EVALUATION THE TREATMENT OUTCOMES OF PATIENTS WITH PANFACIAL FRACTURES AT THE MILITARY HOSPITAL 175

Abstract

Objective: The purpose of this study was to evaluate the treatment outcomes of patients with panfacial fractures at the Military Hospital 175.

Subjects and methods: 46 patients with panfacial fractures who were examined, diagnosed, and treated at the Maxillofacial Surgery Department, Military Hospital 175 from January 2022 to August 2023.

Results: Initial management involved temporary fixation of the fractured maxilla in 20 patients, 76% of patients had accompanying facial wounds that required treatment, and 21 patients required airway clearance interventions. The maijority of patients were used from 3 to 5 incisions (69.5%). The majority of patients (71.7%) had sequential top to bottom and out side to in side maxillary fixation at 151 sites. Postoperatively, 84.8% of patients required postoperative maxillomandibular fixation. Immediate postoperative complications included 3 patients with surgical wound bleeding that required interven­tion. The majority of patients (84.8%) had good wound healing, 89.1% achieved proper occlusion, 2 patients developed infections, and 11 patients experienced limited mouth opening after surgery (23.9%). At 3-6 months postoperatively, 73.9% of patients had balanced facial symmetry, no patients had noticeable scars, 93.4% achieved proper oc­clusion, 2 patients had enophthalmos, and all patients had satisfactory mouth opening.

Conclusion: The treatment of panfacial fractures is a complex process that ne­cessitates an immediate and proactive approach to emergency management. It is crucial to establish a detailed treatment plan to ensure the best possible treatment outcomes for patients.