A clinical analysis of 249 patients with maxillo-facial trauma, who underwent general anes-thesia from January 1992 to December 1993 at Lee-Rha General Hospital were made in order to investigate various case characteristics such as sex ratio, age
distribution, types of trauma, fracture sites, associated injuries, underlying medical problema, abnormal laboratory findings, intubation, and preoperative physical condition.
It was found that males outnumbered females showing the peak age incidence in 20's and 30's The high velocity motor vehicle accidents was the most common cause of trauma and the mandible was the most frequent fracture sites. Among 96 associated
injury
cases 63 cases were neurosurgical problems. Underlying medical problems or abnormal laboratory findings were present in 28.9% of the patients studied and preoperative physical status 1 or 1E (ASA classification) was most common accounting for
54.8%
of
the patients studied. Of the patients who received endotracheal intubation, 73.5% were done via a nasotracheal route.
|