mandibular body was fractured more than any other maxillofacial bones (15.7%) followed by mandibular angle (13.3%) and zygomaticomaxillary complex (ZMC) (12.0%). Nine cases (5.4%) of the associated injuries were diagnosed as head injuries. Open reduction with internal fixation (ORIF) was the most common treatment methods (72.3%) utilized in this study. Conclusion: Maxillofacial fractures most commonly affected young individuals in the 21–30-year-old age-group, often as a result of RTA, and body of the mandible was the most frequent site of fracture. Clinical significance: The prevalence, common age, gender, causes, types, treatment modality, and complication of the maxillofacial fractures for the patients admitted can be assessed from the present study.
Mackenzie EJ. Epidemiology of injuries: current trends and future challenges. Epidemiol Rev 2000;22(1):112–119. DOI: 10.1093/oxfordjournals.epirev.a018006.
Hull A, Lowe T, Devlin M, et al. Psychological consequences of maxillofacial trauma: a preliminary study. Br J Oral Maxillofac Surg 2003;41(5):317–322. DOI: 10.1016/s0266-4356(03)00131-1.
Kamath RD, Bharani S, Hammannavar R, et al. Maxillofacial trauma in central Karnataka, India: an outcome of 95 cases in a regional trauma care centre. Craniomaxillofacial Trauma & Reconstruction 2012;5(4):197–204. DOI: 10.1055/s-0032-1322536.
Van Hout WMMT, Van Cann EM, Abbink JH, et al. An epidemiological study of maxillofacial fractures requiring surgical treatment at a tertiary trauma centre between 2005 and 2010. Br J Oral Maxillofac Surg 2013;51(5):416–420. DOI: 10.1016/j.bjoms.2012.11.002.
Gali R, Devireddy SK, Kumar RVK, et al. Faciomaxillary fractures in a semi-urban South Indian teaching hospital: a retrospective analysis of 638 cases. Contemp Clin Dent 2015;6(4):539–543. DOI: 10.4103/0976-237X.169847.
Bali R, Sharma P, Garg A, et al. A comprehensive study on maxillofacial trauma conducted in Yamunanagar, India. J Injury Violence Res 2013;5(2):108–116. DOI: 10.5249/jivr.v5i2.331.
Maliska MCDS, Lima Junior SM, Gil JN. Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil. Braz Oral Res 2009;23(3):268–274. DOI: 10.1590/s1806-83242009000300008.
Al-Khateeb T, Abdullah FM. Craniomaxillofacial injuries in the United Arab Emirates: a retrospective study. J Oral Maxillofac Surg 2007;65(6):1094–1101. DOI: 10.1016/j.joms.2006.09.013.
Telfer MR, Jones GM, Shepherd JP. Trends in the etiology of maxillofacial fractures in the United Kingdom (1977-1987). Br J Oral Maxillofac Surg 1991;29(4):250–255. DOI: 10.1016/0266-4356(91)90192-8.
Cheema SA, Amin F. Incidence and causes of maxillofacial skeletal injuries at the Mayo Hospital in Lahore, Pakistan. Br J Oral Maxillofac Surg 2006;44(3):232–234. DOI: 10.1016/j.bjoms.2005.05.017.
Motamedi MHK, Dadgar E, Ebrahimi A, et al. Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. J Trauma Acute Care Surg 2014;77(4):630–634. DOI: 10.1097/TA.0000000000000369.
Cabalag MS, Wasiak J, Andre NE, et al. Epidemiology and management of maxillofacial fractures in an Australian trauma center. J Plastic, Reconstruc Aesthet Surg 2014;67(2):183–189. DOI: 10.1016/j.bjps.2013.10.022.
Bakardjiev A, Pechalova P. Maxillofacial fractures in Southern Bulgaria - A retrospective study of 1706 cases. J Cranio-Maxillofac Surg 2007;35(3):147–150. DOI: 10.1016/j.jcms.2007.01.005.
Mijiti A, Ling W, Tuerdi M, et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: a 5-year retrospective study. J Cranio-Maxillofac Surg 2014;42(3): 227–233. DOI: 10.1016/j.jcms.2013.05.005.
Bataineh AB. Etiology and incidence of maxillofacial fractures in the north of Jordan. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1998;86(1):31–35. DOI: 10.1016/s1079-2104(98)90146-9.
Gassner R, Tuli T, Hächl O, et al. Cranio-maxillofacial trauma: a 10-year review of 9543 cases with 21 067 injuries. J Cranio-Maxillofac Surg 2003;31(1):51–61. DOI: 10.1016/s1010-5182(02) 00168-3.
Rabi AG, Khateery SM. Maxillofacial trauma in Al-Madinah region of Saudi Arabia: a 5-year retrospective study. asian. J Oral Maxillofac Surg 2002;14(1):10–14.
Al-Masri M. Severity and causality of maxillofacial trauma in the Southern region of Saudi Arabia. Saudi Dent J 2013;25(3):107–110. DOI: 10.1016/j.sdentj.2013.04.001.
Shankar VN, Hegde N, Prasad R. The pattern of the maxillofacial fractures: a multicenter retrospective study. J Craniomaxillofac Surg 2014;40(4):675–679.
Jan AM, Alsehaimy M, Al-Sebaei M, et al. A retrospective study of the epidemiology of maxillofacial trauma in Jeddah, Saudi Arabia. J Am Sci 2015;11(1):57–61.
Crankson SJ. Motor vehicle injuries in childhood: a hospital-based study in Saudi Arabia. Pediatr Surg Int 2006;22(8):641–645. DOI: 10.1007/s00383-006-1715-7.
Brasileiro BF, Passeri LA. Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102(1):28–34. DOI: 10.1016/j.tripleo.2005.07.023.
Nwoku AL, Oluyadi BA. Retrospective analysis of 1206 maxillofacial fractures in an Urban Saudi Hospital: 8 year review. Pakistan Oral & Dent J 2004;24(1):13–16.
Abdullah WA, Al-Mutairi K, Al-Ali Y, et al. Patterns and etiology of maxillofacial fractures in Riyadh City, Saudi Arabia. Saudi Dent J 2013;25(1):33–38. DOI: 10.1016/j.sdentj.2012.10.004.
Schneider D, Kammerer PW, Schon G, et al. Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg-Western Pomerania, Germany: a retrospective study of 409 patients. J Cranio-Maxillofac Surg 2015;43(10):1948–1951.
Ofosu J, Abouammoh A, Bener A. Road traffic accidents in Saudi Arabia. Public Health 1994;108(1):27–34. DOI: 10.1016/S0033-3506(05)80032-0.
Nofal FH, Saeed A, Anokute C. Aetiological factors contributing to road traffic accidents in Riyadh City, Saudi Arabia. J R Soc Health 1996;116(5):304–311. DOI: 10.1177/146642409611600508.
Namis SM, Al-Iryani GM, Makarami AM, et al. The etiology and patterns of maxillofacial trauma in Jazan Province, Saudi Arabia. Afr J Trauma, 1–4.
Al-Shammari G. Mid-face fractures in King Saud Medical City at Riyadh dental center: a ten-year retrospective study. A thesis approved by Riyadh Collages of Dentistry and Pharmacy 2013. 47.