Emergency Treatment of Multiple Maxillofacial Fractures Due to Motorcycle Accident: Case Report

Abstract

Introduction: Physical trauma to the facial area can cause soft tissue injuries and fractures of the facial bones. Multiple injuries to the face can be difficult to treat and can lead to complications and defects if left untreated. The purpose of this case report is to discuss the emergency management of multiple fractures of the maxillofacial bones due to a motorcycle accident. Case Report: A 23-year-old male patient came to the emergency room at Hasan Sadikin General Hospital with complaints of facial and jaw injuries due to a motorcycle accident the day before. Extraoral examination, found edema and hematoma in the right orbital rim region, situational suturing in the right lid, and lacerated wound in the right labii superior region. Intraoral clinical picture found lacerated wound in the left inferior labii region and gingiva. The occlusion is anterior crossbite and open bite, and there are steps in the mandibular corpus bilaterally. Radiographs show fracture lines of the right zygomatic bone region, right orbital rim, maxillary and mandibular bones bilaterally. The diagnosis of this case was multiple fractures of the maxillofacial bones. The emergency treatment performed included wound debridement, wound resuturing, and temporary fixation of the wiring arch bar on the maxilla and mandible. Conclusion: Emergency treatment of multiple maxillofacial fractures due to trauma with wound care and temporary installation of arch bar fixation devices on the maxilla and mandible gives good results and makes it easier for definitive treatment

Keywords: emergency, multiple fractures, maxillofacial, accident, motorcycle