This series comprised 751 patients with facial fractures sustained in various accidents and treated at the Department of Plastic and Reconstructive Surgery at the Hanyang University Hospital between January 1981 and December 1987. These patient´s medical records were then retrospectively analyzed in order to gain insight into a clinical pattern.
The following results were obtained
1. The greatest number of patients were sustained facial bone injuries between 16 : 00 and midnight. The monthly incidence showed in November at the most and at the least in February. The increase of facial bone injuries of 8.2 % per year was shown.
2. The mean age of patients was 29.2 years and the age range was I to 80 years. Facial bone injuries was most frequent in the second decade of life. Males were predominated more than female, 4 : 1
3. The most common cause of facial bone injuries was traffic accident followed by violence, fall, industrial accidents and others.
4. A total of 889 classified facial fractures were diagnosed in the 751 patients. The most common fractures were found in the nose followed by mandible, zygoma, maxilla and orbital wall
5. Associated soft tissue injuries (75.9 %) were as following order of frequency. 1) facial soft tissue injuries 2) soft tissue injuries of extremities 3) eyeball injury
6. Associated fractures(19.5 %) were found as following order of frequency.
1) skull fractures
2) fractures of lower extremity 3) fractures of upper extremity 4) rib fractures
7. Associated life threatening injuries(25.5 %) were as following order of frequency.
1) cerebral concussion & contusion 2) intracranial hemorrhage 3) hemo-pneumothorax 4) viscus rupture ,e.
8. Closed reduction was used for 33.3 % of the patients, while 40.6 % of patients were required
open reduction and 7.6 % need both closed and open reduction. 9. Complications were as follows. 1) eye problem
2) facial deformity 3) local infection
4) posttraumatic psychosis 5) expire
Two cases died secondarily to viscus rupture, one case from intracranial hemorrhage, one case
from pneumothorax, and one case due to aspiration pneumonia.
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