Maxillofacial Fractures in Patients Treated at Two Hospitals of Kermanshah City, Iran

This study purposed to assess characteristics of maxillofacial fractures in Kermanshah, Iran over a 3.5-year time. This retrospective study evaluated files of patients with maxillofacial fracture treated at two hospitals (Bisotun and Imam Khomeini) in Kermanshah city between April 2009 and September 2012. The patients ’information was collected including gender, age, fracture causes, bone fractured, fracture site in mandible, facial concomitant symptoms/signs, requested radiography, treatment modality, and seasonal occurrence. Data were analyzed by SPSS 16. Descriptive statistics were employed. A total of 286 patients were enrolled with a male to female ratio of 4.1: 1 and age range of 1–81 years. High-risk age group for the fracture was 21–30 years. Road traffic accident comprised the major cause of the fractures in both genders and all age groups apart from patients aged 1–10 and 60+ in which falling presented the main cause. The mandible (31.9%) was found to be the most common fractured bone, mainly in body (24.7%) and condyle (22.9%). Swelling (71.1%) and pain (62.2%) presented as uppermost facial related manifestations. Panoramic imaging (36.4%) and open surgery (70.3%) were major requested radiography and treatment modality, respectively. Average seasonal occurrence was observed in winter (10.7) lower than spring (25.25), summer (20.25), and autumn (24). Our findings showed that higher occurrence of maxillofacial fracture associated to male gender and third decade of life. The main cause varied according to age.