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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2023, Number 1

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Acta de Otorrinolaringología CCC 2023; 51 (1)

Sociodemographic characterization of maxillofacial trauma in a third level center of complexity in Chía, Colombia

Vélez-Serna JA, García JC, Nieto-Vargas LÁ, Cogua-Martínez LF, Pérez-Orbegozo MA

Language: Spanish
References: 27
Page: 50-56
PDF size: 285.91 Kb.


ABSTRACT

Introduction: Maxillofacial trauma is considered a surgical emergency when associated with cranioencephalic trauma (CET). The most important demographic findings will be described in a group of patients selected for the present study. To describe the sociodemographic and clinical characteristics of patients diagnosed with maxillofacial trauma, as well as to determine the main treatment and stabilization guidelines developed in a third level complexity center in the township of Chía in Colombia. Materials and methods: This is a observational and descriptive study, developed by the Department of Clinical Pharmacology and Maxillofacial Surgery to characterize the demographic population with maxillofacial trauma at the Clínica de la Universidad de La Sabana. Results: We analyzed 37 patients in the present study, with an average age of 35 years, finding a higher incidence of presentation in the male gender. Among the most frequent causes; in 56% of cases, traffic events are recorded as a motorcycle driver. Within the classification of fractures, panfacial’s fractures were found in 24.4% of the cases, being the most prevalent. In the hospital setting, 43% of patients had severe CET. The waiting time to perform a surgical intervention was approximately 3.8 days. Finally, management requirements were defined in the Intensive Care Unit (ICU) through 5 variables such as: use of vasopressors, sedation, analgesics, gastrostomy or tracheostomy and additional management in ICU. Conclusion: institutions must standardize a specific diagnosis and management protocol for traumatic injuries according to their level of complexity, geographic location, and volume of patients with maxillofacial trauma and cranioencephalic trauma due to its high prevalence and implications for both morbidity and mortality.


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