Facial injuries in Khartoum State

Abubakr HM Alawad, Osama Murtada Ahmed, Ahmed Saeed, Ahmed Mahgoub


Introduction: Facial injuries are a common cause for presentation to the Emergency Department (ED) across all ages. Whilst there is a combination of major and minor injuries, the significant ones require complex
reconstructive surgery and rehabilitation. Even minor facial injuries which cause scarring can be costly and have a personal impact on the injured person. Recent advances in reconstructive surgery and in the management
of trauma patients have significantly improved the morbidity and mortality of patients with traumatic facial injuries The purpose of this study was to analyze the patterns of facial injuries in three major hospitals in
Method: Two hundred and eighteen patients were enrolled in this study by direct interview with structured questionnaire aided with imaging studies e.g. (X ray, CT scan, MRI) in three major centers in Khartoum.
Data were analyzed by SPSS program version 17.
Results: Patients in the 20-29 years age-group amounted to 27.9%. There was an obvious male preponderance.
The majority of injuries were due to road traffic accidents (39.4%), followed by assault (24.8%), and falls (15.5%). There was a higher incidence of assault injuries in the age group 10 – 19 years with an obvious
male preponderance.
The frequency of facial injuries in various parts of the face was as follows: forehead (20.2%), lips (14.6%) eyelids (12.4%), cheek (10.7%), ear (9.8%), chin (8.7%), nose (7.3%), eyebrow (5.9%), scalp (5.3%), and
eyeball (4.3%). Thirty three facial skeletal fractures were encountered mainly in the nasal bone (36%) mandible (21%), zygomatic bone (18%).
Most of the soft tissue injuries were treated by primary closure of the lacerations under local anesthesia; few cases had to be taken to the operation theatre for general anesthesia for skin graft and local flaps. Five patients
underwent open reduction and internal fixation of facial skeletal fractures.
Conclusion: Traffic accident was the main cause for facial injuries followed by assault and falls. Male predominance was observed in this population. Young males sustained more severe facial injuries. Many
patients sustained injuries to other parts of the body e.g. limbs, head, abdomen and chest.
*Corresponding author: Faculty of Medicine, University of hartoum E.mail:abubakr23@gmail.com

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