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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in French in Tropical Dental Journal Volume 46 - December 2023 pages 11-18

Monsieur Coulibaly Arsène Management of panfacial fracture at Yalgado Ouedraogo University Teaching HospitalManagement of panfacial fracture at Yalgado Ouedraogo University Teaching Hospital est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Article Open access

Authors : A. Coulibaly, P. Ganebang, R. Beheton, M. Idani, H. Oubida, T. Konsem - Burkina Faso


Résumé

Introduction : Les fracas faciaux sont des fractures multiples de la face. Leur prise en charge constitue un véritable défi thérapeutique dans notre contexte. Le but de cette étude était de rapporter le traitement des fracas faciaux au Centre Hospitalier Universitaire Yalgado Ouedraogo.
Patients et méthode : Il s’est agi d’une étude transversale descriptive à collecte rétrospective du 1er juillet 2016 au 31 juin 2021. Ont été inclus dans cette étude, tous les patients diagnostiqués pour fracas facial avec une preuve tomodensitométrique.
Résultats : Au total, 73 cas de fracas faciaux ont été colligés en cinq ans (14,6 cas/an) dont huit exclus pour incomplétude des dossiers médicaux. L’âge moyen des patients était de 29,62 ± 7,2 ans. Le sex-ratio était de 7,12. Les Accidents de la Circulation Routière (ACR) représentaient 87,69% des cas. Au moins deux étages de la face étaient touchés. La mandibule était atteinte dans 89,23% des cas. Les fractures orbito-zygomatiques et de Lefort représentaient respectivement 53,38% et 60% des cas. Le traitement chirurgical a été réalisé chez 64 patients et l’intubation était nasotrachéale chez 58 patients. L’approche chirurgicale, "bottom-to-top" et "inside-out" a été mise en œuvre chez 58 patients. Le matériel d’ostéosynthèse utilisé était le fil d’acier 4/10ème dans 81,25% des cas. L’évolution était favorable dans 72,31% des cas au prix de séquelles esthétiques et fonctionnelles (27,69%).
Conclusion : Ces résultats appellent à la levée des barrières financières aux soins et à la prévention des ACR par le respect des mesures de sécurité routière.

Abstract
Management of panfacial fracture at Yalgado Ouedraogo University Teaching Hospital

Introduction: Panfacial fracture are multiple fractures of the face. Their management represents a real therapeutic challenge in our context. The aim of this study was to report the management of panfacial fracture at Yalgado Ouedraogo University Teaching Hospital.
Patients and method: This was a retrospectively collected descriptive transversal study from July 1st, 2016, to June 31st, 2021. All patients diagnosed for panfacial fractures with CT evidence were included in this study.
Results: In total, 73 cases of facial smashing were recorded in five years (14.6 cases/year), eight of which were excluded due to incomplete medical records. The mean age of the subjects was 29.62 ± 7.2 years. There were 57 men and the sex-ratio was 7.12. Road Traffic Accidents (RTAs) accounted for 87.69% of cases. At least two floors of the face were affected. The mandible was affected in 89.23% of cases. Orbito-zygomatic and Lefort fractures accounted for 53.38% and 60% of cases respectively. Surgical treatment was performed in 64 subjects, and nasotracheal intubation was used in 58 subjects. The bottom-to-top and inside-out surgical approaches were used in 58 subjects. The osteosynthesis material used was 4/10ths steel wire in 81.25% of cases. The outcome was favorable in 72.31% of cases, at the cost of aesthetic and functional sequelae (27.69%).
Conclusion: These results call for the removal of financial barriers to care and the prevention of RTAs through compliance with road safety measures.

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