Effect of treating Mid-Face fracture on nutritional status.

Abstract

Objective: To determine the effect of treating the midface fracture on nutrition status, assessed via serum albumin and weight loss. Study Design: Prospective Observational Cohort Research. Setting: Department of Oral and Maxillofacial Surgery, Allama Iqbal Medical College/Jinnah Hospital Lahore. Period: September 2022 to Feb 2023. Material & Methods: The research comprised patients receiving open reduction and internal fixation for mid-face fractures. Preliminary weight and next weight measurement taken were recorded three weeks later, and two months afterward for each subject throughout treatment. Initial weight and subsequent weight measurement taken were recorded during treatment for each study subject. Serum albumin was sampled during their first appointment and 1 month later. A final evaluation was conducted six weeks following the surgery. Results: A total of 60 patients undergoing open treatment for mid-face fractures aged over 12 years. The mean age of 28.47±9.520 years. There were 56(93.33%) males and 4(6.67%) female. Diagnosis of patients showed that there was a maximum of 30(50%) patients with fractures of both maxilla and zygomatic bone. The results of the study showed that the mean weight of the patients was 64.05±14.21 preoperatively with minimum weight. At 3 weeks mean weight was 61.44±13.76 while at 2 months mean weight was 62.31±13.99 kg. These results are following other studies. The results of the study showed that the mean albumin of the patients was 3.81±0.710 preoperatively with a minimum albumin level of 2.50 and a maximum of 5.50. At 1-month albumin level was 3.76±0.70, with a minimum level of 2.60 and a maximum of 5.50. Conclusion: Mid face fracture caused mild to moderate malnutrition in some cases so a protein diet was recommended to such patients post-treatment. Weight loss in the treatment of mandibular fractures is anticipated to be higher than in the treatment of midface fractures.