Occurrence of injuries of the Maxillofacial Skeleton seen at a Teaching and National Referral Hospital in Nairobi, Kenya.
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Date
2000Author
Akama, M. K.
Macigo Francis G.
Chindia, M. L.
Odhiambo, W. A.
Type
ArticleLanguage
enMetadata
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Objective: To describe the occurrence and aetiologic pattern of maxillofacial bone fractures.
Design: A descriptive retrospective study.
Setting: Kenyatta National Teaching and Referral Hospital, Nairobi.
Subjects: All records of patients who presented at the hospital with fractures of the maxillofacial skeleton between 1994 and
1997.
Results: A total of 152 patients' records were studied. 132 (86.8%) of these were males while 20 (13.2%) were females giving
a male:female ratio of 6.6: 1. The most affected age group was the 21-30-years olds (31.8%) while the least affected group included those above 60 yrs (0.6%). The leading aetiologic factor was interpersonal violence accounting for 50.7% of the fractures followed by road traffic accidents (34.1 %). The mandible was found to have been the most affected maxillofacial bone (36.2%) whereas the zygoma had the highest incidence among midfacial bones. 85 (55.9%) of the patients had other associated injuries with head injuries accounting for 57.6% of them, followed by fractures of the limbs (31.7%). Incomplete
record keeping (24.5%) was common.
Conclusion: The major causes of maxillofacial bone fractures in the current study were interpersonal violence and road traffic
accidents, with the most affected group being the males in the 21-30-yr age group. There is a need to improve methods of record keeping and details of records. In addition, in order to have a detailed and comprehensive understanding of maxillofacial injuries for intervention purposes, an indepth multi-centre study encompassing epidemioiogical and clinical presentations, significance of the various aetiological factors, radioiogical investigations, management and clinical outcome for various types
of injuries and treatment is recommended.
Citation
African Journal of Oral Health Sciences Vol. 4 NO.3 222Publisher
. Faculty of Dental Sciences, University of Nairobi
Description
Occurrence of injuries of the Maxillofacial skeleton seen at a Teaching and National Referral hospital in Nairobi, Kenya.
Collections
- Faculty of Health Sciences (FHS) [10378]