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Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 6-10

A 2-year review of maxillofacial accident and emergency cases in a Nigerian tertiary hospital

1 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bayero University, and Aminu Kano Teaching Hospital, Kano, Nigeria
2 Department of Dental Surgery, Faculty of Medicine and Dentistry, University of Calabar, and University of Calabar Teaching Hospital, Calabar, Nigeria

Correspondence Address:
Dr. O D Osunde
Department of Dental Surgery, University of Calabar Teaching Hospital, Calabar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1597-1112.169815

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Background: The role of oral and maxillofacial surgeons in the management of maxillofacial emergencies has been well recognized. The present study aimed to review the maxillofacial emergency practice in our institution, highlighting the pattern of maxillofacial conditions requiring emergency services, the gaps in our practice and factors that will improve it. Materials and Methods: The study was a 2-year retrospective review of patients managed at the accident and emergency (A/E) unit of our institution. Sources of clinical information were A/E register, patients' case folders and discharge summaries. These data were analyzed using Statistical Package for Social Sciences (SPSS) version 15.0 (SPSS Inc, Chicago, IL, USA). Results: Of the 549 patients studied, male accounted for 437 (79.6%), while female accounted for 112 (20.4%) giving a gender (male: female) ratio of 3.9:1. Fifty-five (10%) patients with sole maxillofacial injuries were attended to at the A/E unit and discharged home on the same day, while 494 (90%) patients required admission and further treatment. Ages of the subjects ranged from 2 months to 86 years with a mean age of 36.4 ± 27.1 years. Road traffic accident (RTA) had the highest frequency of A/E attendance (58.3%), with mandibular fracture being the commonest (41.6%). Debridement and suturing were the most performed procedure (44.0%). Conclusion: RTA related injuries and orofacial infections are common conditions, which frequently present at the A/E unit. Prompt access to quality maxillofacial care may help to reduce the attendant morbidity arising from the conditions.

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