Department of Oral and Maxillofacial Surgery, Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2024 Feb;74(2):229-235. doi: 10.47391/JPMA.7911.
The objective of this study was to assess the patterns of maxillofacial injuries, aetiology and their management during the pandemic of Covid-19 in a tertiary care hospital in Lahore, Pakistan.
This is a single center, prospective cross-sectional study. Patients from all age groups who presented at the Emergency room of Jinnah Hospital Lahore and managed by the Oral and Maxillofacial Surgery Department during 1st December 2020 till 31st January 2021 were included. Data were analyzed using IBM SPSS for Windows, Version 20.0.
Total 202 patient were analyzed, 161 (79.7%) were male and 41 (20.3%) were females. Male to female ratio was 4:1. About fifty three percent of patients belonged to the age group 15-35 years. The most common cause was road traffic accidents (RTA), followed by fall. Eighty-three (41.1%) had only soft tissue injuries without any bony fracture and 119 (58.9%) had facial bones fractures. Zygomatic bone fracture was most common (53.8%) followed by mandible fracture (31.1%). Sixty-one out of 119 patients with fractures were treated with Open Reduction Internal Fixation (ORIF). Three patients had complete loss of vision because of facial trauma. Only 56 (28%) patients were managed under General Anaesthesia.
During the initial pandemic era, a large majority of patients presenting with maxillofacial injuries were young male adults. The most common cause of maxillofacial trauma was RTAs. Soft tissue injuries were predominant followed by facial bone fractures and zygomatic bone was more frequent among the fracture cases. Covid-19 pandemic increased the difficulties faced in the management of maxillofacial trauma patients.
本研究旨在评估巴基斯坦拉合尔一家三级护理医院在新冠疫情期间颌面损伤的模式、病因及其治疗方法。
这是一项单中心、前瞻性的横断面研究。纳入 2020 年 12 月 1 日至 2021 年 1 月 31 日期间在拉合尔真纳医院急诊科就诊并由口腔颌面外科治疗的所有年龄段的患者。使用 IBM SPSS for Windows，Version 20.0 分析数据。
共分析了 202 例患者，其中 161 例（79.7%）为男性，41 例（20.3%）为女性。男女比例为 4:1。约 53%的患者年龄在 15-35 岁之间。最常见的原因是道路交通意外（RTA），其次是跌倒。83 例（41.1%）仅有软组织损伤，无任何骨骨折，119 例（58.9%）有面部骨骼骨折。颧骨骨折最常见（53.8%），其次是下颌骨骨折（31.1%）。119 例骨折患者中有 61 例采用切开复位内固定术（ORIF）治疗。3 例因面部外伤完全失明。仅有 56 例（28%）患者在全身麻醉下进行治疗。
在新冠疫情初期，大多数出现颌面损伤的患者是年轻男性成年人。颌面外伤最常见的原因是 RTA。软组织损伤为主，其次是面部骨骼骨折，骨折病例中颧骨更常见。新冠疫情增加了颌面创伤患者管理的困难。
