- Email: [email protected]
Epidemiology of maxillofacial injuries at tertiary care hospital of northern India
E-Poster Presentation the maxilla. A Dento Facial Dismorphosis is a skeletal anomaly of the jaws that results in morpho-functional, aesthetics and psychological alterations, and depending on the type of dismorphosis, different surgical procedure may me indicated. Aim: The aim of this study was to investigate the epidemiology, type of dismorphosis and the surgical treatment established for the correction of the Dento Facial deformity from January 2012 to March 2015, in the Maxillofacial Service of San Juan de Dios Hospital. Methods: A descriptive retrospective longitudinal study was made. Data from patients with Diagnosis of Dento Facial Dismorphosis treated with orthognathic surgery between January 2012 and March 2015 were taken from clinical records and surgical protocols. Data collected included sex, age, type and characteristics of Dento Facial Dismorphosis, type of orthognatic surgery and follow up outcomes. Results: Most patients were men and between the second and third decade of life. The most frequent type of Dismorphosis was Class III. The most common type of surgery was combined mandible-maxillary repositioning with genioplasty. Most patients remind stable after follow up period. Conclusions: There is a lack of evidence in the literature about the epidemiology and surgical treatment for the correction of Dento Facial Dismorphosis in Chile. It is important to know, predict and compare the characteristics of our population with Dento Facial Dismorphosis and its treatment with literature in other countries. http://dx.doi.org/10.1016/j.ijom.2015.08.108 A descriptive study of odontogenic cyst treated in the maxillofacial service of hospital San Juan de Dios, Santiago, Chile M. Gunther 1,∗ , P. Romero 1 , M.A. Fernández 1,2,3 , M. Landaeta 1,2 , P. Rojas 1 , F. Donoso 1,2 1
Servicio de Cirugía Máxilo Facial, Hospital San Juan de Dios, Chile 2 Departamento de Cirugía Máxilofacial, Facultad de Odontología, Universidad de Chile, Chile 3 Servicio de Cirugía Máxilo Facial, Clínica Las Condes, Chile Background: With rare exceptions, epithelium lined cysts in bone seen only in jaws. Other than a few cysts that may result from the inclusion of epithelium along embryonic lines of fusion, most jaw cysts are lined by epithelium that is derived from odontogenic epithelium. These are referred to as odontogenic cysts. Aim: The aim of this study was to investigate the epidemiology, frequency, characteristics, associated conditions (as syndromes), management and outcomes of the different types of odontogenic cyst treated in the Maxillofacial Surgery Service of San Juan de Dios Hospital during January 2012 to March 2015. Methods: A descriptive retrospective longitudinal study was made. Data from patients with diagnosis of Odontogenic Cyst between January 2012 and March 2015 were taken from clinical and histopathological records. Data collected included sex, age, type of odontogenic cyst, location and size, treatment and followup outcomes. Results: The patient’s age ranged from 18 to 75 years (mean age 35, 4 years). Most patients were men, with men: women ratio of 2:1. The most common location was the mandibular angle, and the most frequent type of cyst was the keratocystic odontogenic tumour. Decompression and cystectomy were the treatment established for the majority of cases. All cysts reduced their size at follow up and no major complications were registered.
e219
Conclusions: The study of the epidemiology and an accurate diagnosis is a key point to establish a correct management of odontogenic cysts, and to predict and evaluate the outcomes of the treatment. http://dx.doi.org/10.1016/j.ijom.2015.08.109 Epidemiology of maxillofacial injuries at tertiary care hospital of northern India A. Gupta ∗ , G. Lehl, M. Awana Government Medical College Hospital, Chandigarh (GMCH), India Background: Government Medical College Hospital (GMCH) is situated at important strategic location in northern India and caters a large number of patients from nearby large states. Understanding of the cause, severity and temporal distribution of maxillofacial traumas may help to establish clinical priorities for the effective treatment and prevention of these injuries. Objectives: The purpose of this study is to review the epidemiology data concerning maxillofacial trauma care in patients reporting to the tertiary care hospital of northern India. Methods: This retrospective study was conducted at GMCH, Chandigarh. The data was collected from the trauma records of patients reporting to OPD and A&E from March 2011 to March 2013. The data were collected and analysed to determine the pattern of maxillofacial injuries, including age, sex distribution, aetiology of injury, injury profile and treatment provided. Findings: Total of 425 patients were included in the study. The mean age was 30.4 years (range 2–70 years). Male to female ratio was 6.6:1. The primary causative factor was road traffic accident with 280 cases (65.9%). Out of 520 maxillofacial injuries diagnosed, facial bone fractures (skeletal injuries) comprised 64% (333 cases) of sustained injuries. Mandibular fracture was the most common facial fracture with 181 cases (54.3%). 104 skeletal injuries were treated with open reduction and internal fixation. Conclusions: Insight into the epidemiology of maxillofacial injuries is an integral component in evaluating the quality of patient care, developing optimal treatment regimens, and making decisions regarding appropriate resource and manpower allocations. http://dx.doi.org/10.1016/j.ijom.2015.08.110 Self-concept of Chinese children and adolescents with cleft lip and/or palate P. Ha 1,∗ , B. Shi 1,2 , Q. Zheng 1 1
West China Stomatology Hospital, Sichuan University, Chengdu, China 2 State Key Laboratory of Oral Disease, Sichuan University, Chengdu, China Background: Clefts of the lip and/or palate (CLP) are common congenital malformations, with an incidence of 1.2 in 1000 live birth in the Chinese population.1 Treatment of CLP often lasts from patients’ infancy into adolescence, and may involve a multidisciplinary therapy. It is important to investigate whether such disease and its treatment affect patients’ psychological conditions in their childhood and adolescence.
