title: Facial fracture management in northwest Nigeria.
abstract: BACKGROUND
  Facial fracture is gradually become a public health problem in our community due to the attendant morbidity and mortality. Hence, the aim of this study was to determine the pattern of facial fracture in Dental and Maxillofacial Surgery Department of Usmanu Danfodiyo University Teaching Hospital. This cross-sectional study was undertaken to provide information regarding gender, age, etiology, and diagnosis of patients with maxillofacial fractures.
  
  
  METHODS
  A 1-year review of patients diagnosed and treated for facial fractures in Usmanu Danfodiyo University Teaching Hospital between January 2011 and December 2011. The diagnosis was based on radiographic data and clinical examination. The main analysis outcome measures were etiology, age, gender, site, and treatment. Data were organized and presented by means of descriptive statistics and Pearson's Chi-square test. The level of significance adopted was 5%.
  
  
  RESULTS
  A total of 40 patients were treated in this period. Over 95% were male, 81% were caused by road traffic crash (RTC) and 86.4% were in the 21-30 years group. Most patients (52%) had mandibular fractures, and the most common site was the body. Most patients with midfacial fractures had fractures of the zygomaticomaxillary region (36%), while fractures of the parasymphyseal region were more common in the mandible 156 (31%). The most common treatment for jaw fractures was mandibulomaxillary fixation (MMF). Stable zygomatic complex fractures were reduced (elevated) intraorally, and unstable ones were supported by antral packs.
  
  
  CONCLUSIONS
  This study highlights facial fractures secondary to RTC as a serious public health problem in our environment. Preventive strategies remain the cheapest way to reduce direct and indirect costs of the sequelae of RTC. It also bring to the fore the necessity to shift to open reduction and internal fixation (ORIF) of fractures.
authors.affiliation: Department of Surgery/Dental and Maxillofacial Surgery, College of Health Sciences, Usmanu Danfodiyo University/Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
authors.forename: Abdurrazaq Olanrewaju
authors.initials: AO
authors.lastname: Taiwo
authors.affiliation: Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
authors.forename: Olujide Oladele
authors.initials: OO
authors.lastname: Soyele
authors.affiliation: Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
authors.forename: Ndubuizi Ugochukwu
authors.initials: NU
authors.lastname: Godwin
authors.affiliation: Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
authors.forename: Adebayo Aremu
authors.initials: AA
authors.lastname: Ibikunle
keywords: Facial fracture; jaw fixation techniques; mandibulomaxillary fixation; maxillofacial injuries; motorcycle; open reduction and internal fixation; road traffic crash; traffic accidents
references.citation: Int J Oral Maxillofac Surg. 1998 Aug;27(4):286-9
references.pmid: 9698176
references.citation: World J Surg. 2008 Dec;32(12):2631-5
references.pmid: 18841410
references.citation: Dent Traumatol. 2005 Feb;21(1):14-9
references.pmid: 15660750
references.citation: J Oral Maxillofac Surg. 1993 Aug;51(8):836-44; discussion 844-5
references.pmid: 8336220
references.citation: J Craniomaxillofac Surg. 2004 Feb;32(1):28-34
references.pmid: 14729047
references.citation: Niger J Med. 2012 Apr-Jun;21(2):125-33
references.pmid: 23311177
references.citation: J Craniofac Surg. 1993 Jul;4(3):153-61
references.pmid: 8241358
references.citation: J Oral Maxillofac Surg. 1983 Apr;41(4):241-4
references.pmid: 6572693
references.citation: J Craniomaxillofac Surg. 2003 Feb;31(1):51-61
references.pmid: 12553928
references.citation: Br J Oral Maxillofac Surg. 2011 Dec;49(8):607-11
references.pmid: 21074305
references.citation: J Oral Maxillofac Surg. 1990 Apr;48(4):362-6
references.pmid: 2313443
references.citation: J Maxillofac Oral Surg. 2011 Dec;10(4):321-7
references.pmid: 23204748
references.citation: Br J Oral Maxillofac Surg. 1985 Apr;23(2):77-91
references.pmid: 3158338
references.citation: Dent Traumatol. 2008 Feb;24(1):17-21
references.pmid: 18173659
references.citation: J Oral Maxillofac Surg. 2007 Jun;65(6):1094-101
references.pmid: 17517291
references.citation: Head Face Med. 2006 Aug 28;2:27
references.pmid: 16938135
references.citation: J Craniofac Surg. 2008 Mar;19(2):316-21
references.pmid: 18362705
references.citation: J Craniofac Surg. 2003 Jan;14(1):78-84
references.pmid: 12544226
references.citation: Br Dent J. 1991 Apr 20;170(8):300-2
references.pmid: 2036278
references.citation: J Craniofac Surg. 2007 Jul;18(4):776-80
references.pmid: 17667664
references.citation: Br J Oral Maxillofac Surg. 1994 Feb;32(1):19-23
references.pmid: 8136332
references.citation: Br J Oral Maxillofac Surg. 2003 Dec;41(6):396-400
references.pmid: 14614869
references.citation: Br J Oral Maxillofac Surg. 2006 Jun;44(3):229-31
references.pmid: 16099558
references.citation: West Afr J Med. 2003 Jun;22(2):146-9
references.pmid: 14529225
references.citation: Br J Oral Maxillofac Surg. 1996 Aug;34(4):298-302
references.pmid: 8866064
references.citation: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD004728
references.pmid: 19160240
references.citation: Int J Oral Maxillofac Surg. 2012 Aug;41(8):906-11
references.pmid: 22658265
references.citation: Br J Oral Maxillofac Surg. 2007 Dec;45(8):637-9
references.pmid: 17524534
references.citation: Br J Oral Maxillofac Surg. 2002 Apr;40(2):140-3
references.pmid: 12180207
references.citation: J Oral Maxillofac Surg. 1990 Sep;48(9):926-32
references.pmid: 2395044
references.citation: Indian J Dent Res. 2012 Jan-Feb;23(1):80-6
references.pmid: 22842255
references.citation: J Oral Maxillofac Surg. 2003 Jun;61(6):713-8
references.pmid: 12796884
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):166-70
references.pmid: 15316543
references.citation: J Oral Maxillofac Surg. 2012 Sep;70(9):2124-34
references.pmid: 22907110
references.citation: J Oral Maxillofac Surg. 2006 Jan;64(1):56-62
references.pmid: 16360857
references.citation: Natl J Maxillofac Surg. 2011 Jul;2(2):156-62
references.pmid: 22639504
references.citation: Harefuah. 2008 Mar;147(3):192-196, 280
references.pmid: 18488856
references.citation: J Oral Maxillofac Surg. 2003 Oct;61(10):1140-3
references.pmid: 14586847
references.citation: J Craniomaxillofac Surg. 2012 Dec;40(8):675-9
references.pmid: 22212823
references.citation: J Oral Maxillofac Surg. 2005 Jul;63(7):953-6
references.pmid: 16003621
references.citation: Head Face Med. 2005 Oct 04;1:7
references.pmid: 16270942