IJFANS International Journal of Food and Nutritional Sciences

ISSN PRINT 2319 1775 Online 2320-7876

Frontal Bone Fractures In Maxillofacial Injuries: A Retrospective Study In In A Regional Trauma Centre

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Dr. Amit B. Lall, Dr. Tanya Kusum, Dr. Priyanka T, Dr. Mayank Singhal, Dr. Sanjeev Tomar, Dr Anupam Bhardwaj

Abstract

Objective: To evaluate and study the incidence and frontal bone fractures associated with maxillofacial trauma in a regional Trauma Centre. Methodology: Data of 96 patients who reported with Maxillofacial injuries to Santosh Medical College and Hospital, Ghaziabad in a regional Trauma Centre in Ghaziabad was screened to assess the incidence with age, gender, mechanism of injury, alcohol consumption, degree of involvement and associated injuries. Results: Out of 96 patients who presented with maxillofacial trauma, 13 patients had frontal bone fracture. The sample size depicted significant sex predilection, out of 13 patients, 12 patients were male and 1 patient was female. Majority of the patients were in second decade of life. The mean age distribution was 21-25 years (41.67%). RTA without the use of a helmet or seatbelt was the most common cause of injury (83%), due to the nature of impact caused by deceleration. Alcohol abuse was observed in 10 out of 13 patients. The most common maxillofacial injury associated is ZMC Fracture 41% & mandible fracture accounting for 29%. Anterior table fractures were observed in 5 patients and fractures involving both anterior and posterior table was observed in 8 patients. None of the cases has isolated posterior table fractures. One case involved anterior cranial fossa fracture. Conclusion: Frontal bone injury are often associated with maxillofacial trauma although its incidence reported in literature appears to be on the decline. With stricter enforcement of traffic laws regarding the use of helmets and seatbelts, fortunately, the life-threatening complications have reduced significantly. A higher incidence of the fractures in our study can be attributable to blatant violations of these enforcements in conjuction with alcohol abuse.

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