A THREE YEAR STUDY TO EVALUATE THE INCIDENCE OF POST-OPERATIVE COMPLICATIONS IN MAXILLOFACIAL TRAUMA PATIENTS AND A REVIEW OF ITS MANAGEMENT

Dr. Amol Madhukar Doiphode*, MDS, Reader, Dr. Kshitija Prakash Sonawane, Post Graduate Student, Dr. Sheeraz Badal, MDS, Head of Department, Dr. Ashish Shrikant Satpute, MDS Senior Lecturer and Dr. Gopal Lahudas Nagargoje, MDS, Senior Lecturer 

ABSTRACT

ABSTRACT Objectives: The purpose of this study is to evaluate the incidence of post-operative complications in maxillofacial trauma cases treated at our center during a three year period. This study also highlights the management for each post-operative complication. Patients and Methods: A three year retrospective study was conducted from May 2014 to May 2017 in the department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur. All records of 134 patients were reviewed for this study. Results: The incidence of post-operative complications seen in our study were trismus (6%), nerve paresthesia (3%), malocclusion (2%), parotid gland sialoceole (1.5%), fracture of miniplate (0.7%) and cosmetic deformity (0.7%). Conclusion: Common complications arising post-operatively in maxillofacial trauma patients are trismus, nerve paresthesia and malocclusion. Rarely seen complications are parotid gland sialocele, fracture miniplate and cosmetic deformity. Recovery of the patient to clinically acceptable state starts with assessment of severity of complication and prompt management. Formulating an exact treatment plan is necessary to avoid further complications and reduce post-operative morbidity. Detailed knowledge of various treatment modalities is required to choose non-invasive techniques to get best possible results.

Keywords: incidence, maxillofacial trauma, post-operative complications.