Servicio de Cirugía Máxilo Facial, Hospital San Juan de Dios, Chile 2 Departamento de Cirugía Máxilofacial, Facultad de Odontología, Universidad de Chile, Chile 3 Servicio de Cirugía Máxilo Facial, Clínica Las Condes, Chile Background: With rare exceptions, epithelium lined cysts in bone seen only in jaws. Other than a few cysts that may result from the inclusion of epithelium along embryonic lines of fusion, most jaw cysts are lined by epithelium that is derived from odontogenic epithelium. These are referred to as odontogenic cysts. Aim: The aim of this study was to investigate the epidemiology, frequency, characteristics, associated conditions (as syndromes), management and outcomes of the different types of odontogenic cyst treated in the Maxillofacial Surgery Service of San Juan de Dios Hospital during January 2012 to March 2015. Methods: A descriptive retrospective longitudinal study was made. Data from patients with diagnosis of Odontogenic Cyst between January 2012 and March 2015 were taken from clinical and histopathological records. Data collected included sex, age, type of odontogenic cyst, location and size, treatment and followup outcomes. Results: The patient’s age ranged from 18 to 75 years (mean age 35, 4 years). Most patients were men, with men: women ratio of 2:1. The most common location was the mandibular angle, and the most frequent type of cyst was the keratocystic odontogenic tumour. Decompression and cystectomy were the treatment established for the majority of cases. All cysts reduced their size at follow up and no major complications were registered.
e219
Conclusions: The study of the epidemiology and an accurate diagnosis is a key point to establish a correct management of odontogenic cysts, and to predict and evaluate the outcomes of the treatment. http://dx.doi.org/10.1016/j.ijom.2015.08.109 Epidemiology of maxillofacial injuries at tertiary care hospital of northern India A. Gupta ∗ , G. Lehl, M. Awana Government Medical College Hospital, Chandigarh (GMCH), India Background: Government Medical College Hospital (GMCH) is situated at important strategic location in northern India and caters a large number of patients from nearby large states. Understanding of the cause, severity and temporal distribution of maxillofacial traumas may help to establish clinical priorities for the effective treatment and prevention of these injuries. Objectives: The purpose of this study is to review the epidemiology data concerning maxillofacial trauma care in patients reporting to the tertiary care hospital of northern India. Methods: This retrospective study was conducted at GMCH, Chandigarh. The data was collected from the trauma records of patients reporting to OPD and A&E from March 2011 to March 2013. The data were collected and analysed to determine the pattern of maxillofacial injuries, including age, sex distribution, aetiology of injury, injury profile and treatment provided. Findings: Total of 425 patients were included in the study. The mean age was 30.4 years (range 2–70 years). Male to female ratio was 6.6:1. The primary causative factor was road traffic accident with 280 cases (65.9%). Out of 520 maxillofacial injuries diagnosed, facial bone fractures (skeletal injuries) comprised 64% (333 cases) of sustained injuries. Mandibular fracture was the most common facial fracture with 181 cases (54.3%). 104 skeletal injuries were treated with open reduction and internal fixation. Conclusions: Insight into the epidemiology of maxillofacial injuries is an integral component in evaluating the quality of patient care, developing optimal treatment regimens, and making decisions regarding appropriate resource and manpower allocations. http://dx.doi.org/10.1016/j.ijom.2015.08.110 Self-concept of Chinese children and adolescents with cleft lip and/or palate P. Ha 1,∗ , B. Shi 1,2 , Q. Zheng 1 1
West China Stomatology Hospital, Sichuan University, Chengdu, China 2 State Key Laboratory of Oral Disease, Sichuan University, Chengdu, China Background: Clefts of the lip and/or palate (CLP) are common congenital malformations, with an incidence of 1.2 in 1000 live birth in the Chinese population.1 Treatment of CLP often lasts from patients’ infancy into adolescence, and may involve a multidisciplinary therapy. It is important to investigate whether such disease and its treatment affect patients’ psychological conditions in their childhood and adolescence.