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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2017, Number 2

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Cir Plast 2017; 27 (2)

Facial trauma at the Plastic and Reconstructive Surgery Service of ISSEMYM Medical Center: 12 years of experience

Malagón-Hidalgo HO, Araiza-Gómez E, Ayala-Ugalde FA, González-Magaña F, García-Cano E

Language: Spanish
References: 17
Page: 67-72
PDF size: 240.72 Kb.


ABSTRACT

We describe the causes, demographics, location and treatment of facial fractures at the ISSEMYM Medical Center over a 12-year period, and compare them to previous descriptions in the literature. A retrospective and descriptive study was performed at the ISSEMYM Medical Center examining the clinical records from January 1, 2003 to April 31, 2015. We selected the files that met the inclusion criteria, 331 clinical records, and collected data on age, gender, trauma mechanism, bone and fracture area, and method of treatment. Of the 331 patients with 422 fractures, the gender most affected was male (85.2%), the decade most affected was the fourth (28.5%) and the most common cause of the trauma was aggression (40.3%). The most common fractures were the orbital floor (33.5%) and the most affected side was the right one. The second most frequent fracture was the mandibular region (27.8%), the most frequent being the parasymphysial, followed by the angle fracture. Fractures of the lateral wall of the orbit were at 10.6% and of the medial wall at 5.2%. The least frequent were fractures of the nasal bones (8.8%), maxillary fractures (5.9%), zygomatic arch (3.3%) and nasoorbitoethmoid (1.3%). We concluded that the facial trauma treated at ISSEMYM Medical Center is more common in young men due to aggression and high speed accident traumas. Regarding treatment, the ISSEMYM Medical Center has gone hand in hand with the evolution of materials such as titanium, and absorbable materials and implants, although in recent years it has returned to the use of autologous materials.


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