Volume 14, Number 1, March 2002

Maxillofacial Trauma in Al Madina Region of Saudi Arabia: A 5-Year Retrospective Study

Abdul Ghassour Rabi, Sameer M Khateery
Department of Oral and Maxillofacial Surgery, King Fahd Hospital, Al Madina Al Munawwara, Kingdom of Saudi Arabia

Objective: To report the incidence, aetiology, and pattern of facial fractures, associated injuries, management, complications, and residual deformities, and to highlight factors that could be addressed when considering effective preventive measures for Saudi Arabia and the Gulf Cooperation Council countries.
Patients and Methods: A retrospective study of patients with maxillofacial injuries presenting to the department of Oral and Maxillofacial Surgery, King Fahd Hospital, Al Madina, Saudi Arabia, during a 5-year period. The clinical and radiographic records of 403 patients were reviewed.
Results: A high percentage of patients (83%) were males, and the majority involved in trauma were Saudi nationals (70%) in the group aged 21 to 30 years (33%). Road traffic accident was the predominant aetiological factor (63%). The mandibular body was the most common anatomical site of mandibular fractures and the zygomatic bone was the most common bone involved in mid-facial trauma. Patients with associated injuries were more commonly admitted to the care of the neurosurgical department, and the most common complication in this study was postoperative infection.
Conclusion: Since road traffic accident is the main aetiological factor for facial trauma in this study and other similar studies relating to the Middle East, the compulsory use of seatbelts and strict implementation of traffic rules and regulations should significantly reduce the incidence and severity of facial trauma.

Key words: Maxillofacial injuries, Trauma, Patient care management

Asian J Oral Maxillofac Surg. 2002;14:10-14.
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