• Users Online: 161
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 5-9

Epidemiology and management of life-threatening hemorrhage secondary to maxillofacial injuries: Analysis of 14 cases in a Nigerian tertiary care center


Department of Dental Surgery, Maxillofacial Unit, University of Calabar Teaching Hospital, Calabar, Nigeria

Correspondence Address:
Otasowie D Osunde
Department of Dental Surgery, Maxillofacial Unit, University of Calabar Teaching Hospital, Calabar
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1597-1112.195447

Rights and Permissions

Background: Life-threatening hemorrhage from the maxillofacial region is a rare occurrence. In this study, the management of maxillofacial patients with life-threatening acute blood loss in a Nigerian tertiary health care facility is presented. Materials and Methods: Data on the management of all consecutive patients who presented to the Accident and Emergency department of our institution with life-threatening hemorrhage arising from trauma to the oral and maxillofacial region were prospectively collected over a 4-year period. The information obtained included demographics, etiology, vital signs at presentation, interval between injury and presentation, nature and mechanism of injury, sources of bleeding, treatment done, postoperative follow-ups, and outcome. The data were analyzed using the Statistical Package for Social Sciences (SPSS version 13, SPSS Inc, Chicago, Illinois, USA). Statistical significance was set at a P < 0.05. Results: Fourteen patients (males = 12; female = 2) with age ranging from 17 to 65 years, mean 29.8 ± 12.82 years were managed within the study period. Majority of the victims were students (n = 7; 50%), and assault (n = 6; 42.9%) and road traffic accidents (n = 5; 38.5%) were the dominant modes of injury. The source of intraoral bleeding was from fractured mandible (n = 2) and lacerated tongue. The time interval between injury and time of presentation at treatment center ranged from 50 min to 1380 min (about 23 h), with a mean time interval of 275.1 ± 446.02 min. Ligation of the bleeder vessels combined with suturing of lacerations (n = 10; 71.4%) was the most common methods of arrest of hemorrhage in affected patients. Three of the patients required transfusion of whole blood plus intravenous infusion of crystalloids. The other eleven cases received only crystalloids. Conclusion: Early presentation achieved by prompt referral to a health facility with the requisite workforce and facility will bring about good treatment outcome and avoid preventable deaths.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1296    
    Printed50    
    Emailed0    
    PDF Downloaded77    
    Comments [Add]    

Recommend this journal