The Maxillofacial Trauma Management Trends at Armed Forces Institute of Dentistry, Rawalpindi

The aim of this study was to evaluate and analyze current trends in the management of trauma in patients presenting to oral and maxillofacial surgery department of Armed Forces Institute of Dentistry, Rawalpindi from Jan 2008 to Dec 2010. In this retrospective study, data of 613 patients with maxillofacial fractures treated at oral and maxillofacial surgery department, Armed Forces Institute of Dentistry was reviewed and analyzed. The main parameters recorded were gender, pattern of facial bones fracture and treatment modality of fracture.Out of these 613 patients, 564 (92%) were males and 49 (8%) were females with a male to female ratio of 11.5:1. The mandible was the most common bone to be fractured, with 307 fractures (50.1%), followed by 116 fractures (18.9%) of zygomatic bone, 83 fractures (13.5%) of maxillary bone, 64 patients (10.5%) had panfacial trauma, 26 (4.3%) were having nasal fracture while Naso-orbito-ethmoid fractures (NOE) were seen in 15 (2.4%) cases. The management of the injured face has undergone major changes,outcomes are considerably better than 30 years ago as more comprehensive assessment and management is now possible.