RESULTS
A total of 65 males (74.7%) and 22 females (25.3%), totaling to 87
patients, were included in the study. The mean age of the patients was
10.78 years (Table 1), and the youngest patient operated was 6-months
old. The fractures were most common at the age of 17 years (17.2%), and
the most common cause at this age was motorcycle accidents (37.5%). It
was observed that the most common cause of trauma in patients operated
with maxillofacial fracture in our clinic was fall in both genders
(48.3%), the second most common cause was motorcycle accident in boys
(21.5%), and non-vehicle traffic accidents in girls (13.6%) (Table 2).
When we classified the ages as 0–5, 6–12 and 12–18 years, the group
that was most commonly operated due to facial fractures was between 12-
and 18-years old (49.4%); the second most commonly operated age group
was between 6- and 12-years old (26.4%); and the least commonly
operated group was between 0 and 5-years old (24.1%).
In our clinic, the most commonly operated fracture localization was
classified as panfacial fractures (fractures on at least 3 different
locations) in 24 patients (27.58%), and the second most common
localization was unilateral condylar fracture accompanied by symphysis
or parasymphysis fracture (11.49%) in 10 patients, and unilateral
corpus fracture accompanied by a ramus or angulus fracture in 10
patients (11.49%) (Table 3). Overall, mandibular fractures were the
most common fractures (54 patients, 62%).
The length of hospital stay of the patients ranged from 1 day to 90
days. 11.5% of the patients were followed up in intensive care in the
preoperative or postoperative period.
Operations were most commonly performed as open reduction internal
fixation (35.6%) and arch bar application with open reduction internal
fixation (25.3%). Other patients were operated using methods such as
closed reduction of zygoma, orbital floor repair (with autogenous or
alloplastic material), gap arthroplasty, intermaxillary fixation screw,
and intermaxillary fixation (Table 4). In the postoperative follow-up of
the patients, complications such as hematoma, bleeding, plate-screw
exposition, displacement of the arch bar, and suture separation were
observed.