Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)

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Long-Term Outcome in Patients Treated for Maxillofacial Fractures

Authors
Ifiq Budiyan Nazar1, *, Shinta Fitri Boesoirie1
1Department of Otorhinolaryngology Head & Neck Surgery, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
*Corresponding author.
Corresponding Author
Ifiq Budiyan Nazar
Available Online 31 October 2023.
DOI
10.2991/978-94-6463-280-4_9How to use a DOI?
Keywords
Maxillofacial fracture; outcome; surgery; conservative therapy; sequelae
ABSTRACT
Background

Previous study reported that facial fracture sequelae can affect patient’s quality of life. The treatment of maxillofacial fracture ranges from conservative treatment to surgery. The aim of our study is to assess the outcome in patients treated for maxillofacial fractures, both surgically or conservatively.

Method

This study was a retrospective study conducted in 2019-2021. Data including general characteristics, fracture pattern and treatment information were collected from medical records.Sequelae was classified into four categories, such as sensibility disturbance, vision disturbance, cosmetic disturbance and mouth opening disturbance. Patients were assessed for long-term sequelae in follow-up records for 12 months post-trauma. Sequelae will be compared to assess the effectiveness of therapy.

Results

Our study involved 138 subjects. The most fracture pattern found was isolated maxilla (26.09%) and Le Fort II (22.46%). Mandible (65.94%) was the most found bone fracture, followed by maxilla (61.59%) and orbital (53.62%). After 12 months, numbness, sense of pricking, pain, blindness, scar and loss of check contour was significantly reduced in the surgery group (p<0.05). Hyperesthesia, involuntary movement and trismus also significantly improved in the surgery group (p<0.01).

Conclusion

Surgery gives significantly better outcome than conservative therapy. Thorough examination is essential in determining the choice of therapy to prevent sequelae. Even in surgery group, long term follow up should be carried out since sequelae can be induced by structural manipulation during intervention.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
Series
Advances in Health Sciences Research
Publication Date
31 October 2023
ISBN
10.2991/978-94-6463-280-4_9
ISSN
2468-5739
DOI
10.2991/978-94-6463-280-4_9How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Ifiq Budiyan Nazar
AU  - Shinta Fitri Boesoirie
PY  - 2023
DA  - 2023/10/31
TI  - Long-Term Outcome in Patients Treated for Maxillofacial Fractures
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 49
EP  - 54
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_9
DO  - 10.2991/978-94-6463-280-4_9
ID  - Nazar2023
ER  -