Long-Term Outcome in Patients Treated for Maxillofacial Fractures
- 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.
MethodThis 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.
ResultsOur 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).
ConclusionSurgery 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.
Cite this article
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 -