Retrospective Analysis of the Incidences, Treatments and Complications of Mid Facial Fractures in Prapokklao Hospital, Chanthaburi

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Suphot Chattinnakorn
Sawet Wangthammang
Krit Jongjamfa
Kriangsak Sirirak


BACKGROUND: There are a large number of patients with facial fractures in Thailand, mostly at the mid - face. Roughly 30 years ago, incidences of patients with facial fractures at Prapokklao Hospital were studied. The current number of patients and medical guidelines has changed.

OBJECTIVES: This study aimed to collect data of current patients with mid - facial fractures coming for treatment at Prapokklao Hospital, which could be useful as a reference source at the hospital for traffic accident prevention and further extension of research.

METHODS: This was a descriptive retrospective study, in which data was collected from the medical records of patients diagnosed with mid - facial fractures at Prapokklao Hospital between January 2016 and December 2020. The data included sex, age, drinking history, helmet use history, accident area, type of mid - facial fractures, combined injury, treatment, and post - treatment complications. Descriptive statistics were used for data analysis, e.g. frequency and percentage.

RESULTS: There were a total of 2,477 patients (male 74%, female 26%), mostly aged between 21 - 30 years. (23.6%). The major cause was motorcycle accidents (66.8%). The most common type of mid - facial fracture occurred at the zygomatic bone (36.4%). The most common combined injury was intracranial hemorrhage (11.7%). The most common month of accidents was December, and the most common accident area was Mueang Chanthaburi district. The most common treatment was surgery (63.8%). The most common type of surgery was an open reduction with internal fixation (26.9%), while the most common complication was nasal deformities (1.1%).

CONCLUSIONS: Motorcycle accidents remain the major cause of mid - facial fractures from the past up until now. Strict measures on helmet use, no drinking, and speed limits are still highly required to reduce the incidences of mid - facial fractures, particularly in large cities with a high density of teenage and working - age population.


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