Fracturas faciales, manejo quirúrgico y resultados en un Hospital de Tercer Nivel

Abstract

Introduction: Facial trauma means a major health problem due to its high morbidity. It represents a problem in the family, labor and economic spheres for society. Currently, post-operative complications of its fixation are not too frequent, however, the possibility of obtaining unfavorable results can involve significant disfigurement and functional alterations. evaluate the results of surgical management of patients. Objective: Evaluate results of surgical management in patients with facial fractures in a thirdlevel care hospital. Methods: Analytical cross-sectional study, including 279 patients with facial fractures, treated by fixation with miniplates and titanium screws. The variables to be studied were, demographic variables, the etiology and anatomical location of the fracture, postsurgical complications, re-intervention and hospital stay. Results: We included 279 patients, male/female 238/41, average age 34.3 years. The most common etiology was aggression (48.7 %). The most frequent location was mandible (44.3 %). Of the total, 10.4 % presented postoperative complications, of which 5.8 % were related to osteosynthesis material and 4.6 % were general and average hospital stay was 12 days. Conclusion: In conclusion, our study presented results similar to those reported in the literature. Facial fractures, surgical management and results in a third level hospital